- Datavant (Providence, RI)
- …our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal ... role in elevating the impact of our medical record documentation . You will conduct daily evaluations and engage in direct communication with providers to enhance … more
- CenterWell (Providence, RI)
- …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... developing responses. Identifies the need for changes in policies, procedures, documentation strategies, and protocols based on regulatory requirements and makes… more
- US Tech Solutions (RI)
- …criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews. + Transfers all clinical questions, escalations ... **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract**...calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other duties as… more
- Evolent (Providence, RI)
- …leaders, and clinical professionals. + A role that values innovation, continuous improvement , and clinical excellence. + **This position is 100% Remote and ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more