- Highmark Health (Providence, RI)
- …- Medicare Advantage, Medicaid, Affordable Care Act + Demonstrated knowledge of risk adjustment principals + Health Insurance and/or managed care industry ... might jeopardize successful achievement of the desired results of a program , develop risk mitigation strategies and tactics, and implement risk mitigation… more
- RELX INC (Providence, RI)
- …needs of the business and external customers. About the Role The Business Program Manager manages key client programs and projects. Overseeing a portfolio ... About the Business LexisNexis Risk Solutions is the essential partner in the...customers across divisions, potentially including external customers, to enhance program effectiveness and influence. + Handling client-facing strategic initiatives… more
- CVS Health (Woonsocket, RI)
- …for risk evaluation and program implementation; track and analyze risk adjustment model versions and weights by site, validate member-level risk ... is hiring for the following role in Woonsocket, RI: Manager , Informatics to formulate and apply mathematical and optimizing...setting; serve as lead subject matter expert on Medicaid Risk Adjustment methodology and risk … more
- Humana (Providence, RI)
- …similar **Preferred Qualifications** + Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider. + PMP or CAPM Certification + ... of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior… more
- Sedgwick (Providence, RI)
- …services such as resume and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral ... Performs other duties as assigned. + Supports the organization's quality program (s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's… more