Senior Provider Reimbursement Analyst (43439)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description The Senior Provider Reimbursement Analyst is responsible for development and management of fee schedules, including sample schedules, and alternative payment methodologies (APM) that support strategic and corporate goals. This p...
11h
| Job Type | Full Time |
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description The Medical Director is to provide clinical leadership and consultation to the Plan's various departments with the goal of promoting clinical excellence, quality care in our provider network, as well as maximizing member access ...
11h
| Job Type | Part Time |
Manager of Care Management (44303)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description This position oversees operational activities of the Care Management area of the Medical Management department. This includes program development and monitoring, staff development including overseeing frontline supervisors. He/s...
11h
| Job Type | Full Time |
Integrated Care Manager (44285)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
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 ensure qual...
11h
| Job Type | Full Time |
Manager of Configuration Services (44064)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description The Manager of Configuration Services ensures that the performance, function, and appearance of our products are consistent in our claims system(s). This involves managing the requirements, design and operational information thr...
11h
| Job Type | Full Time |
Data Governance Specialist (39035)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description Location- (Smithfield, RI) Hybrid or Remote The Data Governance Specialist plays a pivotal role in ensuring the integrity, quality, and security of organizational data assets. This position will collaborate with various teams ac...
11h
| Job Type | Full Time |
Manager of Healthcare Special Investigations Unit (SIU) (43913)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description The Manager of Healthcare Special Investigations Unit (SIU) is responsible for developing, overseeing and managing the Special Investigations Unit (SIU) department to align with regulatory and/or contractual requirements which c...
11h
| Job Type | Full Time |
SNF Integrated Care Manager (44302)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
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 ensure qual...
11h
| Job Type | Full Time |
Community Care Coordinator (44286)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
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 and cost-effective patient-centered care. This posi...
11h
| Job Type | Full Time |
Construction Operations Supervisor
Wilkinsburg, Pennsylvania
Peoples, an Essential Utilities company, has been proudly serving Western Pennsylvania for over 130 years, offering talented individuals the opportunity to serve more than 700,000 customers in the region. Peoples is more than your average n...
11h
| Job Type | Full Time |