- Travelers Insurance Company (Bridgewater, MA)
- …$99,700.00 - $164,500.00 **Target Openings** 1 **What Is the Opportunity?** As a Manager , Compliance you will be responsible for oversight and implementation of ... compliance trends. + Advise and consult on compliance -related data and trends. + Regulatory Change...communication of new or revised laws, regulations, bulletins, and regulatory publications applicable to Property and Casualty Claim… more
- UMB Bank (Providence, RI)
- **Duties & Responsibilities** The Manager , Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate ... with the oversight and management of third-party card fraud claim vendors and ongoing card fraud claims ...UMB and vendor performance and adherence to the applicable regulatory requirements governing fraud claims for cards.… more
- Takeda Pharmaceuticals (Providence, RI)
- …CCDS, USPI and EU SmPC enabling the most up-to-date information and in compliance with labeling requirements to be provided to patients and Health Care Providers ... negotiations with Health Authorities. + Ensures labeling content conform to regulatory requirements. Management of Local Exceptions and LOC Interactions + Manages… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- …and inspections. + Provide timely review and approval of product labeling and marketing claims for regulatory compliance **Qualifications** + BA or BS degree ... submissions for Implantable and Absorbable devices. Under the mentorship of the Senior Manager of Regulatory Affairs, they are responsible for the development of… more
- Prime Therapeutics (Providence, RI)
- …of claims , educating Prime's network pharmacies and driving contract compliance , and supporting downstream claim corrections to eliminate potential waste. ... potential pharmacies to include in onsite trips considering such information as claim analytic data, prior audit history, and/or referrals, and submit recommended… more
- PPL Corporation (Providence, RI)
- …evaluated total cost of ownership basis, and assuring quality and schedule compliance in accordance with the end user's requirements. This position determines ... **_This position may be hired at the Intermediate Category Manager or Senior Category Manager level and...parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior management… more
- PPL Corporation (Providence, RI)
- …by helping to build and maintain strong, diverse communities today. Overview **_The Category Manager position will report in person on a hybrid schedule and can be ... cost of ownership basis, and assuring quality and schedule compliance in accordance with the end user's requirements. This...be hired at the Intermediate, Senior or Lead Category Manager level. The job responsibilites posted below reflect the… more
- Charter Care Health Partners (North Providence, RI)
- …delivery of quality, cost-effective billing services in compliance with all regulatory and licensing standards. The Office Manager will manage the billing ... attendance and ensuring corresponding charges post correctly. The office manager will file appeals on denied claims ,...office manager will file appeals on denied claims , work with other departments on correction of … more
- Sumitomo Pharma (Providence, RI)
- …employee encounters is considered confidential. ** Compliance ** :Achieve and maintain Compliance with all applicable regulatory , legal and operational rules ... **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma America… more
- Walgreens (Providence, RI)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... the direction of the pharmacist, exercises independent judgment to ensure compliance and execution of all business administrative activities and pharmacy inventory… more
- HealthEdge Software Inc (Providence, RI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door...to perform the essential functions of this position_ _in compliance with the Americans with Disabilities Act of 1990._… more
- HealthEdge Software Inc (Providence, RI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door...to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990.… more
- Transdev (New Bedford, MA)
- This role oversees safety education, accident prevention, loss control, and regulatory compliance for the organization. The position involves managing the ... activities related to on-the-job injuries, light-duty assignments, workers' compensation claims , and liability matters. The role establishes and maintains a… more
- Ducommun (Warren, RI)
- …3. Benefit Administration: * Performs benefit administration within policy and regulatory compliance including assisting with general benefit inquiries and ... employee relation issues. * Ensures worked performed is in compliance with all HR regulatory requirements. *...online enrollment, claims resolution, collection of required documents, invoicing and payroll… more
- Sedgwick (Providence, RI)
- …perspective; assists sales process/customer tours as necessary. + Works with program manager , claims unit, expense bill reviewers to resolve questions, redesign ... university preferred. **Experience** Six (6) years of experience in workers compensation claims processes with experience in state regulatory issues for payment… more
- Highmark Health (Providence, RI)
- …analysis, and incurred but not recorded reserve decision making. + Oversees compliance matters including product filings, resolution of regulatory issues, ... marketed across the United States. Provides counseling/advice with respect to regulatory developments in the external environment, product development issues, and… more
- Ferreira Construction Co., Inc. (Warwick, RI)
- …employee under the operator qualification programs. + Coordinate and participate in regulatory agency inspections and investigations to ensure compliance with ... & Quality Coordinator General Summary The position, in concurrence with the Safety Manager , is responsible for developing and managing the safety, health and quality… more
- Highmark Health (Providence, RI)
- …systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of ... as a SME on the most complex projects (cross functional, with potential regulatory risk exposure, customer service & financial impacts). Acts as face to the… more
- Walgreens (New Bedford, MA)
- …compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient ... workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and enhance patient experience.… more
- Zurich NA (Providence, RI)
- …forms and approaches to coverage in new products + Participate in compliance -related queries, including state regulatory exams and insurance department inquiries ... the office and remotely. You will collaborate with your manager to set a schedule that supports you, your...and endorsement drafting, leading reviews with Corporate Law and Claims Legal, and managing the filing process and Departments… more