18 manager managed care analytics jobs at 13 companies in Rhode Island
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Associate Managed Care Analyst
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$34-$54/hr RemoteFull Time
Associate's degree in finance/accounting/business or related required; experience in finance, contracting, or data analysis; Microsoft Office and Epic experience; strong analytical and communication skills.
Microsoft Office, Microsoft Excel, Microsoft PowerPoint, Epic, R, Python
1mo
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Transitions RN Care Manager
Warwick, Rhode Island, United States
OnsiteFull Time
5+ YOECurrent Rhode Island RN license and bachelor\u0002s in nursing (or equivalent); 5+ years acute care or case management experience; knowledge of utilization review, discharge planning, and payor regulations; strong communication and analytical skills.
Epic, Cerner
2w
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Senior Business Transformation Product Manager - Total Cost of Care/Medical Economics
Providence or Arizona or Connecticut or Florida or Georgia or Louisiana or Massachusetts or North Carolina or Oklahoma or Rhode Island or South Carolina or Texas or Virginia
$102k-$164k/yr RemoteFull Time
5+ YOERequires 5–7 years in product, operations, or transformation roles; experience across business and technology teams; strong strategic, analytical, prioritization, negotiation, and stakeholder leadership skills.
AI
2mo
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Manager, Policy & Strategy
Warwick, Rhode Island, United States
$85k-$100k/yr HybridFull Time
5+ YOEBachelor's degree, 5 years' experience in healthcare strategy/policy/public health/administration, strong writing/communication/analytical skills, experience facilitating stakeholder engagement; Master's and experience in value-based care, data, or strategic planning preferred.
1mo
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Transitions RN Care Manager
Warwick, Rhode Island, United States
OnsiteFull Time
5+ YOEActive RI RN with bachelor\u0002s in nursing or equivalent, 5+ years acute care or case management, knowledge of utilization review/discharge planning, strong communication and analytical skills, Epic and Cerner documentation.
Epic, Cerner, Microsoft Excel
2mo
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Registered Nurse, Care Manager
Warwick, Rhode Island, United States
OnsitePart Time
2+ YOEActive Rhode Island RN license, graduate of accredited nursing program, 2+ years acute care experience, knowledge of utilization review/case management, CCM or ACM certification within 24 months, strong communication and analytical skills.
InterQual
1mo
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Associate Claims Clinical/Care Advocacy
Alabama or Arkansas or Connecticut or Delaware or Florida or Georgia or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or New Jersey or New York or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or District of Columbia or West Virginia or Wisconsin
$56k-$81k/yr RemoteFull Time
5+ YOE5+ years relevant experience (social worker or RN) with geriatric case management, knowledge of Medicaid/Medicare, Area Agency on Aging resources, discharge planning, strong communication and analytic skills.
1mo
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Associate Claims Clinical/Care Advocacy
Alabama or Arkansas or Connecticut or Delaware or Florida or Georgia or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or New Jersey or New York or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or District of Columbia or West Virginia or Wisconsin
$56k-$81k/yr RemoteFull Time
CareScout: A startup subsidiary redesigning the long-term care experience to make aging and caregiving simpler and more dignified.
5+ YOE5+ years geriatric case management or related experience; social worker or RN background; knowledge of Medicaid/Medicare, Area Agency on Aging resources, discharge planning; strong communication and analytic skills.
1mo
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Provider Performance Specialist-Senior
Alabama or Alaska or Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
4+ YOEBachelor\u0002s or equivalent, 4 years payer/ACO/value-based care experience, advanced Excel and Power BI/Tableau, knowledge of Medicare Advantage/Medicaid/NCQA, strong analytical and communication skills.
Microsoft Excel, Power BI, Tableau
3w
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Lead Director, Risk Adjustment Performance Reporting and Insights
Pennsylvania or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or Alaska or New York or District of Columbia or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or New Jersey or Indiana or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware
$100k-$232k/yr RemoteFull Time
10+ YOE2+ Mgmt10+ years in healthcare analytics, informatics, actuarial, value-based care, or business intelligence; 2+ years leading teams; advanced SQL, Python, and BI platform experience; bachelor's degree or equivalent.
SQL, Python, Microsoft Power BI, Tableau, QuickSight
2w
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Practice Success Partner
Arizona or California or Florida or Georgia or Illinois or Indiana or Iowa or Maryland or Massachusetts or Michigan or Minnesota or New Hampshire or New Jersey or New York or North Carolina or Pennsylvania or Rhode Island or South Carolina or Tennessee or Texas or Virginia or Washington
$120k-$145k/yr HybridFull Time
5+ YOERequires 5+ years in practice-facing, account management, or provider relations within value-based, managed, or provider care organizations; contract performance analysis, leadership relationship ownership, and value-based care knowledge.
Microsoft Excel, payer portals, analytics platforms
3mo
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Social Worker BSW
Providence, Rhode Island, United States
$51k-$83k/yr OnsiteFull Time
1+ YOEBachelor's degree in Social Work; 1 year healthcare or managed care experience preferred; strong communication and analytical skills.
2w
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Regional Operations Support
New York or New Jersey or Pennsylvania or Massachusetts or Connecticut or Rhode Island or Vermont or New Hampshire or Maine
$100k-$110k/yr RemoteFull Time
5+ YOE2+ MgmtRequires 5+ years in PT, OT, or ST, 2+ years managing Directors of Rehab in long-term care, regulatory expertise, communication, analytical skills, and Microsoft Office and EMR proficiency.
Microsoft Office, EMR
3mo
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Social Worker BSW
Providence, Rhode Island, United States
$51k-$83k/yr OnsiteFull Time
1+ YOEBachelor's in social work required, 1+ year healthcare/human services experience preferred; knowledge of healthcare delivery, managed care, discharge planning, strong interpersonal and analytical skills.
2mo
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REMOTE - Vice President Medical Director of Clinical Programs
Massachusetts or Maryland or Nevada or Vermont or Missouri or South Dakota or Kansas or Louisiana or Arkansas or Mississippi or New York or Oklahoma or Virginia or Rhode Island or New Hampshire or Minnesota or Kentucky or Arizona or Georgia or Florida or Connecticut or North Carolina or Wisconsin or Delaware or Indiana or Nebraska or District of Columbia or South Carolina or Texas or Pennsylvania or Alabama or Ohio or New Jersey
RemoteFull Time
10+ YOEMD/DO with board certification, 10+ years clinical and health plan medical director experience, managed care/utilization/quality expertise, strong analytics, executive communication, and Microsoft Office proficiency.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2mo
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Director, Communication & Education (Health and Welfare)
Smithfield or Albuquerque or Westlake or Merrimack or Covington
OnsiteFull Time
Bachelor's degree or equivalent experience; proven management experience; communications, operations or process delivery experience; strong leadership, writing, analytical and collaboration skills; experience in health care or employee benefits communications.
4w
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R&D Chemist
West Warwick, Rhode Island, United States
OnsiteFull Time
5+ YOEBachelor's in chemistry (advanced degree preferred),5+ years formulation/product development experience in cosmetics/personal care, expertise in scale-up and analytical techniques, strong communication and project management skills.
Microsoft Office, Oracle, SAP, HubSpot, SmartSheets
3mo
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Senior Vice President Clinical Services
Providence, Rhode Island, United States
OnsiteFull Time
10+ YOEBachelor's required, advanced degree preferred; minimum 10 years progressive service line leadership experience in health care; strong financial, analytical, communication, and matrix leadership skills.
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