- Boston Mutual Life Insurance (Canton, MA)
- …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
- Ryder System (Providence, RI)
- …liability, property, and cargo claim . This position reports to the Senior Director of Claims and requires little supervision and is considered a liability, ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Providence, RI)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Providence, RI)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Zurich NA (Providence, RI)
- Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...expertise and strategic coordination. + Accurately update and document claim files in accordance with best practices, ensuring data… more
- Evolent (Providence, RI)
- …health outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- CenterWell (Providence, RI)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Travelers Insurance Company (Providence, RI)
- …needed to the Claim Field organization. + Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Zurich NA (Providence, RI)
- …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...years. By providing a broad array of products and services , we work with our customers to support their… more
- Humana (Providence, RI)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Overview:** The Director , Customer Engagement Platforms (CEP) will be responsible for overseeing the development, implementation, and optimization of customer ... Engagement platforms (PsychU, PsychUsim, ADPKDsim, and NephU). Reporting to the Sr. Director for Engagement and insights Excellence, the Director will manage… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- Director , Training Management Operations Lead The Director , Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... of training programs. + Oversee vendor relationships for training services and technology solutions. **Qualifications:** + Bachelor's degree required; advanced… more
- Veterans Affairs, Veterans Health Administration (Framingham, MA)
- …position in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that excellent, high-quality care is provided to ... 49% administrative time. This person will be the Medical Director for the five VA Boston Community Based Outpatient...within a culture of continuous improvement. The Primary Care Service at VA Boston Healthcare System is leading the… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Summary** The Associate Director , Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... commercial products. + Interfaces with Contract Manufacturers/Laboratories, Tech Ops, Technical Services and Supply Chain Sourcing to drive Quality improvements that… more
- Humana (Providence, RI)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of … more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Director , Global Training, is a senior leader within the Learning Center of Excellence under Global Quality. This role is responsible for developing and ... and compliance tracking. + Oversee vendor relationships for training services and technology solutions **Qualifications:** + Bachelor's degree required; advanced… more
- CVS Health (Woonsocket, RI)
- …contiguous United States * We are seeking a highly skilled and strategic Director of Analytics & Scheduling. This role is responsible for driving data-informed ... and team leadership to help optimize our workforce can deliver exceptional service outcomes. **Key Responsibilities** + **Strategic Leadership** + Develop and drive… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …and development of next generation advanced analytics model-based decision engines and services . The ideal candidate will engage closely with key stakeholders to ... Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Evolent (Providence, RI)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... leadership to implement data-driven solutions. + Ensure that high-quality, accurate data services are consistently delivered on time and within scope. + Present… more
- Oracle (Providence, RI)
- …and modernize health systems globally. We are seeking a Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient ... AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial management, and follow-up).… more