• Provider reimbursement Admin

    Elevance Health (Smithfield, RI)
    …Elevance Health office locations. **Open to any Elevance Health office**_ The ** Provider Reimburse Admin ** ensures accurate adjudication of claims, by ... translating medical policies, reimbursement policies, and clinical editing policies into effective and...or any combination of education and experience, which would provide an equivalent background. + _A coding certification is… more
    Elevance Health (09/11/24)
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  • Administrative Coordinator, Philosophy…

    Providence College (Providence, RI)
    Position Information Position Title Administrative Coordinator, Philosophy Department Overview Provide administrative support to the Department Chair and the ... academic and student events, office furniture, and speaker honoraria. Prepare reimbursement and remittance forms for approval. Process payments, transmit reports,… more
    Providence College (09/12/24)
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  • Supervisor, Provider Engagement

    Humana (Providence, RI)
    …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
    Humana (09/11/24)
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  • Director, Managed Care - Navista

    Cardinal Health (Providence, RI)
    …registration, business office, finance, practice operations etc.) to facilitate contract administration and execution + Support clinic and admin departments ... This role's primary focus is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it relates to managed… more
    Cardinal Health (08/14/24)
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  • Software Engineer II NBS - PowerBI, C#, Azure,…

    Nelnet (Warwick, RI)
    …Embedded framework, building reports while also making enhancements to the PBI Admin (Release) Application and Client Application. You will also have the opportunity ... Embedded applications, including building visualizations and the Client and Admin applications + Write code and automated tests for...and automated tests for new features + Review and provide feedback on development pull requests + Provide more
    Nelnet (09/12/24)
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  • Certified Medical Assistant, Internal Medicine

    Brockton Hospital (North Easton, MA)
    …by RN/MD. Refer patients who require further teaching interventions to an RN or provider . + Provide emergency care to patients when necessary, using basic life ... of competency has been assessed with a signed order. + Alert RN and/or provider of patient's/family's questions or issues related to vaccine administration . +… more
    Brockton Hospital (09/03/24)
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  • Customer Care Associate - Philadelphia PACE…

    Prime Therapeutics (Providence, RI)
    …of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is ... to provide outstanding service to internal and external customers and...and external customers and strive to resolve member and provider needs on the first call. Performance expectations are… more
    Prime Therapeutics (09/15/24)
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  • Maximum Allowable Cost Programs Specialist…

    Prime Therapeutics (Providence, RI)
    …program. Staff members serving in this position serve as experts on MAC provider reimbursement issues for their respective assigned accounts. **Job Description** ... set by customer. Responsible for coordination and monitoring of the administrative provisions of the Prime Therapeutics contracts with providers. This is… more
    Prime Therapeutics (09/15/24)
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  • Senior Product Manager - Claims

    HealthEdge Software Inc (Providence, RI)
    …regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite ... of system functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine and prioritize the… more
    HealthEdge Software Inc (09/11/24)
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  • Family-Teaching Partner

    Boys Town (Portsmouth, RI)
    …job as a Family Teacher. Together each of you will be part of a team that provide care and guidance to boys and girls in need. $20,000 HIRING BONUS! up to $6,000 ... in need of medical care or assistance. + Utilizes Boys Town vehicle to provide transportation for youth as needed. Provides direct care and service to children. +… more
    Boys Town (08/24/24)
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  • Certified Registered Nurse Anesthetist

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... surgical patient. Responsible for assuring safe recovery from anesthesia and provide pain treatment in the immediate postoperative period. Accountable for adhering… more
    Veterans Affairs, Veterans Health Administration (09/12/24)
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  • Business Consultant

    HealthEdge Software Inc (Providence, RI)
    …(eg, claim life cycle/workflow, network contracting, payment/policy configuration, provider relations, medical management, medical economics, audit, compliance) ... a moreholistic approachto payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based… more
    HealthEdge Software Inc (08/06/24)
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  • Strategy Analyst (Business Development) (Remote…

    Mathematica (Providence, RI)
    …** * Collaborate with pricing, purchasing, accounting, finance staff and other administrative groups within Mathematica to provide end‐to‐end business solutions ... You will also work closely with Mathematica's corporate legal team as necessary to provide advice on contractual terms to minimize risk to all parties prior to… more
    Mathematica (09/14/24)
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  • Medical Officer (Staff Anesthesiologist) Open…

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    … peri-operative care including pre-operative assessment, intra-operative anesthetic administration , and monitoring of post-anesthesia care in compliance with ... the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance… more
    Veterans Affairs, Veterans Health Administration (09/12/24)
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  • Sr Manager, Product Design

    HealthEdge Software Inc (Providence, RI)
    …shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans, and provider contracts. The complete suite ... our integrated solutions suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique… more
    HealthEdge Software Inc (09/11/24)
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  • Associate Technical Services Engineer

    HealthEdge Software Inc (Providence, RI)
    …regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite ... solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique… more
    HealthEdge Software Inc (09/11/24)
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  • Disability Underwriter

    Guardian Life (Providence, RI)
    …will work with adjacent departments, including Individual Disability Service & Administration , for the benefit of the facilitation of the entire underwriting ... and administrative process. The position requires the individual to operate...goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career,… more
    Guardian Life (08/28/24)
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  • Physician (Psychiatrist) Open Continuous…

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... Major Duties & Responsibilities include, but are not limited to: Provide comprehensive psychiatric medical care (assessment, consultation, treatment) primarily in an… more
    Veterans Affairs, Veterans Health Administration (08/21/24)
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  • Ambulatory Profee Coder

    Brockton Hospital (West Bridgewater, MA)
    Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more
    Brockton Hospital (09/03/24)
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  • Outpatient Coding Specialist

    Brockton Hospital (West Bridgewater, MA)
    Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning ... procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. + Consults with medical providers to clarify missing… more
    Brockton Hospital (09/03/24)
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