Neighborhood Health Plan of RI Jobs in Burrillville

Currently, there are no Neighborhood Health Plan of RI jobs available in Burrillville, Rhode Island. You may wish to explore jobs in nearby locations on the Neighborhood Health Plan of RI jobs in Rhode Island page or view related jobs below.
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Overview Provide assistance to the Manager in preparing annual departmental budgets, multi-year forecast modeling, actual to budget variance analysis, ad/hoc cost analysis and any internal/external peer cost analysis. In addition, this position will provide administrative cost breakdown for incorporation into the NAIC quarterly and annual submissions. He/she will also be responsible for setting u...

Provides leadership in Financial Planning and Operational Analysis. The Director is responsible for assimilating Neighborhood’s entire financial picture and representing an integrated view in discussions with the senior leadership team and external partners. Responsibilities include, but are not limited to, the following: Provides guidance and oversight to the implementation of Neighborhood’s bu...

Reporting to the Chief Executive Officer, the Chief Financial Officer is responsible for the accuracy and integrity of all financial operations in the company. In this corporate leadership role, the CFO relies on his/her extensive strategic experience and sound judgment to perform a variety of tasks that involve the financial infrastructure of the organization. He or she develops and executes fina...

Performs risk based compliance audits (Fraud, Waste and Abuse, operational, provider network) and delegated entities to ensure compliance with procedures and policies, contracts, laws and regulations and other industry standards. He/she will also consult with management and provide counsel to strengthen the organization's internal control structure and risk management practices. Responsibilities...

Supports the efficient and effective management of member benefit coverage and decisions, is the key contact for member benefit interpretation and implementation within the organization and serves as the external contact for such issues. He/she supervises a team and ensures delegated work is timely, accurate and delivered on schedule. Responsibilities include, but are not limited to the following...

Assist members to access safe, affordable housing and transition from a long term care facility to the community. He/she will interface with staff within the department, organization and external partners, members and their families. He/she must have knowledge and experience in working with housing entities and advocating for individual’s rights in landlord-tenant general contracting practices. R...

This role’s responsibility is to be the technical expert with regard to the set-up, troubleshooting and analysis of Electronic Data Interchange (EDI) interfaces into and out of the company. He/she works closely with the various internal and external stakeholders, their clearinghouses and other EDI partners to address configuration needs as well as resolve production issues. He/she configures, main...

Works collaboratively with various interdisciplinary health care teams to manage and coordinate care for a specific population of members whose needs represent high clinical, behavioral and social risk in order to ensure quality and cost-effective member-centered care. Responsibilities include, but are not limited to the following: Practice case management within the scope of licensure Utilizes...

This position is responsible for managing financial accounting and reporting activities and ensuring they are being performed accurately, efficiently and in accordance with established timeframes, company and professional regulations/standards. He/she manages the process of financial statement preparation, providing day-to-day management of financial reporting, oversight and guidance to the depart...

This position provides assistance in financial planning, operational analysis and assimilating the company’s entire financial picture. He/she prepares and delivers concept development and communication of financial insights and recommendations to senior leaders. He/she serves as a liaison whereby frequently meeting with internal/external stakeholders to gather requirements for complex analysis, fi...

The role of the Data Warehouse Developer II is to develop, implement and maintain business driven information system solutions, on time and within budget. He/she will work closely with the Business Analysts to understand the business requirements and create a technical solution using the appropriate tool(s). Duties and Responsibilities: Responsibilities include, but are not limited to the follow...

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...

This role requires strong leadership, communication and analytical skills who is an expert in project management. He/she will be responsible for the coordination and completion of projects and will oversee all aspects of projects, sets deadlines, assigns responsibilities and monitors and summarizes progress of projects. He/she will prepare status reports and resource allocation. A wide degree of ...

POSITION TITLE:Healthcare EDI Analyst DEPARTMENT: Information Services Overview: The Health Care EDI Analyst is the primary point of contact for system interfaces between Neighborhood and our vendors. The Health Care EDI Analyst has primary responsibility to triage EDI/Interface issues and support operational needs. The Health Care EDI Analyst works directly with business units, our trading par...

Overview: This role requires a Project Manager with strong leadership, communication and analytical skills who is an expert in project management. He/she is responsible for the coordination and completion of projects and oversees all aspects of projects, sets deadlines, assigns responsibilities, and monitors and summarizes progress of projects. The Project Manager prepares reports for management...