- Evolent Health (Providence, RI)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- CVS Health (Providence, RI)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- CVS Health (Woonsocket, RI)
- …to interact with a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years' clinical and/or managed care ... experience in the healthcare industry and quality management . * Previous experience that reflects a proven track...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- Humana (Providence, RI)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Elevance Health (Smithfield, RI)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Humana (Providence, RI)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- ManpowerGroup (Attleboro, MA)
- **Job Title: Team Lead ** **Location: Attleboro, MA** **Pay Range:$30 an hour** **What's the Job?** The Sr. Production Lead is responsible for directly overseeing ... Team Leads Production Operators. The Sr. Lead will maintain accountability of all operators and drive...to assure jobs completed within allotted labor standards Labor Utilization : * With oversight of manager, ensure that all… more
- Merck (Providence, RI)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- BJs Wholesale Club (Middletown, RI)
- …business/business acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model ... members to ensure excellent member service. The Front End Lead teaches, develops and motivates all team members for...to navigate within system applications. + Utilize online task management system (MyWork) to manage workflow, track, and monitor… more
- GAF (Providence, RI)
- …a financial budget, strategic project execution (fleet growth) regulatory compliance, and utilization metrics. The Director of Asset Management will create a ... service lease to a hybrid (majority owned) fleet. + Lead the asset utilization drive and work...or 10+ years of experience in asset lifecycle, maintenance management and asset utilization leadership + 7+… more
- Evolent Health (Providence, RI)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… more
- Marriott (Providence, RI)
- …used to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- Humana (Providence, RI)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- CVS Health (Cumberland, RI)
- …of medical cost trend results used to formulate effective network contracting and utilization management strategies. * Work with Operations to ensure payment ... is to provide accurate, relevant data and analysis for utilization and unit cost management to support...contracting * Working with large datasets Ability To: * Lead team members in proactive analysis/research around utilization… more
- Humana (Providence, RI)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Providence, RI)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Providence, RI)
- …skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
- Ryder System (Providence, RI)
- …at all levels and functions across the operation. This position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is closely aligned with Operations ... Management . + Lean background is mandatory + Warehouse Engineer...Manages and completes CI and steady-state engineering projects that lead to improved business results. Assesses CI initiatives and… more
- CBRE (Providence, RI)
- …29-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project Management Location(s) Remote - US - Remote - US - United States of ... construction program process administration across the portfolio. Focus is on ability to lead multiple projects at one time over multiple global locations + Develop… more