Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Frequent Job Shift Daytime Job Category Management Description The Manager of Provider Relations is responsible for the management and oversight of the provider relations team, including but not limited, to the management of goals and metrics, depart

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Professional / Experienced Description The Data Warehouse Developer will develop, implement and maintain business driven information system solutions, on time and within budget. The ideal candidate will have

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Associates Degree   Travel Percentage Occasional Job Shift Daytime Job Category Some Experience Description The Community Care Coordinator (CCC) works collaboratively with the health care team to manage and coordinate care for members that have social needs in order to ensure quality an

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Professional / Experienced Description The Project Manager requires an individual with strong leadership, communication and analytical skills who is an expert in project management. This position is responsib

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description On site Smithfield, RI The Claims Research Specialist is responsible for the day to day handling of claim issues. This role acts as the single point of contact for claim relat

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description The Manager of Special Investigations Unit (SIU) and Coordination of Benefits (COB) is responsible for the oversight of the Special Investigations Unit (SIU) which combines the responsi

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Masters Degree   Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced Description The Community Behavioral Health Clinician will build trusting and supportive relationships in order to support members with complex behavioral health needs to remain independen

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced Description The Assessment and Care Planning Care Manager works within the Assessment and Care Planning team to conduct scheduled in person or telephonic assessments and develop care pla

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description This position serves as a critical role for regulatory reporting, ensuring stakeholders make sound business decisions that directly impact Neighborhoods reportable metrics. Th

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description Location On site (Smithfield, RI) The Data Governance Engineer plays a pivotal role in ensuring the integrity, quality, and security of organizational data assets. This positi

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description Position Overview This position is responsible for the development and oversight of technical system requirements, report configuration, research and root cause analysis, mana

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description The Manager of Quality Improvement supports the Senior Manager of Quality Improvement and Accreditation by leading the identification and design of company wide quality improvement (QI)

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Associates Degree   Travel Percentage Frequent Job Shift Daytime Job Category Some Experience Description This position is responsible for processing provider application for network entry and reappointment, including primary source verification of providers credentials according to Pla

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description The Database Administrator working with the Senior Database Administrator will be responsible for the installation, implementation, configuration, maintenance, security, integ

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level High School or GED   Travel Percentage Daily Job Shift Daytime Job Category Some Experience Description The Community Health Worker Case Management builds trusting and supportive relationships in order to coordinate care for patients with complex chronic conditions. This position facili