Healthcare Risk Manager Jobs in Rhode Island

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Newport Rhode Island Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

Outpatient Community Liaison Case Manager (Full Time) Location: Woonsocket, RI ... Crisis and Community Liaison Case Manager position in their Family Behavioral ... Crisis and Community Liaison Case Manager will..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Newport Rhode ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Outpatient Community Liaison Case Manager (Full Time) Location: Woonsocket, RI ... Crisis and Community Liaison Case Manager position in their Family Behavioral ... Crisis and Community Liaison Case Manager will..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Newport Rhode Island Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... Crisis and Community Liaison Case Manager (Full Time) Location: Woonsocket, RI ... Crisis and Community Liaison Case Manager position in their Family Behavioral ... Crisis and Community Liaison Case..

... Finance M&A Integration Senior Project Manager in Newport Rhode Island Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

... Humana Telephonic Behavioral Health Care Manager in Newport Rhode Island Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

Outpatient Community Liaison Case Manager (Full Time) Location: Woonsocket, RI ... Crisis and Community Liaison Case Manager position in their Family Behavioral ... Crisis and Community Liaison Case Manager will..

Job Information Humana Enterprise Risk Management Lead-US-Remote in Newport Rhode ... Island Description The Sales Conduct Risk Management Lead a critical member ... member of Humana's Third Party Risk Management..

... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... Newport Rhode Island Description The Risk Management Professional 2 identifies and .....

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

Job Information Humana Technical Product Manager - Remote in Newport Rhode ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

Clinical Case Manager IFP (Full Time) Location: Woonsocket, ... to increase self-sufficiency, decrease the risk of abuse or neglect, achieve ... have children who are at risk of being removed..

Outpatient Community Liaison Case Manager (Full Time) Location: Woonsocket, RI ... Crisis and Community Liaison Case Manager position in their Family Behavioral ... Crisis and Community Liaison Case Manager will..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

... Crisis and Community Liaison Case Manager (Full Time) Location: Woonsocket, RI ... Crisis and Community Liaison Case Manager position in their Family Behavioral ... Crisis and Community Liaison Case..