- USAA (Providence, RI)
- …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
- HomeSafe Alliance (Providence, RI)
- **Title:** Claims Manager (HHG/Military Move) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military ... Role** **HomeSafe Alliance** is seeking highly skilled and motivated ** Claims Manager ** to assist in all aspects...in this role. **Position Description/Job Responsibilities** + Manage the operations of the claims department to meet… 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
- HealthEdge Software Inc (Providence, RI)
- …with the charter to deliverexceptionalvalue for their stakeholders. As aSenior Manager , Product Operations , you will implement andoptimizesystems and processes ... **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly...have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform).… more
- Prime Therapeutics (Providence, RI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Operations (Remote) **Job Description** + Operations : Manages team ... + Collaborates between departmental business owners, end users, IT, Contact Center, Claims and Clinical departments to resolve issues, or develop small to large… more
- PPL Corporation (Providence, RI)
- …**_This position may be hired at the Intermediate or Senior Category Manager level & will be determined based on the successful candidate's experience, ... varying responsibilities may be included for different levels of the Category Manager position._** + Develop negotiation strategies and company positions on complex… 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
- Walgreens (Foxborough, 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
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...decisions often involve resource allocation, project approaches, and tactical operations within their department. The role requires cross-departmental collaboration,… more
- HomeSafe Alliance (Providence, RI)
- …of International Operations , for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be confirmed with DIOps. + ... **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe...**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per… more
- Ford Motor Company (Providence, RI)
- … for Ford and Lincoln customers/California Operations /and CRC buyback review/approval Operations . The California RAV Escalation Manager is also the primary ... this position ** The California Reacquired Vehicles (RAV) Escalation Manager is the Ford lead for our California buyback...Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all… 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
- 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
- Sunrun (Providence, RI)
- …our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field service work ... external stakeholders + Launch initiatives that increase revenue or decrease operations costs by strategically analyzing, defining and implementing key projects +… more
- CVS Health (Providence, 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
- 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
- Meta (Providence, RI)
- …resolve disputes, and propose creative solutions. **Required Skills:** Energy Manager (Renewable Contracts) Responsibilities: 1. Serve as the ongoing owner ... Respond to counterparty inquires and manage contract amendments, collateral, force majeure claims , and other issues as needed 6. Manage approval and signature… 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
- Prime Therapeutics (Providence, RI)
- …business partners across client facing divisions, product/ project management, analytics, operations , and IT to enable data-driven strategic decisions. This position ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- Walgreens (Taunton, 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