•Understanding of healthcare benefits and how they impact claims adjudication.
•Benefit and Claims configuration experience (benefits, supplier contracts, claims processing rules).
•Front End configuration experience within HealthRules Payor Manager and Designer applications.
•Knowledge of HealthRules best practices (analytical approach, not a see it key it mentality).
•Ability to communicate with all levels of staff and external vendors and suppliers.
•Document Configuration Control Framework (CCF).
•Complete unit testing
•Ability to represent Configuration Services as a subject matter expert in project requirement sessions.
•Provides guidance on HealthRules functionality and system limitations.
•Act as a liaison for HealthRules testing inquiries and activities between the Testing team and the business owner.
•Mentor and train Configuration Analysts on HealthRules Best Practices.
•
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United States - RI - RI - Greene
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Monday - Friday • Work where every moment matters. Every day, over 37,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We...
United States - RI - RI - Albion
February 1, 2024
Job Info • Job Location: Uxbridge , MA • Route Type: Local • Type of Assignment: Temp to Hire • Equipment: Intermodal Container • Hours Per Shift: 8 Hours • Hours Per Week: 40 Hours • Shift Start Time: 02:00 am • Working Days: Mon-Fri • Transmission Type: Automatic Job Requirements • CDL Class: CDL...
United States - RI - RI - Providence
July 3, 2024
Under Armour, Inc. • Cyber Vulnerability Lead • Providence , • Rhode Island • Apply Now • At Under Armour, we are committed to empowering those who strive for more, and the company's values - Act Sustainably, Celebrate the Wins, Fight on Together, Love Athletes and Stand for Equality - serve as both...
United States - RI - RI - Chepachet
February 1, 2024
Job Info • Job Location: Uxbridge , MA • Route Type: Local • Type of Assignment: Temp to Hire • Equipment: Intermodal Container • Hours Per Shift: 8 Hours • Hours Per Week: 40 Hours • Shift Start Time: 02:00 am • Working Days: Mon-Fri • Transmission Type: Automatic Job Requirements • CDL Class: CDL...
United States - RI - RI - Rockville
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Work where every moment matters. • Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to...
United States - RI - RI - Hope Valley
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Monday - Friday • Work where every moment matters. Every day, over 37,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We...
United States - RI - RI - Lincoln
July 1, 2024
Description Qualifications: • Bachelor's degree or equivalent professional experience • At least 2 years of Mobile Sportsbook fraud risk prevention experience • At least 2 years in an BSA/AML Compliance setting • Previous KYC or risk management experience preferred •...
United States - RI - RI - Providence
July 2, 2024
Solomon Page is seeking a travel MRI Technologist for a travel job in Providence, Rhode Island. • & Requirements Specialty: MRI Technologist • Discipline: Allied Health Professional • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, evenings...
United States - RI - RI - Wakefield
June 10, 2024
Registered Nurse, RN Our Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role...
United States - RI - RI - Ashaway
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Work where every moment matters. • Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to...
United States - RI - RI - Johnston
May 9, 2024
Dialysis Charge Registered Nurse Our Charge Nurses function as the hemodialysis team leader and provide day to day direction and supervision to assigned direct patient care staff. Promotes positive public relations with patients, their family members, guests, physicians, and coworkers. Uses tactful...
United States - RI - RI - Rockville
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Monday - Friday • Work where every moment matters. Every day, over 37,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We...
United States - RI - RI - Providence
June 11, 2024
Registered Nurse, RN Our Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role...
United States - RI - RI - Chepachet
March 19, 2024
Hey detail-oriented person! We handle product movement at retail. We display it, we move it, we track it; making sure stores and their product suppliers have the best opportunities for optimal sales. When you join the SAS Retail Services' team as a Reset Merchandiser you'll be making a difference by...
United States - RI - RI - Hope Valley
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Work where every moment matters. • Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to...
United States - RI - RI - North Smithfield
February 1, 2024
Job Info • Job Location: Uxbridge , MA • Route Type: Local • Type of Assignment: Temp to Hire • Equipment: Intermodal Container • Hours Per Shift: 8 Hours • Hours Per Week: 40 Hours • Shift Start Time: 02:00 am • Working Days: Mon-Fri • Transmission Type: Automatic Job Requirements • CDL Class: CDL...
United States - RI - RI - Providence
July 1, 2024
Bring your heart to CVS Health. • Every one of us at CVS Health shares a single, clear purpose: • Bringing our heart to every moment of your health. • This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. • Anchored in our...
United States - RI - RI - Ashaway
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Monday - Friday • Work where every moment matters. Every day, over 37,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We...
United States - RI - RI - Greene
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Work where every moment matters. • Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to...
United States - RI - RI - Slatersville
February 1, 2024
Job Info • Job Location: Uxbridge , MA • Route Type: Local • Type of Assignment: Temp to Hire • Equipment: Intermodal Container • Hours Per Shift: 8 Hours • Hours Per Week: 40 Hours • Shift Start Time: 02:00 am • Working Days: Mon-Fri • Transmission Type: Automatic Job Requirements • CDL Class: CDL...
United States - RI - RI - Warwick
July 1, 2024
$17.75 hr + GENEROUS BENEFITS including Weekly Pay. • Want to learn more?!?! Let's chat TODAY. • The retail sales associate at LL Flooring is responsible for supporting the store manager and the assistant managers with daily sales, store operations, and general care of the store. •...
United States - RI - RI - Woonsocket
July 1, 2024
Bring your heart to CVS Health. • Every one of us at CVS Health shares a single, clear purpose: • Bringing our heart to every moment of your health. • This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. • Anchored in our...
United States - RI - RI - Oakland
February 1, 2024
Job Info • Job Location: Uxbridge , MA • Route Type: Local • Type of Assignment: Temp to Hire • Equipment: Intermodal Container • Hours Per Shift: 8 Hours • Hours Per Week: 40 Hours • Shift Start Time: 02:00 am • Working Days: Mon-Fri • Transmission Type: Automatic Job Requirements • CDL Class: CDL...
United States - RI - RI - Hopkinton
July 3, 2024
Description Job Schedule: Full Time • Standard Hours: 40 • Job Shift: Shift 1 • Shift Details: Monday - Friday • Work where every moment matters. Every day, over 37,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We...
Syneos Health inVentiv Health Commercial LLC
United States - RI - RI - Providence
July 1, 2024
Description • Senior Customer Contract Analyst • Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market...
United States - RI - RI - Providence
July 1, 2024
The Part-time Transportation Specialist provides transportation using a company-owned vehicle for individuals in need of behavioral health services. • This position works closely with staff in coordinating transportation for individuals, along with a case manager to and from community-based...
United States - RI - RI - Pawtucket
April 22, 2024
Dialysis Registered Nurse, RN Our Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient....