- Conviva (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Providence, RI)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Providence, RI)
- …our caring community and help us put health first** Job Description Summary 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 determinations… more
- Humana (Providence, RI)
- …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...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The **Executive Director Head of Medical ... Strategy** will be a key member of the Medical Affairs Leadership team reporting to the Vice President,...Dynamic leadership skills. + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Athena Health Care Systems (East Providence, RI)
- We are hiring a full-time Assistant Director of Nursing to join our dynamic care team at Waterview Villa Rehabilitation and Health Care Center in East Providence! ... you to grow within the company. As the Assistant Director of Nursing, the primary purpose of your job...potential of each employee supervised. + Assists with maintaining, reviewing and has input to development of all clinical… more
- Sumitomo Pharma (Providence, RI)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director Regulatory Affairs** . The Director is part of the Global ... activities and submissions + May be responsible for creating and reviewing SOPs and regulatory department operating procedures. **Key Core Competencies** +… more
- Cardinal Health (Providence, RI)
- **JOB TITLE:** Director , Compensation **Track / Level:** M3 **At Cardinal Health, we're developing the innovative products and services that make healthcare safer ... and communicates policies to managers throughout the enterprise. The Director , Compensation will drive broad-based and sales compensation for Pharma/Specialty… more
- Sumitomo Pharma (Providence, RI)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Regulatory Affairs** . The Associate Director is part of the ... promotional materials review committee (PMRC) along with Marketing Brand Teams, Legal, Medical Affairs and Clinical Research in the development of in advertising and… more
- CVS Health (Woonsocket, RI)
- …care more personal, convenient and affordable. **CVS Health is recruiting an** **Executive Director , Rx Returns for Pharmacy Trade & Supply Chain,** **which is a ... for senior leadership and external partners summarizing pharmaceutical returns;** ** Reviewing and approving contractual language related to return goods;** **Leading… more
- Citizens (Johnston, RI)
- Description The Investment Portfolio Director will be a key member of the Institutional Investment Portfolio and Hedging team within Treasury. The team manages the ... Investment Portfolio, Institutional Hedging, and MSR Hedging activities by reviewing investment strategies, seeking out new opportunities, and recommending changes… more
- Takeda Pharmaceuticals (Providence, RI)
- …and building appropriate global regulatory strategy. + Preferred experience includes reviewing , authoring, or managing components of both drug and device regulatory ... or long-term incentives. US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company match, short-term and… more
- University Medicine (East Providence, RI)
- …OSHA regulations. + Maintains patient, employee and clinic confidentiality. + Obtains medical records, procedure/lab test result + Ensures cleanliness of room BASIC ... High school diploma or GED. + Graduate of a Medical Assistant Program or demonstrated experience of a minimum...of continuous quality improvement and makes recommendations to Division Director , Director of Quality Programs and Practice… more
- Citizens (Johnston, RI)
- …thresholds. While in this role, you will be responsible for proactively reviewing , analyzing and identifying emerging risks, escalating to the Senior Director ... of First Line Risk where appropriate. Additionally, you will work with the Senior Director / Director to adhere to internal governance processes and control for… more
- Brown University (Providence, RI)
- …to the needs of staff, students, and families. Reporting to the Associate Director of Pre-College Student Life - Student Support and Operations, the Accommodations ... students' and staff member's accessibility needs and evaluate information from medical and/or psychological clinicians to determine eligibility, and make referrals… more
- WM (Providence, RI)
- …guidance, direction and recommendations to field operations by preparing and reviewing compliance reports, permit applications and draft permits. The team supports ... tracking and updates; and training. This position will report to the Senior Director of Air Programs and take direction from, coordinate with and/or assist Senior… more
- Prime Healthcare (Woonsocket, RI)
- Overview At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime ... Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team! Landmark Medical Center is a 214-bed acute care hospital in… more
- System One (Providence, RI)
- …for federal grant consideration, under the direction of the Senior Director , Media Technology & Service Strategies. **Duties & Responsibilities** + Evaluates ... documentation. + Strong analytical skills, with attention to detail in reviewing technical budgets, identifying variances, and providing solutions. + Excellent… more
- Evolent (Providence, RI)
- …at Evolent will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client ... clinical team, which includes our Nurse, Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively with other Clinical Operation Leaders… more