- Humana (Providence, RI)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Providence, RI)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- Olympus Corporation of the Americas (Westborough, MA)
- … Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill ... than @Olympus.com, it is likely not legitimate._ **Job Description** The Director , Business Development (BD) Quality Assurance (QA) is responsible for strategic… more
- Indeed (Providence, RI)
- …(*Comscore, Total Visits, March 2024) **Day to Day** Start the day reviewing executive engagement metrics and prioritizing high-impact opportunities. Meet with the ... to support Indeedians, as well as their pets, kids, and partners including medical , dental, vision, disability and life insurance. Indeedians are able to enroll in… more
- Ryder System (Providence, RI)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- Beth Israel Lahey Health (Needham, MA)
- …committee and reviewing and signing off Code 44 cases in real time. The CMO/ Medical Director will have direct oversight of the Medical Staff Office and ... to Director of Quality and Safety, actively participates in Medical and Surgical Review Committees, reviews and investigates cases with possible… more
- Citizens (Westwood, MA)
- …thresholds. While in this role, you will be responsible for proactively reviewing , analyzing, and identifying emerging risks, escalating to the Senior Director ... of First Line Risk where appropriate. You will work with the Senior Director / Director to adhere to internal governance processes and controls for existing and… more
- Citizens (Westwood, MA)
- …thresholds. While in this role, you will be responsible for proactively reviewing , analyzing, and identifying emerging risks, escalating to the Senior Director ... of First Line Risk where appropriate. Additionally, you will work with the Senior Director / Director to adhere to internal governance processes and control for… more
- Brown University (Providence, RI)
- …to the needs of staff, students, and families. Reporting to the Associate Director of Pre-College Student Life - Student Support and Operations, the Accommodations ... students' and staff member's accessibility needs and evaluate information from medical and/or psychological clinicians to determine eligibility, and make referrals… more
- VCA Animal Hospitals (Stoughton, MA)
- …skills. The Assistant Hospital Manager-under the guidance of the Hospital Manager and Medical Director -performs a wide range of administrative duties related to ... team. * Review the P&L Report monthly and partner with the hospital Manager and Medical Director to increase revenue and limit expenses. * Model an "owner"… more
- State of Massachusetts (Wrentham, MA)
- …performance of campus security personnel through observation and conferences and by reviewing reports and logs. - Assist in appropriate on-the-job training of ... - Assist local fire department, law enforcement, and emergency medical services responding to emergencies at the facility. -...machines. - Perform related duties as dictated by the Director of Operations and/or Facility Director at… more
- Fallon Health (Worcester, MA)
- …data collection and quality surveillance as required. + Collaborates with the Site Director to establish goals and objectives related to home care services. + ... for the completion and submission of biweekly payroll. + Responsible for reviewing all claims and prior authorizations for accuracy. + Addresses employee relations… more
- Cardinal Health (Providence, RI)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- CVS Health (Woonsocket, RI)
- …all with heart, each and every day. This role reports to the Lead Director , HR Selection & Engagement, and will drive the enterprise employment testing strategy as ... conducting focus groups, observing employees, interviewing subject matter experts or reviewing competency models. The ideal candidate would be familiar with… more
- Bear Mountain Health Care (Sudbury, MA)
- …MA Facility ( MetroWest Area ). The Social Worker reports to the Director of Social Services. Responsibility will be to provide for the physical, psychological, ... to develop and implement strategies that promote person-centered care. + Assist in reviewing and setting policies concerning resident care and quality of life. +… more
- RES (Providence, RI)
- …the change management process. + Supports Subcontractor Change Management by reviewing subcontractor changes and assessing impact to overall budget and forecast. ... project execution plan. **Assists with Client Relationship Management:** + Assists Construction Director and Project Manager in client negotiations as they relate to… more