- Prime Therapeutics (Providence, RI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Providence, RI)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- Prime Therapeutics (Providence, RI)
- …make. **Job Posting Title** Claims Technical Analyst, Sr. **Job Description** The Senior Claims Technical Analyst is responsible for serving as the claims ... This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process improvement and… more
- Deloitte (Boston, MA)
- Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Boston, MA)
- Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- HealthEdge Software Inc (Providence, RI)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- MetLife (Warwick, RI)
- …a month for office meetings Key Responsibilities: * Conduct quality reviews of LTD claims of various complexity * Identify trends, root causes and quality gaps from ... and management regarding performance and quality standards * Partners with team and claims organization to develop criteria and standards in which to measure quality… more
- CVS Health (Boston, MA)
- …which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- PPL Corporation (Providence, RI)
- …bonds, or obtaining parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior management to ... force in the cities and towns where we do business , providing support for programs and organizations that empower...parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior… more
- Sedgwick (Providence, RI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Vice President Business Development **PRIMARY PURPOSE:** To expand and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Point32Health (Canton, MA)
- …requirements and timelines. The Senior Manager works closely with claims , membership operations , clinical services, care management, customer relations, ... as well as overseeing implementation of the product across the business . The Senior Manager will be responsible for ensuring that Plan Benefit Packages… more
- Zurich NA (Providence, RI)
- Senior US International Reverse Flow Underwriter 117849 Zurich is seeking a senior level US International Reverse Flow Underwriter to join our International ... Operations team in our Schaumburg, IL North America Headquarters....provide US underwriting support for incoming received country (RC) business from non-US producing countries. In this model the… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …reporting and risk-based audits of these areas (eg Enrollment, Premiums, Claims Operations , Provider Enrollment and Pricing, Accounting, and Information ... of/experience with general internal control requirements, and general understanding of business operations , financial and information technology procedures, and… more
- Evolent Health (Providence, RI)
- …products. You will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure ... You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to...market, and the customers. They collaborate with implementation teams, business operations , engineering, and growth teams to… more
- Turner & Townsend (Boston, MA)
- …programs covering the full spectrum of consultancy, project delivery and post-project operations . With offices located globally, you're never far away from our ... **Turner & Townsend** has an exciting opportunity for a ** Senior Risk Manager** to join our USA Infrastructure team,...Houston or other large metropolitan areas where we do business . + Maintain visibility of threat/opportunity trigger points to… more
- Deloitte (Boston, MA)
- …and Energy & Resources. Our OTT team applies deep sector knowledge and technical business operations consulting experience to take a more strategic view of our ... What we do Operations and Technology Transformation delivers market leading expertise...solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems… more
- Prime Therapeutics (Providence, RI)
- …across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance ... guidance and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate… more
- Stantec (Boston, MA)
- Senior Document Controls Manager - ( 240003NP ) **Description** We are strategizing, planning, and implementing projects that help clients achieve their ... as if they were our own, our project management business , and technical experts work with clients to strategize,...to wind farms. **Your Opportunity** Stantec is seeking a Senior Document Controls Manager to join our growing team!… more
- US Tech Solutions (Woonsocket, RI)
- **Position Summary:** **Duties** The Strategic Marketing Senior Manager will support the business . They will drive forward our marketing goals through helping ... regular benchmarking to understand how other retailers/competitors market their loyalty business ( claims /benefits, marketing campaign insights, etc.) * Ability… more
- Humana (Providence, RI)
- …support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for a motivated individual to influence the ... successfully position Humana to enter new markets enabling the future of the business . As a centrally positioned strategic function this team coordinates with growth… more