- Humana (Providence, RI)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider...an in-depth evaluation of variable factors. As the Senior Compliance Professional , you will develop and/or evaluate… more
- CenterWell (Providence, RI)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across… more
- CenterWell (Providence, RI)
- …and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care ... team. The role requires strong critical thinking skills and the ability to use clinical judgment to make informed decisions about patient care. Must be able to work… more
- CenterWell (Providence, RI)
- …part of our caring community and help us put health first** The Director of Clinical Pharmacy will be the leader of Forecasting and would lead the team responsible ... such as drug pipeline updates and market event notifications + Partners with clinical and business professionals, actuaries and operations in a team environment +… more
- CenterWell (Providence, RI)
- …community and help us put health first** The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and ... and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where… more
- CenterWell (Providence, RI)
- …put the unique needs of seniors at the center of everything we do. CenterWell Medical Group is a new "specialty" professional corporation under Primary Care ... country, operating over 3400 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana,… more
- CenterWell (Providence, RI)
- …position will work to educate Humana plan members about the benefits of using CenterWell Mail Order Pharmacy. The primary goal of this position is to convert members ... to using CenterWell Pharmacy (CWP) by successfully showing the value proposition...proposition of our services (cost , quality, service, improved clinical outcomes, ease). The **Director of RxEducation Operations** oversees… more
- CenterWell (Providence, RI)
- …area implements and supports strategy and targeted initiatives aimed at increasing clinical efficiencies, processes, education, and compliance as it relates to ... data-based insight to direct process improvement efforts within the clinical and shared services community. Advises executives and market...+ Remote role + Occasional travel, 25% to various CenterWell and Conviva markets or team on-sites **Work at… more
- CenterWell (Providence, RI)
- …functionality to simplify complex healthcare decisions. + Partner with stakeholders across clinical , compliance , legal, and business teams. **Use your skills to ... and many other opportunities. Application Deadline: 05-12-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable… more
- CenterWell (Providence, RI)
- …and many other opportunities. Application Deadline: 05-14-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable ... patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication… more
- CenterWell (Providence, RI)
- …and many other opportunities. Application Deadline: 05-10-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable ... patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication… more
- Humana (Providence, RI)
- …evaluation of variable factors. The Senior Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent ... us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination,… more
- Humana (Providence, RI)
- …a top consulting firm in combination with additional 4 years or more of professional experience + 3 or more years leading teams or cross functional leadership ... or other advanced degree + Stars, Medical Cost Management, and/or Clinical Analytics experience + Internal or external consulting experience **Additional… more
- Humana (Providence, RI)
- …remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns appropriate codes ... Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to make an… more