Neighborhood Health Plan of Rhode Island Jobs

job title, keywordscity, state, or zip 
16 jobs at Neighborhood Health Plan of Rhode Island
  • Enrollment Representative

    Smithfield, RI
    Under direct supervision, is responsible for a variety of specific functions associated with enrollment and reconciliation transactions to facilitate accurate...
    3 days ago
  • Senior Regulatory Financial Analyst

    Providence, RI
    This position is responsible for the preparation of financial reporting requirements for external regulatory entities for the company. This includes the...
    10 days ago
  • Project Manager - PMO

    Providence, RI
    This role requires an individual with strong leadership, communication and analytical skills who is an expert in project management. He/she is responsible for...
    14 days ago
  • Grievance and Appeals Coordinator

    Smithfield, RI
    This position is responsible for researching and facilitating member/provider grievances, appeals and complaints. Interprets and explains Neighborhood benefits...
    23 days ago
  • Medical Management Supervisor

    Smithfield, RI
    Provides oversight for specific care management or medical review programs/activities and works collaboratively with the Health Care Team to manage and...
    29 days ago
  • Quality Analytics and Metrics Improvement Supervisor

    Smithfield, RI
    This position is a lead member of the HEDIS project staff who will drive clinical data analysis providing leadership and support for HEDIS improvement across...
    30+ days ago
  • Clinical Coordinator UM

    Smithfield, RI
    Supports the day-to-day functions for Medical Management in order to facilitate efficient and effective department operations. Facilitates all means of...
    30+ days ago
  • Assistant Product Manager

    Providence, RI
    Responsible for supporting the work of ensuring that operational and reporting requirements are met for the company’s commercial product line. He/she is...
    30+ days ago
  • Clinical Management Nurse

    Smithfield, RI
    This position works collaboratively with the health care team to determine appropriateness of medical services, procedures and care setting for members by...
    30+ days ago
  • Alternative Payment Contract Administrator

    Smithfield, RI
    This position plays a central role in the development and implementation of Alternative Payment Methodologies (APM), with a primary focus on Accountable Care...
    30+ days ago
  • Nurse Practitioner

    Smithfield, RI
    This role’s primary responsibility is to provide a highly coordinated, comprehensive approach to Neighborhood’s plan member’s health care needs by providing...
    30+ days ago
  • Claims Business Performance Analyst

    Smithfield, RI
    This position is responsible for supporting the department by providing internal and vendor performance reporting metrics and dashboards. Compile and report...
    30+ days ago
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