- Humana (Providence, RI)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Genesis Healthcare (Cumberland, RI)
- …or on call)! We are seeking a full-time (40 hours per week) Attending Physician/ Medical Director for our Grandview Center, located in Cumberland, RI. The annual ... salary for this position is $215000 / year. This is a Dual Role Attending Physician/ Medical Director . This role is clinical in nature. Must be BC/BE Internal… more
- GE Vernova (Foxborough, MA)
- …Plan. Ensures best compliance with specification at lowest final cost. + Claim Management : define the strategy for managing claims and directs actions ... HVDC Solutions. In this context, Grid Solutions is looking for a Project Director who will be responsible for project on-time delivery, profit & loss accountability,… more
- CVS Health (Woonsocket, RI)
- …in new and exciting ways every day. Aetna is recruiting for an Executive Director , Claim Platform Quality Assurance for the Claims Center of Excellence ... CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and… more
- Takeda Pharmaceuticals (Providence, RI)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- HomeSafe Alliance (Providence, RI)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Prime Therapeutics (Providence, RI)
- …and program impact measurement using eligibility, medical , and pharmacy administrative claims and external data, (eg, care management , disease management ... advanced scientific model design, including advanced predictive modeling, with health claims data, applying statistical theories and methods to solve complex… more
- Fujifilm (Providence, RI)
- …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
- CVS Health (Providence, RI)
- …Summary** As a Payer Relations Account Executive, you support a Payer Relations Director (PRD) in managing one of the largest and most complex PBM relationships ... retention, clinical program partnerships, specialty network contracting, and other claims -processing operational efficiencies. This individual may also have responsibility… more