- Highmark Health (Providence, RI)
- …requirements effective August 2016) Preferred + Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience ... and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions;… more
- Prime Therapeutics (Providence, RI)
- …every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves as liaison between ... IT, Claims and Clinical departments. Responds to ad hoc requests for support , reports and analysis. Supports departmental management team by providing trending and… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Client Audit Analyst **Job Description** As a member of the Client Audit Management (CAM) team, the ... documentation related to audit processes and implementation. The focus of this Client Audit Analyst role is to provide behind-the-scenes support to the CAM team… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is responsible ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support... Medicaid ). This role will also provide actuarial support in complex projects that are highly visible to… more
- Humana (Providence, RI)
- …is a non-exempt position with responsibility for utilization management and clinical decision -making as outlined in the Autism Care Demonstration (ACD) defined in ... guidelines / procedures, utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and /… more