Healthcare Associate Jobs in Rhode Island

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Newport ... Newport Rhode Island Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Description The Senior Product Management Professional monitors performance and recommends schedule changes, cost adjustments, or resource additions. Investigates facts and develops solutions to problems during the design and planning phases. Provides ..

Adult Community Case Manager (Full Time) Location: Woonsocket, RI Case Manager-General Outpatient Program  (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking to add a motivated, task oriented, enthusiastic case ..

Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Awake Overnight Treatment Residential Worker- Singleton (Full Time) Location: Pascoag, RI Awake Overnight Residential Treatment Worker needed to assist in the implementation of program activities and services. You will support the ..

Treatment Assistant/CNA (Per Diem) Location: Woonsocket, RI If you are interested in gaining experience working in the mental health and substance abuse substance abuse field, we have the perfect position for ..

Behavior Interventionist (Full Time) Location: Woonsocket, RI We have an opening for an enthusiastic and dedicated Behavior Interventionist to work at Woonsocket Schools. This individual must have experience working with socially/emotionally ..

Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Actuary, Risk and Compliance in Newport Rhode Island Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..

... that our members receive quality healthcare at an affordable price. You ... (RN) license 3 years of healthcare experience within a fraud investigations ... well as solid knowledge of..

Description The Associate Actuary, SPA RX will be mainly responsible for supporting the pricing work related to our standalone Prescription Drug Plans (PDPs). This includes both bid development and reforecasts throughout ..

... roadmaps. Working closely with the Associate Vice President of Pharmacy Product ... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... 50 market leader in integrated..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Tanguay-Sutherland Awake Overnight Treatment Worker (Full Time) Location: Woonsocket, RI An Awake Overnight Residential Treatment Worker is needed for our Tanguay and Sutherland Housing Program in Woonsocket. The Awake Overnight Worker ..

Residential Treatment Worker-Tanguay Apartments (Part Time) Location: Woonsocket, RI Seeking a Residential Treatment Worker to work 22.5 hours at our residential program in Woonsocket. As the Treatment Worker you will assist ..

... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural Healthcare Distinction, and/or LTSS Distinction Auditing ... job as we are a..

Awake Overnight Treatment Residential Worker- Pascoag and Woonsocket (Full Time) Location: Woonsocket, RI Our residential programs in Pascoag and Woonsocket are in need of an Awake Overnight Treatment Worker to provide ..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..