- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Capital One (Providence, RI)
- Director , Product Management : Capital One Shopping (Remote - Eligible) About Capital One Shopping Capital One Shopping is an industry-leading consumer technology ... from ideation through to launch + Own the business case , prioritization, and monitoring for the product experiences under...regularly worked. New York, NY: $246,500 - $281,300 for Director , Product Management Remote (Regardless of Location):… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- PagerDuty (Providence, RI)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… more
- Highmark Health (Providence, RI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- AccentCare, Inc. (Norwood, MA)
- …meet you! + Bachelor's degree + 4+ years previous hospice, home health or case management experience, or equivalent + Demonstrated ability to effectively direct ... Overview Director Admissions, Hospice - $15,000 Sign-On Bonus! Location:...Hospice - $15,000 Sign-On Bonus! Location: Norwood, MA Position: Director Admissions, Hospice Job ID: 2025-74437 Position Type: Full-Time… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...where the analysis of situations or data requires a case by case consideration of the Medicare… more
- Datavant (Providence, RI)
- …our bold vision for healthcare. Datavant is seeking a strategic and hands-on ** Director of Quality** to lead product and supplier quality assurance efforts within ... data (RWD) solutions through tokenization, data linkage, and privacy-preserving analytics. As Director of Quality, you will own the implementation and evolution of… more
- Evolent (Providence, RI)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Parexel (Providence, RI)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… more
- Datavant (Providence, RI)
- …bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... to influence product roadmap and go-to-market approaches. + **Relationship Management ** + Establish and maintain executive-level relationships with provider clients… more
- Datavant (Providence, RI)
- …bold vision for healthcare. **About the Role** We are seeking a **Senior Director of Product** to lead the **Provider Experience Zone** -owning the strategy, vision, ... and commercial success **Qualifications** + 10+ years in Product Management , including 5+ years leading SaaS product teams +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- PPL Corporation (Providence, RI)
- …KY, or Providence, RI.** **\#LI-Hy #PPLIND** PPL's Data and AI Office is seeking a Director Agentic AI Solutions and to be an integral part of the OnePPL Digital ... ideal candidate combines deep technical expertise with a strong product management mindset and a productionalization mentality, ensuring solutions are scalable,… more
- Charter Care Health Partners (North Providence, RI)
- …Compact. Five (5) years of clinical experience that includes recent experience with case management , patient navigation, case management , utilization ... Main Function Reports to the Director Care Management or designee. Provides...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more
- Charter Care Health Partners (North Providence, RI)
- …Compact. Five (5) years of clinical experience that includes recent experience with case management , patient navigation, case management , utilization ... Reports to the Director Care Management or designee. Provides...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more