- Riverside Community Care (Upton, MA)
- …guidance and consultation to Milieu counselors, Clinicians, LPNs and Certified Peer Specialists/Recovery Coaches. The CCS/Respite Clinical Director 's primary ... collaterals and referral sources, and conduct clinical training of staff. The Clinical Director oversees the clinical treatment and services of the CCS and… more
- Evolent (Providence, RI)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- Humana (Providence, RI)
- …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... 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 … more
- Humana (Providence, RI)
- …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...background, experience, and judgement to make determinations whether requested services , requested level of care, or requested site of… more
- Evolent (Providence, RI)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting… more
- University of Connecticut (UConn) (Storrs, CT)
- …risk from mismanagement and climate-related stress on soils. Offering comprehensive soil analysis services through the existing service center is a core function ... its completion, the incumbent will then serve as the Director of the UConn Plant and Soil Health Center,...and fiscal management for a laboratory, academic setting, or service center. PREFERRED QUALIFICATIONS + Experience developing peer… more
- Highmark Health (Providence, RI)
- …sets to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to ... cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical...**SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration… more
- Evolent (Providence, RI)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the...completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting… more
- University of Connecticut (UConn) (Storrs, CT)
- …holistic student success through an intentional approach to access and belonging. The Director , Student Services Program Manager 3, will work in deeply ... JOB SUMMARY The Director of the Puerto Rican/Latin American Cultural Center...support the success of Latina/e/o students; (5) ensure that services related to advising, academic support, and well-being support… more
- University of Connecticut (UConn) (Storrs, CT)
- …School seeks an energetic, collaborative, and creative leader for the position of Director of Graduate Student Success. Reporting to the Assistant Dean of The ... Graduate School, the Director of Graduate Student Success will provide strategic vision...the coordination, implementation, and promotion of best practices, centralized services , and cross-cutting programming designed to enhance graduate student… more
- CVS Health (Woonsocket, RI)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... health care more personal, convenient and affordable. **Position Summary** The Lead Director , Strategic Planning supports the Executive Director in initiatives… more
- Travelers Insurance Company (Providence, RI)
- …intelligence by using advanced statistical techniques and machine learning algorithms. As a Director & Data Scientist, you will build complex models that solve key ... solutions. + Share expertise with the community through discussions, presentations, or peer reviews. + Begin to challenge conventional thinking and set and manage… more
- Highmark Health (Providence, RI)
- …as a consulting resource in maintaining the Organization's application service providers (ASP) partner plans. **ESSENTIAL RESPONSIBILITIES** + Performs management ... anesthesia, ancillary payment models and any other fee for service models. + Demonstrates working knowledge in the design...performance) + Familiarity with the delivery of health care services across the continuum and quality metrics. + Experience… more
- Highmark Health (Providence, RI)
- …payers. Programs will include but not be limited to fee for service , pay-for-value programs, episode payments, prospective bundled payments, gain share and risk ... 1 year Experience working with technology vendors, and other service provider solutions to source key capabilities + 2...5 years Familiarity with the delivery of health care services across the continuum and quality metrics. + 5… more
- Highmark Health (Providence, RI)
- …sites or from site-to-site Rarely Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required Yes Lifting: up ... candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range… more
- Highmark Health (Providence, RI)
- …work sites or from site-to-site Rarely Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required No Lifting: up ... candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range… more
- Highmark Health (Providence, RI)
- …work sites or from site-to-site Rarely Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required No Lifting: up ... candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range… more
- Highmark Health (Providence, RI)
- …candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range ... contact number below. For accommodation requests, please contact HR Services Online at ###@highmarkhealth.org California Consumer Privacy Act Employees, Contractors,… more
- Brown University (Providence, RI)
- …about the student accessibility process and appropriate use of accommodations or services . Major Responsibility: Collaborate with the Associate Director and ... while strengthening their connection to a robust community of peer scholars from around the world. Students develop personal...of staff, students, and families. Reporting to the Associate Director of Pre-College Student Life - Student Support and… more
- SHI (Providence, RI)
- …the ITAM Principle Consultant will periodically support internal projects set by the Director of ITAM Consulting Services to assist in building the brand ... group to ensure SHI delivers a world class ITAM service . The ITAM Principal Consultant can be home office...Milton Keynes UK offices. The position reports to the Director - ITAM Consulting Services . **About Us**… more