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Neighborhood Health Plan of RI Jobs in Providence

3 jobs

This role’s primary responsibility is to provide a highly coordinated, comprehensive approach to Neighborhood’s plan member’s health care needs by providing personalized home-care to members that are in need of more tailored care due to chronic conditions. He/she will manage the care of members in accordance with the Nurse Practitioner standards of care (assessment of health status, diagnosis, dev...
Description This position is responsible for the prompt analysis, conversion, reconciliation, validation, processing and transmission of APCD, Encounter and Edge Server. You will perform data analysis to examine report data from delegated entities and review data for accuracy. He/she is responsible for the collection, oversight, monitoring and timely and accurate submission of data to the Executi...
The Training Specialist supports the company’s operational teams by developing and facilitating learning through an adult learning approach. He/she will be accountable for developing online learning guides, subject matter curriculum and comprehensive assessment tools. The primary operational areas supported include, but are not limited to Call Center and Claims functional areas. Subject matter inc...