- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- Lumen (Providence, RI)
- …we digitally connect the world and shape the future. **The Role** The Senior Director , Strategic Planning & Portfolio Management plays a pivotal role in driving ... that connects strategy to impact. Through disciplined planning and performance management , you will help scale operational excellence and accelerate innovation… more
- CenterWell (Providence, RI)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- PagerDuty (Providence, RI)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… more
- Highmark Health (Providence, RI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...where the analysis of situations or data requires a case by case consideration of the Medicare… more
- Datavant (Providence, RI)
- …our bold vision for healthcare. Datavant is seeking a strategic and hands-on ** Director of Quality** to lead product and supplier quality assurance efforts within ... data (RWD) solutions through tokenization, data linkage, and privacy-preserving analytics. As Director of Quality, you will own the implementation and evolution of… more
- Evolent (Providence, RI)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Northeast Family Services (Fall River, MA)
- …providing direct treatment services + Proficient with supervision, service delivery and case management fundamentals + Experience in quality management ... Director of Internship and Training Are you passionate...and families thrive. We're seeking an experienced and compassionate Director of Internship and Training to lead our programs… more
- Lumen (Providence, RI)
- …make recommendations and monitor business performance against the company's objectives. The Sr. Director of Corporate Finance is a key leadership role in the Finance ... actively involved in setting internal targets and external guidance. The Sr. Director of Corporate Finance must drive collaboration and work cross-functionally in… more
- Parexel (Providence, RI)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… more
- Datavant (Providence, RI)
- …bold vision for healthcare. **About the Role** We are seeking a **Senior Director of Product** to lead the **Provider Experience Zone** -owning the strategy, vision, ... and commercial success **Qualifications** + 10+ years in Product Management , including 5+ years leading SaaS product teams +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Lumen (Providence, RI)
- …connect the world and shape the future. **The Role** The Data Center Account Director will be responsible for driving sales and business development efforts for our ... finished tenant services that meet customer requirements. **Sales:** + **Sales Cycle Management :** Manage the entire sales process, from initial contact to contract… more
- Norstella (Providence, RI)
- Sr. Director /VP/Clinical Delivery Lead, Advisory Services Company: Citeline Location: Remote, United States Date Posted: Nov 4, 2025 Employment Type: Full Time Job ... ID: R-1553 **Description** Sr. Director /VP/Clinical Delivery Lead, Advisory Services **Reports to** :SVP, Advisory...clients, including (but not limited to) the following use case areas:** + Clinical development planning and forecasting +… more