- Fallon Health (Worcester, MA)
- …helping the elderly and their families? Fallon Health is hiring an Enrolle Service Representative to work Hybrid- Remote , Mostly from Home but coming into the ... and LinkedIn. **About NaviCare** : Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and… more
- United Therapeutics (Providence, RI)
- …and pulmonary diseases, and other orphan diseases. **How you'll contribute** The Senior Counsel, Regulatory & Compliance role is responsible for a broad range ... the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine… more
- HealthEdge Software Inc (Providence, RI)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The… more
- HealthEdge Software Inc (Providence, RI)
- **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager, ProductOperationsto join our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
- Prime Therapeutics (Providence, RI)
- …every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for ... levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team +...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- HealthEdge Software Inc (Providence, RI)
- …and thrive in the emerging healthcare economy. We are looking for Senior Test Automation Architect to revolutionize automation platforms across HealthEdge business ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more