- Sharecare (Providence, RI)
- …and affordable for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care… more
- Highmark Health (Providence, RI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- IQVIA (Northborough, MA)
- …real world. **Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle. ... Care Manager 's may be responsible for contacting...assistance programs and/or varied adherence support. This is a ** remote ** position. **Hours:** Must be available for an 8… more
- National Health Care Associates (Wethersfield, CT)
- …job PCC and NetHealth experience preferred **What You'll Do:** As a Regional Case Manager , you will play a vital role in advocating for short-term skilled nursing ... _Review clinical documentation for medical necessity and level of care appropriateness_ + Collaborate with treatment team to create...outcomes, consider joining our team as a Regional Case Manager ! Make a real difference in people's lives in… more
- Prime Therapeutics (Providence, RI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Project Manager - Remote **Job Description** The Project Manager manages multiple ... in terms of scope, quality, budget, issue/risk management and schedule. The Project Manager will provide business and technical expertise to the approach of driving… more
- IQVIA (Northborough, MA)
- …can help deliver medical breakthroughs in the real world. The Associate Program Manager is responsible for the daily operational effectiveness of a dedicated team ... pre-certification and referrals, reimbursement. + Previous supervisory experience of remote staff + Exceptional communication and facilitation skills, both verbal… more
- Prime Therapeutics (Providence, RI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager of Performance Guarantee - Remote **Job Description** The Manager ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Manager | Remote **PRIMARY PURPOSE** : To manage the technical and ... Taking care of people is at the heart of...of everything we do, and we start by taking care of you, our valued colleague. A career at...the right candidate for this or other roles.** **Taking care of people is at the heart of everything… more
- Fallon Health (Worcester, MA)
- …and Medicaid Services (CMS), the Massachusetts Division of Medicaid (MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with… more
- Cherry Bekaert (Providence, RI)
- …we'd like to hear from you. Let's grow your career as an Audit Manager , Professional Practices, supporting our full assurance practice. **What your day looks like:** ... high-quality benefits program which includes annual bonus, medical, dental, and vision care ; disability and life insurance; generous Paid Time Off; retirement plans;… more
- Highmark Health (Providence, RI)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- UMB Bank (Providence, RI)
- , a division of UMB Bank na As a Contracts Manager , you will review, draft, and negotiate terms with third-party suppliers for a wide variety of services, including ... software to generate and document all third-party supplier contracts. The Contracts Manager is responsible for working with finance and associated business unit to… more
- Sharecare (Providence, RI)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Release of Information has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- IQVIA (Northborough, MA)
- …you can help deliver medical breakthroughs in the real world. The Program Manager manages the relationships with the manufacturer and Access or Affordability Support ... improvement** Application of techniques that continually improve the quality of care provided, patient safety, organizational performance, and the financial health… more
- Commonwealth Care Alliance (Worcester, MA)
- 024450 Clin Alli- Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other ... of the care management dyad, the Clinical Care Manager works directly with assigned CCA...living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits… more
- CDM Smith (Worcester, MA)
- …our Services Recruiting Team, supporting our North America Unit. This is a remote opportunity. This individual is responsible for developing and executing a sourcing ... applicants for interviewing; ensures timely feedback to applicants and hiring manager throughout the process; extends offers of employment under direction of… more
- CDM Smith (Worcester, MA)
- …CDM Smith office, in the US nationwide. We offer in office, hybrid, or remote working environments allowing for flexible work options.** We currently have an opening ... other duties as assigned. **Job Title:** Senior Contract Administrator (fully remote work options) **Group:** FAO - Contracts **Employment Type:** Regular **Minimum… more
- Sharecare (Providence, RI)
- …or more of the following positions: + Patient Health Guide/Advocate/Navigator + Patient Care Technician (PCT) + Medical Secretary/Clinic Manager + Medical Coder ... The role of the Family Health Advocate Lead is an exciting and innovative remote role newly created to provide meaningful support to both Family Health Advocates who… more
- Sharecare (Providence, RI)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ... the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to...achieve their health goals, reduce costs and optimize quality care . **Essential Job Functions:** + Answer inquiries from members… more
- Prime Therapeutics (Providence, RI)
- …drives every decision we make. **Job Posting Title** Account Executive - Remote **Job Description** The Employer Account Executive serves as the primary relationship ... manager for multiple employer/administrative services only (ASO) accounts. This...environment **Preferred Qualifications** + PBM, health plan, or health care experience **Physical Demands** + Ability to travel up… more