- Prime Therapeutics (Providence, RI)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Program Manager ( Claims Exp) - Remote **Job Description** ... The Senior Program Manager is accountable for leading and...to manage competing priorities and deadlines **Preferred Qualifications** + Claims experience (RxClaims) **Physical Demands** + Ability to travel… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …+ Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, ... **About This Role** The BA/PrM shall partner with the Program Lead and Technical Lead to deliver the ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Providence, RI)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... and non-technical audiences + Experience with healthcare datasets including claims , providers, members, authorizations. + Advanced Excel skills including pivot… more
- US Tech Solutions (Woonsocket, RI)
- **Position Summary:** **Duties** The Strategic Marketing Senior Manager will support the business. They will drive forward our marketing goals through helping ... strategies to target and personalize communications at relevant moments to motivate program trial and upsell * Develop competitive set and regular benchmarking to… more
- Omni Hotels (Boston, MA)
- …but we use these constraints to push, not limit, our creativity. TheHuman Resources Manager a ssists with the management of all functions of the Human Resources ... counseling and disciplinary procedures. + Maintains associate Personal Time Off Program within the hotel. + Coordinates salary administration and review process.… more
- Zurich NA (Boston, MA)
- …This role will be filled at either the AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level ... AVP, Underwriting Officer Or VP Senior Underwriting Officer 124285 What can go right...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- Zurich NA (Boston, MA)
- …This role will be filled at either the AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level ... AVP, Underwriting Officer Or VP Senior Underwriting Officer 118181 Zurich North America is...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- General Motors (Providence, RI)
- …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
- Bank of America (Boston, MA)
- Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... client experience while managing fraud most effectively. As a Fraud Strategy Manager with the Client Protection organization, you will capitalize on technical… more
- WellSense (Boston, MA)
- Senior Provider Relations Consultant, BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... works for our members, no matter their circumstances. **Job Summary:** **The Senior Provider Relations Consultant (Snr PRC) is responsible for managing an assigned… more
- Walmart (Providence, RI)
- …vouchers weekly summaries refrigerant logs work orders and submitting to senior leadership Ensures compliance with applicable Occupational Safety and Health ... sustainability by compiling and reporting budget information to the regional manager of Facilities requesting replacement HVACR equipment for facilities submitting… more
- CVS Health (Woonsocket, RI)
- …to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer. You will develop a deep understanding of PBM Finance data ... team and organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide...(AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years… more
- Nucor Steel Auburn, Inc. (Milford, MA)
- …sharing, Pay-for-performance bonuses, Paid parental leave, Tuition reimbursement, Stock program , Scholarships and more. Basic Job Functions: [[cust_safetyState]] Due ... staff, assisting with contract-related matters, subcontractors, outstanding receivables, and claims . Train sales and project management teams on contractual terms,… more
- Elevance Health (Boston, MA)
- …program savings. The ideal candidate will possess extensive experience in PI editing, claims , and program management. **How you will make an impact:** + ... **Strategy & Program Development Director - Payment Integrity Strategy &...compliance, and the strategic design and management of enterprise-wide claims editing projects. This role involves planning, budgeting, and… more
- Walgreens (Bellingham, MA)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This...Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager… more
- Walgreens (Bellingham, MA)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Pearson (Providence, RI)
- …staffing agencies and product vendors. **Key relationships** + Works closely with the Senior Operations Manager and the Operations Team to ensure efficient ... to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main liaison, fostering robust relationships with… more
- American Family Insurance - Corporate (Boston, MA)
- …regulatory agency insurance licensing compliance. You will report to a Licensing Senior Manager . Position Compensation Range: $61,000.00 - $101,000.00 Pay Rate ... changes in legislation and regulations to assist with sales, claims or product development and maintenance. + Collaborate with...incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In… more
- Blue Matter (Boston, MA)
- …internal team, and support their growth via coaching, training and mentorship of Consultants and Manager . Manage a team of 4-5 and eventually a team of up to 20. ... plus (8) years of experience in the job offered or similar senior level leadership marketing/sales strategy positions within the commercial life sciences industry.… more