- Boston Mutual Life Insurance (Canton, MA)
- …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
- Ryder System (Providence, RI)
- …liability, property, and cargo claim . This position reports to the Senior Director of Claims and requires little supervision and is considered a liability, ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Providence, RI)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Providence, RI)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Evolent (Providence, RI)
- …health outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Travelers Insurance Company (Providence, RI)
- …needed to the Claim Field organization. + Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Cardinal Health (Providence, RI)
- …all billing, collections, and accounts receivable (AR) operations specific to oncology services . This role ensures timely and accurate claim submission, protects ... alliance co-created with oncologists and practice leaders that offers advanced support services and technology to help practices remain independent and thrive. True… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Executive Director , Field Enablement leads the strategy, execution, and continuous optimization of field systems, training and development, logistics, and HCP ... Leadership Capabilities, and Instructional Design & Learning Technology. The Executive Director partners closely with Field Strategy & Operations, Sales and Market… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Overview:** The Director , Customer Engagement Platforms (CEP) will be responsible for overseeing the development, implementation, and optimization of customer ... Engagement platforms (PsychU, PsychUsim, ADPKDsim, and NephU). Reporting to the Sr. Director for Engagement and insights Excellence, the Director will manage… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- Director , Training Management Operations Lead The Director , Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... of training programs. + Oversee vendor relationships for training services and technology solutions. **Qualifications:** + Bachelor's degree required; advanced… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Summary** The Associate Director , R&D HCP Engagement CoE is a critical change agent and system implementer responsible for designing the operating model and ... overseeing the execution of a unified, compliant, and exceptional service model for all Healthcare Professional (HCP) engagement and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Summary** The Associate Director Controlled Substances, Quality Global Product Quality - API/DP is responsible for directing quality oversight of clinical and ... commercial products. + Interfaces with Contract Manufacturers/Laboratories, Tech Ops, Technical Services and Supply Chain Sourcing to drive Quality improvements that… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Summary** The Associate Director , Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... commercial products. + Interfaces with Contract Manufacturers/Laboratories, Tech Ops, Technical Services and Supply Chain Sourcing to drive Quality improvements that… more
- Humana (Providence, RI)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of … more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Director , Quality & Compliance Training, is a senior leader within the Learning Center of Excellence under Global Quality. This role is responsible for ... and compliance tracking. + Oversee vendor relationships for training services and technology solutions **Qualifications:** + Bachelor's degree required; advanced… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …and development of next generation advanced analytics model-based decision engines and services . The ideal candidate will engage closely with key stakeholders to ... Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Oracle (Providence, RI)
- …and modernize health systems globally. We are seeking a Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient ... AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial management, and follow-up).… more
- Evolent (Providence, RI)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... leadership to implement data-driven solutions. + Ensure that high-quality, accurate data services are consistently delivered on time and within scope. + Present… more
- Public Consulting Group (Providence, RI)
- …and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 ... Analyst will support both the contractual administrative tasks and the entire claim process. The independent contractor will provide contract support through data… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …efficiently, compliantly, and in accordance with the CoE's established "white glove" service standards. This role supports the Associate Director in maintaining ... resolution of operational bottlenecks in collaboration with the Associate Director . ** Service Excellence and Compliance Support** +...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more