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Neighborhood Health Plan of Rhode Island

Enrollment Representative (44382)

Smithfield, Rhode Island

Neighborhood Health Plan of Rhode Island

Description Under direct supervision, is responsible for a variety of specific functions associated with enrollment and reconciliation transactions to facilitate accurate enrollment data. He/she processes enrollment data within a timeframe ...

Job Type Full Time
New
Neighborhood Health Plan of Rhode Island

Clinical Operations Pharmacist (44572)

Smithfield, Rhode Island

Neighborhood Health Plan of Rhode Island

Description The Clinical Operations Pharmacist works in conjunction with the Clinical Program Pharmacist and Medical Management teams to review medication utilization and develop/implement initiatives to ensure appropriate drug therapy prio...

Job Type Full Time
New
Neighborhood Health Plan of Rhode Island

Claim Auditor Payment Integrity (44544)

Smithfield, Rhode Island

Neighborhood Health Plan of Rhode Island

Description The Claim Auditor in Payment Integrity will address problematic and complex audit assignments to identify claim overpayments in accordance with established billing and coding parameters. Claim payment accuracy will be recognized...

Job Type Full Time
New
Neighborhood Health Plan of Rhode Island

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...

Job Type Full Time
New
Neighborhood Health Plan of Rhode Island

Medical Director (43921)

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 ...

Job Type Part Time
New
Neighborhood Health Plan of Rhode Island

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...

Job Type Full Time
New
Neighborhood Health Plan of Rhode Island

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...

Job Type Full Time
New
Raft

Product Manager

Hanscom Air Force Base, Massachusetts

Raft

This is a U.S. based position. All of the programs we support require U.S. citizenship to be eligible for employment. All work must be conducted within the continental U.S. Who we are: Raft (https://TeamRaft.com) is a customer-obsessed non-...

Job Type Full Time
New

Simulator Technician

Las Vegas, Nevada

CAE Simuflite

CAE, one of the largest business aviation training facilities, is looking for a Simulator Technician in our newest training center in Las Vegas, Nevada. In this role you will perform preventative maintenance tasks on the simulators and asso...

Job Type Full Time
New
CAE USA

AH64E Instructor pIlot

Fort Novosel, Alabama

CAE USA

Who We Are: CAE Vision: Our vision is to be the worldwide partner of choice in defense and security, civil aviation, and healthcare by revolutionizing our customers' training and critical operations with digitally immersive solutions to ele...

Job Type Full Time

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