Manager Healthcare Payer Jobs in Rhode Island

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

... Clinical Analytics and Trend Program Manager in Newport Rhode Island Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..

Job Information Humana Manager, Utilization Management RN - Remote ... Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

... Genesis Rhode Island Facilities! Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... excellence goals as the Scheduling-Payroll..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

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..

Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..

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 Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... excellence goals as the Scheduling-Payroll Manager. In this position, you..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

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 ..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

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 ..

... compliance monitoring and alert Credentialing Manager and Revenue Director of any ... approvals/clinic eligibility • Support the payer enrollment team as needed to ... as needed to resolve any..

... A FULL TIME DAYS UNIT MANAGER FOR RESPIRATORY AND REHABILITATION CENTER ... Join Genesis as a Unit Manager/Director - RN where within an ... values and policies of Genesis..

Job Information Humana Lead Product Manager - Healthcare API in Newport Rhode Island ... Island Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

... is a leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion! We Care ... goals as our Business Office..