• Medical Director - Home

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and… more
    Humana (11/06/24)
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  • Behavioral Health Medical

    Generations Family Health Center (Putnam, CT)
    Behavioral Health Medical Director / Psychiatrist Job Details Level Management Job Location GEN Putnam - Putnam, CT Remote Type N/A Position Type Full Time ... Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist...retirement savings plan with employer contributions + Work from home available upon discussion + Five weeks Paid time… more
    Generations Family Health Center (09/28/24)
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  • Milieu Director -Bonus Eligible

    The Home for Little Wanderers (Walpole, MA)
    **Description** **This position is bonus eligible!** The Home in Walpole, a vocationally-focused program, is looking for a Milieu Director to make a difference ... implementing our trauma-informed care model. Under the direction of the Program Director , the Milieu Director will provide supervision to Team Leaders… more
    The Home for Little Wanderers (10/04/24)
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  • Field Medical Director , Cardiology

    Evolent Health (Providence, RI)
    …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key… more
    Evolent Health (11/15/24)
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  • Medical Director - South Central

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (11/08/24)
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  • Medical Director - Acute Rehab Team

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (11/05/24)
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  • Medical Director - Medicare Appeals

    CVS Health (Providence, RI)
    …based (work at home ) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on ... in a Health Care Delivery System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state medical license… more
    CVS Health (10/31/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
    Humana (10/29/24)
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  • Medical Director - National Medicare…

    Humana (Providence, RI)
    **Become 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 to complex issues where the analysis of situations or data requires an… more
    Humana (11/08/24)
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  • Medical Director - Mid West Region

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (10/29/24)
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  • Director , Business Development - Sonexus

    Cardinal Health (Providence, RI)
    …that resides within the Cardinal Health Biopharma Solutions group within Cardinal Health . The Director , Sales & Business Development - Sonexus (TM) Access ... customer initiatives. This position will report to the Sales Director . This is a remote, work from home...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
    Cardinal Health (10/31/24)
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  • Director , Business Development RWD/RWE

    Cardinal Health (Providence, RI)
    …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (10/05/24)
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  • Associate Director Cloud Architecture

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing ... unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (11/02/24)
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  • Pharmacy Account Director , Medicare

    Elevance Health (Smithfield, RI)
    A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, ... our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, preserving and deepening… more
    Elevance Health (10/30/24)
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  • Director , Business Development - Navista

    Cardinal Health (Providence, RI)
    …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan ... oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and… more
    Cardinal Health (11/06/24)
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  • Director , Clinical Services - BONUS!

    Wellpath (Bridgewater, MA)
    …* Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life ... * Employee Assistance Program (EAP) including free counseling and health coaching * Company paid life insurance * Tax...discounts * Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits… more
    Wellpath (10/03/24)
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  • Director , Campaign Planning…

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a dynamic and experienced Director , Campaign ... increase speed to market and optimize campaign plans + Familiarity with the health insurance or pharmacy marketing sector is highly desirable + Prior Marketing… more
    Humana (11/08/24)
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  • Compliance Privacy Director

    Citizens (Johnston, RI)
    Description The Compliance Privacy Director , you will lead the Privacy Office driving the strategy for compliance with existing and new laws and regulation. Leading ... professionals and developing cross functional business relationships, the Privacy Director will foster an open and honest risk management...Hybrid: 3 days in the office, 2 working from home + Hours per Week: 40 + Work Schedule:… more
    Citizens (11/14/24)
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  • Associate Director , Enterprise API…

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading ... + Prior management or team leadership experience **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to work effectively, the… more
    Humana (11/13/24)
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  • State Government Relations Director

    American Heart Association (Providence, RI)
    …The American Heart Association has an excellent opportunity for a **State Government Relations Director for Rhode Island and Maine. ( Home -based. Can be based in ... lives as we remain devoted to a future of health and hope for everyone, everywhere. At the American...state remotely with occasional travel)** The State Government Relations Director is responsible for serving as the primary representative… more
    American Heart Association (08/28/24)
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