- Humana (Providence, RI)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… 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
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Providence, RI)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- Indeed (Providence, RI)
- …(*Comscore, Total Visits, March 2024) **Day to Day** Start the day reviewing executive engagement metrics and prioritizing high-impact opportunities. Meet with the ... to support Indeedians, as well as their pets, kids, and partners including medical , dental, vision, disability and life insurance. Indeedians are able to enroll in… more
- Ryder System (Providence, RI)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… 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. You will work with the Senior Director / Director to adhere to internal governance processes and controls for existing and… 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
- Cardinal Health (Providence, RI)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- RES (Providence, RI)
- …the change management process. + Supports Subcontractor Change Management by reviewing subcontractor changes and assessing impact to overall budget and forecast. ... project execution plan. **Assists with Client Relationship Management:** + Assists Construction Director and Project Manager in client negotiations as they relate to… more