- CVS Health (Providence, RI)
- …Services) requires regulatory changes during the plan year. The ** Medicare ** ** Benefits Standards & Guidance Lead Director** ensures accountability for ... enrollment, Special Needs Plans (SNP) and Employer Groups. The ** Medicare ** ** Benefits Standards & Guidance Lead Director** acts as the point of contact… more
- Humana (Providence, RI)
- …the adoption and delivery of the Humana Enterprise Architecture principles, standards , policies and methodologies. As a Senior Enterprise Architect, you play ... role in the alignment of the business vision, technology strategy and framing enterprise standards . You will be an integral part of the delivery of critical business… more
- Humana (Providence, RI)
- …the adoption and delivery of the Humana Enterprise Architecture principles, standards , policies and methodologies. As a Senior Enterprise Architect, you play ... as a Senior Enterprise Architect, you will provide mentorship and guidance to other enterprise, solution, technology and system architects across Humana.… more
- CenterWell (Providence, RI)
- …for coding staff to ensure continuous skill development and compliance with coding standards . + Partner with analytics and audit to identify coder errors and develop ... to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of working… more
- Prime Therapeutics (Providence, RI)
- …that business operations are aligned with expectations of applicable regulatory guidance + Lead project management efforts for highly sensitive Compliance ... operating procedures (SOP) and policies + Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance programs or Board of… more
- Humana (Providence, RI)
- …to ensure that our software solutions align with business goals and meet the highest standards of quality and performance. In this role, you will work on some of the ... solve complex business problems, adhering to enterprise architecture direction and standards . + Collaborate with key stakeholders to define metrics for performance,… more
- Humana (Providence, RI)
- …+ Works within defined parameters to identify work expectations and quality standards , but has some latitude over prioritization/timing, and works under minimal ... than 5% onsite meeting based on market or business needs **Work at Home Guidance ** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the… more