Specialist Jobs in Rhode Island

Overview Urologist, Warwick, Rhode Island Northeast Medical Group (NEMG) was established with the goal of integrating physicians across Yale New Haven Health System in a single group practice that offers enhanced ..

Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..

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 ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..

Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..

Description The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..

Masters Level Clinician/Assistant Team Manager -ACT (Full Time) Location: Woonsocket, RI C urrently seeking an experienced and motivated Assistant Team Leader for our  ACT  Team. This position  shares in a leadership ..

Description The Risk Adjustment Representative 3 works with regional provider offices to ensure timely submission of requested medical records that are submitted to the Centers for Medicare and Medicaid Services (CMS) ..

ACT Substance Use Clinician (Full Time) Location: Woonsocket, RI Clinician needed on our Assertive Community Treatment Team to help those individuals who are struggling with serious and persistent mental illness and ..

Substance Use Clinician - ACT (Full Time) Location: Woonsocket, RI Clinician needed on our Assertive Community Treatment Team to help those individuals who are struggling with serious and persistent mental illness ..

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 ..

Psychiatric Prescriber (MD/PCNS)- Crisis Center East Providence (Full Time) Location: East Providence, RI Community Care Alliance and Horizon Health Partners has a new Behavioral Health Link Program that is a 24/7 ..

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 ..

Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..

Outreach Peer Recovery Specialist (Full Time and Part Time) Location: Woonsocket, RI   The Serenity Center/Safe Haven is a thriving Recovery Community Center, providing recovery supports to individuals in the Northern RI ..

Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..

Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..

Description The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps ..

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 ..

Peer Recovery Specialist - ACT (Full Time) Location: Woonsocket, RI P OSITION SUMMARY: To provide a bridge between providers and adults with serious mental illness. Peer Specialists will assist in facilitating ..