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...
11h
| Job Type | Full Time |
Clinical Care Coordinator (44758)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description The Clinical Care Coordinator is responsible for welcoming and onboarding new members to the health plan, completing and scheduling assessments and works collaboratively with the health care team to manage and coordinate care fo...
11h
| Job Type | Full Time |
Community Care Coordinator (44739)
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 |
Travel Medical Surgical RN job in Omak, WA - Make $2022 to $2216/week (Job #3359648)
Omak, Washington
Aya Healthcare has an immediate opening for the following position: Medical Surgical Registered Nurse in Omak, WA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country...
11h
| Job Type | Full Time |
Compliance and Privacy Business Partner (44744)
Smithfield, Rhode Island
Neighborhood Health Plan of Rhode Island
Description The Compliance Business and Privacy Partner (CBPP) is responsible for aligning business objectives by providing regulatory support and compliance and privacy oversight for designated departments across the organization. This pos...
11h
| Job Type | Full Time |
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 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 |
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 |
Travel PACU RN job in Salem, MA - Make $2438 to $2633/week (Job #3359571)
Salem, Massachusetts
Aya Healthcare has an immediate opening for the following position: PACU Registered Nurse in Salem, MA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got...
11h
| Job Type | Full Time |