• Director - Claim Services

    Boston Mutual Life Insurance (Canton, MA)
    …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
    Boston Mutual Life Insurance (11/06/25)
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  • Director Claims

    Ryder System (Providence, RI)
    …liability, property, and cargo claim . This position reports to the Senior Director of Claims and requires little supervision and is considered a liability, ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
    Ryder System (11/22/25)
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  • Medical Director - IP Claims

    Humana (Providence, RI)
    …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (12/11/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Providence, RI)
    …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (11/24/25)
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  • Senior Professional Liability Claims

    Zurich NA (Providence, RI)
    Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...expertise and strategic coordination. + Accurately update and document claim files in accordance with best practices, ensuring data… more
    Zurich NA (12/09/25)
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  • Managing Director , Actuarial…

    Evolent (Providence, RI)
    …health outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
    Evolent (10/21/25)
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  • VP & Medical Director

    Travelers Insurance Company (Providence, RI)
    …needed to the Claim Field organization. + Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
    Travelers Insurance Company (10/24/25)
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  • AVP, Underwriting Director - Energy, Oil,…

    Zurich NA (Providence, RI)
    …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...years. By providing a broad array of products and services , we work with our customers to support their… more
    Zurich NA (10/30/25)
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  • Medical Director - Medicaid N. Central

    Humana (Providence, RI)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (10/25/25)
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  • Director , Customer Engagement Platforms

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Job Overview:** The Director , Customer Engagement Platforms (CEP) will be responsible for overseeing the development, implementation, and optimization of customer ... Engagement platforms (PsychU, PsychUsim, ADPKDsim, and NephU). Reporting to the Sr. Director for Engagement and insights Excellence, the Director will manage… more
    Otsuka America Pharmaceutical Inc. (11/26/25)
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  • Director , Training Management Operations…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    Director , Training Management Operations Lead The Director , Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... of training programs. + Oversee vendor relationships for training services and technology solutions. **Qualifications:** + Bachelor's degree required; advanced… more
    Otsuka America Pharmaceutical Inc. (12/06/25)
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  • Associate Director , R&D HCP Engagement

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Job Summary** The Associate Director , R&D HCP Engagement CoE is a critical change agent and system implementer responsible for designing the operating model and ... overseeing the execution of a unified, compliant, and exceptional service model for all Healthcare Professional (HCP) engagement and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Associate Director , Global Product Quality

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Job Summary** The Associate Director Controlled Substances, Quality Global Product Quality - API/DP is responsible for directing quality oversight of clinical and ... commercial products. + Interfaces with Contract Manufacturers/Laboratories, Tech Ops, Technical Services and Supply Chain Sourcing to drive Quality improvements that… more
    Otsuka America Pharmaceutical Inc. (12/19/25)
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  • Associate Director , Global Product Quality…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Job Summary** The Associate Director , Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... commercial products. + Interfaces with Contract Manufacturers/Laboratories, Tech Ops, Technical Services and Supply Chain Sourcing to drive Quality improvements that… more
    Otsuka America Pharmaceutical Inc. (12/02/25)
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  • Medical Director , Medicare Grievances

    Humana (Providence, RI)
    …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of … more
    Humana (11/19/25)
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  • Director , Quality & Compliance Training…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    The Director , Quality & Compliance Training, is a senior leader within the Learning Center of Excellence under Global Quality. This role is responsible for ... and compliance tracking. + Oversee vendor relationships for training services and technology solutions **Qualifications:** + Bachelor's degree required; advanced… more
    Otsuka America Pharmaceutical Inc. (12/06/25)
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  • Senior Director , Rapid Innovation Team…

    Merck (Providence, RI)
    **Job Description** **Sr. Director - Rapid Innovation Engineering** Overview The Sr. Director of Rapid Innovation Engineering is a senior technical leader ... adoption, guide enterprise integration, and communicate with executive stakeholders. The director of the Rapid Innovation Engineering team will help shape the… more
    Merck (12/15/25)
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  • Associate Director , Medical Omnichannel…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    …and development of next generation advanced analytics model-based decision engines and services . The ideal candidate will engage closely with key stakeholders to ... Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (12/03/25)
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  • Sr. Director , Client Analytics

    Evolent (Providence, RI)
    …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... leadership to implement data-driven solutions. + Ensure that high-quality, accurate data services are consistently delivered on time and within scope. + Present… more
    Evolent (11/25/25)
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  • Contract Support and RCM Analyst - Independent…

    Public Consulting Group (Providence, RI)
    …and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 ... Analyst will support both the contractual administrative tasks and the entire claim process. The independent contractor will provide contract support through data… more
    Public Consulting Group (12/02/25)
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