• Senior Product Manager , Medicaid

    Humana (Providence, RI)
    …of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior ... Product Manager work assignments involve moderately complex to complex issues...Services (MPS) Product Management space with a focus on Medicaid Enrollment & Premium Reconciliation- Humana is seeking a… more
    Humana (04/27/24)
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  • Manager Data Analysis & Testing…

    Highmark Health (Providence, RI)
    …projects: anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation ... strategies. + Other duties as needed **EDUCATION** **Required** + Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics or Management Information Systems **Substitutions** + 6 years relevant and progressive experience in lieu… more
    Highmark Health (04/17/24)
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  • Sr Operations Analyst - Jr Manager

    Public Consulting Group (Providence, RI)
    …and process Medicaid and Medicare cost reporting requirements. Throughout these project efforts the operations team is responsible for the intake of financial ... the aggregation and automated input of data into approved Medicaid cost report templates, ensuring the accuracy of the...issues. This role will report to the Quality Assurance Manager , whose goal is to achieve rigor into SSG's… more
    Public Consulting Group (04/05/24)
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  • Lead Technology Product Manager

    Wolters Kluwer (Providence, RI)
    …Kluwer Health Clinical Effectiveness team** , the Lead **Technology Product Manager ** **- Commercial Drug Information** role for **Medi-Span** represents the voice ... data and solutions that support Payers, PBMs, Life Sciences and Medicare/ Medicaid programs. **Wolters Kluwer Health** is an established, fast-growing, and… more
    Wolters Kluwer (03/24/24)
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  • Program Manager Risk Adjustment

    Highmark Health (Providence, RI)
    …factors. Manages a matrix group of employees and contractors who serve on project teams and/or within departmental work groups to achieve a coordinated benefit. ... **ESSENTIAL RESPONSIBILITIES** + Work with management to assemble project teams and work groups to produce deliverables required to achieve the objectives of a… more
    Highmark Health (04/10/24)
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  • Release Manager

    HealthEdge Software Inc (Providence, RI)
    …and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for ... + Identify & manage risks and clearly communicate them to program/ project stakeholders while proposing solutions + Effectively communicate required delivery dates,… more
    HealthEdge Software Inc (04/26/24)
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  • Senior Category Manager Enterprise…

    Humana (Providence, RI)
    …recommendations from multi-faceted and often ambiguous data + Ability to motivate project team members and stakeholders to meet established deadlines + Ability to ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (04/24/24)
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  • Director, Clinical Account Services - Remote…

    Prime Therapeutics (Providence, RI)
    …program. Provides guidance, assistance and mentoring to assist the Account Manager staff in attaining goals. Requires communication across all departments and ... expertise with data management and overall healthcare trends specific to the Medicaid population. **Job Description** + Partners with appropriate staff in the… more
    Prime Therapeutics (04/04/24)
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  • Aging & Disability Senior Consultant

    Public Consulting Group (Providence, RI)
    …care facilities for individuals with intellectual disabilities (ICF-IID) . Serves as project manager and subject matter expert on community LTSS programs ... to elicit feedback to inform contract tasks. . Identifies project gaps and risk mitigation strategies. . Plans and...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
    Public Consulting Group (02/28/24)
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  • IV&V Consultant - Child Support

    Public Consulting Group (Providence, RI)
    …* Collaborate with the Project Manager to ... To learn more, visit www.publicconsultinggroup.com. **Responsibilities** The Consultant will provide Project Management and IV&V services to our internal team as… more
    Public Consulting Group (03/27/24)
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