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..

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 ..

CCBHC Mobile Crisis Clinician/ RN (Per Diem) (Per Diem) Location: Woonsocket, RI CCBHC Mobile Crisis Clinician / RN (Per Diem) If you thrive in an environment where every day offers a ..

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..

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 ..

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..

Group Home Team Leader (Full Time) Location: Cumberland,RI Group Home Team Leader (Full Time) Pay rate: $27-$30/hour Community Care Alliance is located in the Northern, RI. We are looking for compassionate ..

Behavioral Health Worker / Driver (Full Time) Location: Providence,RI Behavioral Health W orker 1st Shift (Full-Time, 36 hours /week) Providence, RI Schedule: 1st Shift If you are interested in gaining experience ..

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..

Case Manager Safe Haven Outpatient (Full Time) Location: Woonsocket, RI Case Manager Safe Haven Outpatient (Full Time) Location: Woonsocket, RI Safe Haven offers a set of supportive services for individuals who ..

Case Manager IHH (Full Time) (Full Time) Location: Woonsocket, RI Case Manager IHH (Full Time) Community Care Alliance, located only 15 miles from Providence, RI, is seeking compassionate individuals who want ..

... 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..

ASU Behavioral Health Worker / Driver (36 hours) (Full Time) Location: Providence,RI ASU Behavioral Health W orker 1st Shift (Full-Time, 36 hours /week) Providence, RI Schedule: 1st Shift If you are ..

Case Manager – Children’s Behavioral Health (Full Time) Location: Woonsocket, RI Case Manager – Children’s Behavioral Health (Full Time) Have a passion for working with children, youth, and families? Position Summary: ..

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..

... 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..

Clinician Emergency Services (32 hours) (Full Time) Location: Woonsocket, RI Clinician Emergency Services (32 hours) Community Care Alliance is looking for a full-time (32 hours) Master's Level Clinician to work in ..

Mobile Crisis Peer Specialist (Part Time) (Part Time) Location: Woonsocket, RI Mobile Crisis Peer Specialist Part time, 16 hours/Week, Sunday and Monday Nights Pay Rate: $24.32/hr Shift: Sundays and Mondays Nights ..

... 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..

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). ..

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..