• Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Providence, RI)
    …**Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs such as ... Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding,...improve coding accuracy and thorough capture of members' chronic health conditions. Conducts quality reviews of high-risk and incremental… more
    Highmark Health (05/31/24)
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  • Investigations Consultant

    Highmark Health (Providence, RI)
    …size and complexity **Preferred** + 5 years in Financial Analysis in an acute care hospital or health insurance setting + 5 years in professional billing, ... evaluate claim processes specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk… more
    Highmark Health (05/07/24)
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  • Market Underwriter

    Highmark Health (Providence, RI)
    …in lieu of degree **Preferred** + None **EXPERIENCE** **Required** + 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced ... as a trusted adviser by providing financial and risk management support to sales as well as strategic insight....+ None **Preferred** + None **SKILLS** + Understanding of health products, services, risk assessment and techniques + Consultative… more
    Highmark Health (05/15/24)
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  • Pharmacy Client Support Consultant

    Highmark Health (Providence, RI)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job supports the retention of existing accounts and the acquisition of new members/contracts ... and Sales leadership to present and prepare data analyses, pharmacy management strategies and pharmacy capabilities to Organization clients and potential clients.… more
    Highmark Health (05/21/24)
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  • Digital Product Manager

    Highmark Health (Providence, RI)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** As a Digital Product Manager for My Highmark, a site for members to view claims, explore ... coverage, and find care , you'll play a pivotal role in representing the...field **EXPERIENCE** **Required** + 3 years of Digital Product Management + 2 years in the Healthcare Industry **Preferred**… more
    Highmark Health (05/16/24)
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  • Teacher Assistant/ Behavior Tech

    Amergis (East Greenwich, RI)
    …- Monday - Friday The Behavior Technician works to facilitate educational and behavioral services with children and adults with special needs and collaborates with ... school professionals and other behavioral specialists to achieve learning and behavioral ...from the BCBA, teacher, and/or program supervisor Implements behavior management techniques in the form of prevention, intervention, and… more
    Amergis (05/09/24)
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  • Behavior Technician

    Amergis (Johnston, RI)
    …per week - M-F The Behavior Technician works to facilitate educational and behavioral services with children and adults with special needs and collaborates with ... school professionals and other behavioral specialists to achieve learning and behavioral ...the BCBA, teacher, and/or program supervisor + Implements behavior management techniques in the form of prevention, intervention, and… more
    Amergis (05/31/24)
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  • Intake Screener and Authorization Specialist…

    Northeast Family Services (Fall River, MA)
    …such as comprehensive assessments and treatment plans. This role manages the Massachusetts Behavioral Health Access (MABHA) updates on a monthly basis. They are ... looking for rewarding work, have professional experience in a behavioral health environment, and enjoy helping people...ability to maintain composure under stress + Strong time management and organizational skills Benefits: + Health ,… more
    Northeast Family Services (06/01/24)
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  • Senior Research Assistant (Intervention Provider)

    Brown University (Providence, RI)
    …families. The Hassenfeld Institute is looking for a team member with experience in behavioral health and family facilitation to provide a brief behavioral ... primarily responsible for training in the principles of a behavioral health intervention, delivering the intervention to...Ability to interact well with adolescents, parents, and other health care personnel. + Ability to discuss… more
    Brown University (03/17/24)
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  • Internal Medicine Physician- MRPG

    Milford Regional Medical Center (Bellingham, MA)
    …Full or Part Time MILFORD REGIONAL PHYSICIAN GROUP , part of the Milford Regional Health Care System, is seeking an Internal Medicine Physician to join our ... collaboration between them results in creative approaches to patient care and practice management . Our physicians are...support staff, and nurse case managers, social workers and behavioral health support specialists to help manage… more
    Milford Regional Medical Center (04/09/24)
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