- USAA (Worcester, MA)
- …Come be a part of what makes us so special! **The Opportunity** As a dedicated Manager , Claims Operations you will lead and be accountable for auto, ... property, and other claims operations member service employees who are...Physical Damage field experience. + 5+ years of APD Manager experience + Currently possess, or can acquire and… more
- MAPFRE Insurance (Webster, MA)
- …opportunity employer._ **Nearest Major Market:** Worcester **Job Segment:** Call Center Manager , Call Center Supervisor, Claims , Call Center, Recruiting, ... Supervisor, Casualty Claims (Hybrid) Date: Dec 26, 2024 Location: Webster,...overall adequacy in meeting organizational objectives. **Leadership:** First level manager who typically manages exempt employees and or subordinate… more
- Walgreens (North Smithfield, RI)
- …with the Store Manager **Job ID:** 1545213BR **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
- 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
- CVS Health (Woonsocket, RI)
- …effective solutions related to the adjudication and processing of pharmacy claims and newly expanded healthcare services. Create and ensure custom solutions ... data-driven strategic decision-making to identify new revenue opportunities. The Manager , Adjudication Vendor Solutions will work cross-functionally with both… more
- MAPFRE Insurance (Webster, MA)
- Manager , Actuarial (Pricing Team) Date: Jan 6, 2025 Location: Webster or Remote, MA, US Company: MAPFRE At MAPFRE, our commitment to care is not just our purpose; ... **Job Summary** We are looking for a strong Actuarial Manager on our Pricing team with large state experience....either SAS or SQL . Thorough knowledge of insurance operations , accounting, and regulation . Thorough knowledge of MAPFRE's… more
- Walgreens (Worcester, 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 (Worcester, MA)
- …a timely manner and answers questions to ensure a positive patient experience. Operations + Manages the operation of the pharmacy department. + Improves prescription ... rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. + Manages and controls Prescription Department… more
- CVS Health (Woonsocket, RI)
- …more personal, convenient and affordable. **Position Summary:** As a Product Development Manager , you will work collaboratively with a cross functional team to ... to achieve front store sales and margin goals. The Product Development Manager partners with the QA/Regulatory division to ensure compliance and internal… more
- MAPFRE Insurance (Webster, MA)
- Manager , Commercial Lines Renewal Underwriting Date: Dec 22, 2024 Location: Webster, MA, US Company: MAPFRE At MAPFRE, our commitment to care is not just our ... force informational/instructional materials. Collaborate with Product Management, Business Development, Claims , Business Development and Business Process Optimization, IT departments.… more
- MAPFRE Insurance (Webster, MA)
- …2024 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: Dec 26,...reports and insights that analyze business functions and key operations and performance metrics. ▪ Lead cross-functional projects using… more
- 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
- CVS Health (Woonsocket, RI)
- …affordable. **Position Summary** CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role ... with internal departments, including but not limited to: Finance, Medicare Operations , Network Management, Provider Contracting, and Health Economics, and external… more
- CVS Health (Woonsocket, RI)
- …personal, convenient and affordable. **Position Summary** As a Benefit Relationship Manager (BRM), you will captain the strategic documentation and deployment of ... in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you… more
- Walgreens (Webster, 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 (Worcester, MA)
- …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 (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 (Marlborough, MA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Putnam, CT)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... promoting the shift of the pharmacy role from transactional to interpersonal. ** Operations ** + Counsels patients and answers their questions regarding usage of… more
- Walgreens (Putnam, CT)
- …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