- CVS Health (Cumberland, RI)
- … managed care organization. In partnership with and under the direction of the Chief Medicaid Compliance Officer and Medicaid Compliance leadership team, ... other key department projects and initiatives to improve and enhance Aetna's Medicaid Compliance program, and serve as the compliance representative on… more
- Sumitomo Pharma (Providence, RI)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The Sr . ... , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid … more
- HealthEdge Software Inc (Providence, RI)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **What** **You Bring** **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including all related processes (eg… more
- HealthEdge Software Inc (Providence, RI)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Fallon Health (Dartmouth, MA)
- …the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Responsibilities** **Summary:** This ... "home visit request"). + Participates in community outreach activities, such as senior fairs, community events, and elder services professional association events. +… more
- Prime Therapeutics (Providence, RI)
- …& Reporting Business Analyst - Remote **Job Description** The Business Analyst (BA) Senior will support the Colorado Medicaid Pharmacy Benefits Business and will ... to adjust focus **Reporting Structure** + Could report to Business Analyst Lead, Manager , Director, Sr Director, or AVP in various departments Potential pay… more
- Brockton Hospital (West Bridgewater, MA)
- …of our patients. Position Summary: Under the general supervision of the Ambulatory Coding Manager , and the Senior Risk Coder, the primary function of this ... Provides training, problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team members to perform Retrospective audits for… more
- Mathematica (Providence, RI)
- …opportunities in Commercial HCLS, including serving on proposal teams as a proposal manager . You will also work closely with Mathematica's corporate legal team as ... and opportunities in HCLS, including serving on proposal teams as proposal manager . * Develop budget specifications and review budget materials for proposals and… more