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

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 Regulatory Reporting Analyst is responsible for providing the necessary analysis based on integrated healthcare data to deliver high quality solutions to meet Regulatory R

Job Location Smithfield, RI Smithfield, RI Position Type Full Time   Travel Percentage Occasional Job Shift Daytime Job Category Some Experience Description Position Overview (In office) This position is responsible to review written inquiries related to claims edit determinations that decrease claim reimbursement. This position also reviews inquiries related to denie

Position Type Full Time Education Level Bachelors Degree   Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced Description The Integrated Care Manager (ICM) works collaboratively with the integrated care team to manage and coordinate care for a specific population of members whose needs represent high clinical and social risk in order to

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Associates Degree   Travel Percentage Occasional Job Shift Daytime Job Category Professional / Experienced Description The Enrollment Supervisor, Medicare (MMP) oversees the day to day operational activities and staff of the Enrollment department. The Enrollment Supervisor also works wi

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 Director of Clinical Strategy will amplify the impact of Neighborhood on the health and well being of members, providers and the community. The Director, in collaboration with inter

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Executive Description Reporting to the Chief Financial Officer, the Vice President of Finance is responsible for but not limited to; the accuracy and integrity of all financial analysis and operations, the in

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 (In Person Smithfield, RI) This position acts as a liaison between business units and the department. He/she understands the operations and technology in use by the busi