Healthcare Operations Jobs in Newport

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

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 ..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

Join our Team! Become our Director of Social Services! Work Closely with our Rehab and Transitional Care Unit! Genesis HealthCare is one of the leading providers of healthcare services from short-term ..

... Advisor - Medicaid Provider Service Operations in Newport Rhode Island Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..

... guide and direct the overall operations, coordination and direction of nursing ... values and policies of Genesis HealthCare and in accordance with accepted ... action when necessary. Why Genesis?Genesis..

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Newport Rhode Island Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Rhode Island Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..

Program Assistant - BH Link (Full Time) Location: East Providence, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Newport Rhode Island Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..

Grand Islander is now hiring for a Weekend DON - 7p Friday to 7a Monday Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care ..

Job Information Humana Senior Strategy & Program Development Professional (Remote) in Newport Rhode Island Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to ..

Make a difference in the lives of patients/residents in their personal journey with dementia as our Memory Support Director. In this role, you will develop and maintain a quality memory support ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

$10,000 SIGN-ON BONUS FOR FULL TIME Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We ..

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..

Job Functions, Duties, Responsibilities and Position Qualifications: You've got a passion for patient care. You're personable, professional, and confident that nobody can find a vein like you. You're also looking for ..

Job Information Humana Enterprise Risk Management Lead-US-Remote in Newport Rhode Island Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd ..

... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..