- CVS Health (Woonsocket, RI)
- …And we do it all with heart, each and every day. **Position Summary** As a Healthcare Compliance Senior Analyst , you will ensure contractual and ... by researching prescription insurance program requirements, medical billing policies, compliance inquiries, and related issues/complaints, and crafting timely responses… more
- Prime Therapeutics (Providence, RI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job ... Description** The Senior Compliance Analyst assists in... Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project… more
- Evolent (Providence, RI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers,… more
- Highmark Health (Providence, RI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job understands healthcare data from end-to-end and analyzes raw data and analytic data for ... + Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics, Management Information Systems or closely related discipline...**EXPERIENCE** **Required** + 5 - 7 years of Business Analyst Experience, or + 5 - 7 years of… more
- Highmark Health (Providence, RI)
- …This job is responsible for performing information governance, risk, and compliance activities associated with the enterprise-wide records management function. Such ... in Information Governance **Preferred** + 5 years of experience in Healthcare Industry **SKILLS** + Demonstrated knowledge of information governance policy and… more
- Highmark Health (Providence, RI)
- …support operations. (10%) + Stays abreast of issues impacting the healthcare industry and/or third party payor regulations/requirements, sponsored project research, ... especially those that have a financial impact to AHN and communicates those issues to team and management. Makes recommendations for financial and performance improvement. (5%) + Analyzes contractual or financial results, trends, performance metrics and… more
- CAI (Providence, RI)
- …a fast-paced environment **What You'll Need** Required: + 5+ years of experience as a Senior Data Analyst within the healthcare sector + Proficient knowledge ... Summary** We are looking for a motivated Sr Data Analyst ready to take us to the next level!...create processes and workflows, and conduct analysis in a healthcare setting, using their working knowledge of HL7/FHIR messaging… more
- Carrington (Providence, RI)
- …our amazing team and work remote from home!** The Foreclosure Oversight Analyst II will be responsible for reviewing, engineering, maintaining and ensuring ... intelligence, department objectives and competing initiatives as well as design compliance solutions. Perform all duties in accordance with the company's policies… more
- CVS Health (Woonsocket, RI)
- …each and every day. **Position Summary** CVS Health is on a mission to transform healthcare . With a shared purpose to help people on their path to better health, we ... every day. As we, seek to simplify a complex healthcare system for the patients we serve, while delivering...ensure proper functionality and de-collisioning when needed. The Sr Analyst will work cross functionally with both internal and… more
- Prime Therapeutics (Providence, RI)
- …Business Analyst (BA) Associate participates on projects with more senior Business Analysts to understand, analyze, and facilitate business needs, requirements, ... changes as a result of strategic initiatives, operational changes, compliance requirements, client needs, and technology or operational improvements.… more
- Humana (Providence, RI)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Carrington (Providence, RI)
- …our amazing team and work remote from home!** Client Relationship Analyst is responsible for capturing and documenting client/investor servicing requirements, ... and client relations activities. Work with all levels of management (including senior executive levels) and non-management staff in an effort to maintain, support… more
- Highmark Health (Providence, RI)
- …insights which identify actionable opportunities aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
- Highmark Health (Providence, RI)
- …market trend analysis); 4) support development of formal recommendations to senior levels of Highmark leadership; 5) help create document components (go-to-market ... in strategy / management consulting firms or internal strategy groups of healthcare and related companies **Preferred** + Experience in Health Insurance operations… more
- Highmark Health (Providence, RI)
- …which may include but not limited to fraud detection, corporate compliance , wellness/disease management, and product development efforts. + Complete renewals, ... prospect quotes, review of lower level analyst work in accordance with production and timeliness standards....+ Actively pursuing a professional designation related to the healthcare industry and be willing to complete one course… more