• Claims Manager - Liability - REMOTE

    Ryder System (Providence, RI)
    …by a professional staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues. Assists Director in ... a team of adjusters in the investigations, vehicle inspections, and resolves claims , as well as directs outside vendors, independent adjusters, experts, and other… more
    Ryder System (02/25/25)
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  • Private Bank Operations Senior Fraud…

    Citizens (Johnston, RI)
    Description Private Operations is committed to delivering a best-in-class experience for Private clients and the colleagues that support them. The group has ... Products. We are seeking a Private Ops Fraud Sr. Manager to provide operational support for all functional areas...thorough knowledge of the department's or business unit's functional operations . This role will report directly to the Head… more
    Citizens (03/06/25)
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  • Pharmacy Operations Manager

    Walgreens (North Smithfield, RI)
    …with the Store Manager **Job ID:** 1563671BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations , administrative activities; Ensures efficient pharmacy workflow and a… more
    Walgreens (02/21/25)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …Provide training to SIU staff related to clinical topics as neededFWA Manager will oversees the day-to-day operations over investigations and allegations ... Under the general direction of the Senior Internal Audit Manager , theAnalyze and interpret patient medical records pertaining to...to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of… more
    Fallon Health (02/07/25)
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  • Senior Vice President, Operations - REMOTE

    Prime Therapeutics (Providence, RI)
    …transformation in Prime's Operations organization including member and clinical operations , claims and benefit operations , implementations, operational ... and drives every decision we make. **Job Posting Title** Senior Vice President, Operations - REMOTE **Job Description** The Senior Vice President, Operations is… more
    Prime Therapeutics (03/13/25)
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  • Pharmacy Manager

    Walgreens (Mansfield, MA)
    …we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and answers questions regarding usage of ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
    Walgreens (03/14/25)
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  • Risk Manager

    FM (Johnston, RI)
    …solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk ... in more than 100 countries, in a variety of challenging roles. The Risk Manager reports to the Chief Financial Officer and is responsible for the management of… more
    FM (03/13/25)
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  • Manager , Access and Patient Support

    Cardinal Health (Providence, RI)
    …we can get life-changing therapies to patients who need them-faster.** The Operations Manager is responsible for the overall daily direction, coordination, ... and evaluation for an Access & Patient Support program team. The manager will use their market knowledge of Rx Specialty Hub Services: benefits, market landscape,… more
    Cardinal Health (03/06/25)
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  • Clinical Team Manager - BHCP

    Riverside Community Care (Dedham, MA)
    Riverside Community Care Love what you do! Clinical Team Manager - BHCP Riverside is seeking a Clinical Team Manager for our Behavioral Health Community Partner ... support for individuals with complex behavioral health conditions. The Clinical Team Manager directly supervises a team of Care Coordinators, Lead Care Coordinator,… more
    Riverside Community Care (03/13/25)
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  • Manager , Encounter Data Management

    Humana (Providence, RI)
    …part of our caring community and help us put health first** The Manager , Encounter Data Management develops business processes to ensure successful submission and ... processes. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires… more
    Humana (02/19/25)
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  • Sr Manager , BI Analytics & Reporting

    MAPFRE Insurance (Webster, MA)
    …2025 Location: Webster, MA, US Company: MAPFRE We are seeking an experienced Sr Manager for the Claims Business Intelligence & Analytics Reporting team. This is ... Sr Manager , BI Analytics & Reporting Date: Feb 22,...reports and insights that analyze business functions and key operations and performance metrics. ▪ Lead cross-functional projects using… more
    MAPFRE Insurance (12/29/24)
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  • Manager , Clean Energy Asset Management

    Meta (Providence, RI)
    **Summary:** The Manager of Clean Energy Asset Management will lead a team of Energy Managers whose responsibilities span all issues post contract execution of ... clean energy and carbon contracts from project execution to commercial operations , developing robust tracking and reporting processes, forming partnerships and… more
    Meta (02/21/25)
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  • Marketing Manager (Senior Marketing…

    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 set ... business strategy, working closely with cross-functional partners in media, analytics, digital, operations , and more. Duties could include: * Lead the development of… more
    US Tech Solutions (01/17/25)
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  • Python Backend Software Engineering Manager

    Evolent (Providence, RI)
    …for the culture. **What You'll Be Doing:** **Job Summary:** The **Software Engineering Manager ** at Evolent will lead a team of software/data engineers in designing, ... and maintaining data pipelines to support healthcare data integration and operations . This role involves managing data from various healthcare systems, ensuring… more
    Evolent (02/11/25)
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  • Senior Representative, Payer Process

    Cardinal Health (Providence, RI)
    **What Customer Operations Support contributes to Cardinal Health** Customer Service Operations is responsible for providing outsourced services to customers ... the Company's values. **_Responsibilities_** + Verifying/updating customer ID numbers + Rebill claims to Insurance Companies + Submit corrected claims and… more
    Cardinal Health (03/15/25)
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  • Pharmacy Customer Service Associate

    Walgreens (Bellingham, MA)
    …offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Provides customers with courteous, friendly, fast, and efficient ... prices merchandise as required or as directed by store manager or communicated by the shift leader. + Performs...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
    Walgreens (03/13/25)
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  • Pharmacy Technician / Pharm Tech Apprenticeship

    Walgreens (Woonsocket, RI)
    …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
    Walgreens (02/12/25)
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  • Pharmacy Technician

    Walgreens (North Smithfield, RI)
    …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
    Walgreens (03/06/25)
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  • Senior Superintendent - UIC Sanatu

    UIC Government Services and the Bowhead Family of Companies (Providence, RI)
    …in strict compliance with OSHA rules. Perform Quality Control functions. + Work with Operations or Project Manager to budget, forecast, and manage craft labor, ... our Inupiat shareholders. The size and diversity of our operations means we have a broad variety of career...consumables, and general working environment + Work with Project Manager to review and update project schedule and three… more
    UIC Government Services and the Bowhead Family of Companies (03/11/25)
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  • Pharmacist (Full or Part Time)

    Walgreens (Shrewsbury, MA)
    …communities we serve as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager . Operations + Counsels' patients and ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
    Walgreens (03/08/25)
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