Claim Auditor Payment Integrity Specialist

Job Title: Auditor for Payment IntegrityNeighborhood Health Plan of Rhode Island is seeking a skilled Auditor for Payment Integrity to join our team. As an Auditor, you will play a critical role in ensuring the accuracy and integrity of our payment processes.Key Responsibilities:Investigate potential over-utilization by performing audits of pre and...

Job Title: Software EngineerAre you a skilled software engineer looking for a new challenge? We are seeking a talented individual to join our team as a backend specialist. The successful candidate will be responsible for designing, developing, and maintaining our system's backend infrastructure.Responsibilities:Design and develop scalable and efficient...

Job SummaryWe are seeking a highly skilled Senior Manager of Quality Improvement and Data Analysis to lead our organization's efforts in implementing and maintaining the Healthcare Effectiveness Data and Information Set (HEDIS) and related quality measurement and monitoring activities.Key ResponsibilitiesOversee the implementation of HEDIS and quality...

Job SummaryWe are seeking a highly experienced Senior Financial Leader to join our team as Vice President of Finance and Operations. The successful candidate will be responsible for leading our financial operations, ensuring the accuracy and integrity of all financial analysis and operations, and overseeing all budgeting activities.Key...

About Navigant Credit UnionWe are a community-driven credit union dedicated to improving the financial well-being of our members. With over $3 billion in assets, we are one of the largest credit unions in Rhode Island.Our core values of Leadership, Unity, Caring, and Integrity guide our organization and are the qualities we look for in our employees.We offer...

Job SummaryThe Product Director - Medicare will provide strategic leadership and oversight for the development and implementation of new Medicare products. This role will collaborate with internal partners to launch new Medicare products and initiatives that meet company goals and objectives.Key ResponsibilitiesLead the development and implementation of new...

About UsNavigant Credit Union is a leading financial institution dedicated to improving the financial well-being of our members. With a rich history dating back to 1915, we have grown to become one of the largest credit unions in Rhode Island, while maintaining our community-driven values.Our MissionWe are committed to providing exceptional service,...

About Navigant Credit UnionNavigant Credit Union is a community-driven financial institution dedicated to improving the financial well-being of its members. With a rich history dating back to 1915, the credit union has grown to become one of the largest in Rhode Island, with over $3 billion in assets.Our core values of Leadership, Unity, Caring, and...

Job DescriptionAre you a skilled Electrician looking to take your career to the next level? Do you have a passion for providing excellent customer service and technical expertise? CARJON Air Conditioning and Heating, Inc. is seeking a self-motivated and goal-oriented Master Electrician to join our team.We are a family-owned business with over 30 years of...

Job Title: Certified Nursing AssistantWe are seeking a compassionate and skilled Certified Nursing Assistant to join our team at Meridian Senior Living. As a CNA, you will play a vital role in providing direct care to our residents, assisting them with their daily activities, and ensuring their comfort and well-being.Responsibilities:Provide direct care to...

About Meridian Senior LivingAt Meridian Senior Living, we believe that everyone deserves a great life. Our mission is to provide exceptional care and services to our residents, and we're looking for dedicated and compassionate individuals to join our team.Job SummaryWe're seeking a Certified Nursing Assistant (CNA) to provide direct care to our residents in...

Job DetailsJob Location Smithfield, RI - Smithfield, RIPosition Type Full TimeEducation Level Associates Degree Travel Percentage NoneJob Shift DaytimeJob Category Professional / ExperiencedDescription The Claim Auditor in Payment Integrity will address problematic and complex audit assignments to identify claim overpayments in accordance with...

Job Title: Senior IT Internal AuditorSmithfield Foods, Inc. is seeking a highly motivated and detail-oriented Senior IT Internal Auditor to join our Internal Audit department. As a key member of our team, you will be responsible for exercising IT auditing techniques to ensure the effectiveness of our IT systems and controls.Key Responsibilities:Assist in...

Job DescriptionThe Alliance is seeking a highly skilled Senior Internal Auditor II to join our team. As a key member of our internal audit department, you will be responsible for providing senior-level staff advisory, consultative, and audit work to ensure the effective and efficient operation of our organization.Key Responsibilities:Drive internal audit...

Claims Reconsideration Representative Job DescriptionNeighborhood Health Plan of Rhode Island is seeking a highly skilled Claims Reconsideration Representative to join their team. As a Claims Reconsideration Representative, you will be responsible for reviewing written inquiries related to claims edit determinations that decrease claim reimbursement. You...

Job SummarySmithfield Foods is seeking a highly skilled Senior IT Internal Auditor to join our Internal Audit department. As a key member of our team, you will be responsible for exercising IT auditing techniques to identify and mitigate risks within our IT systems.Key ResponsibilitiesAssist in preparing an annual IT audit risk assessment to identify all...

If you are currently employed at Smithfield, please log into Workday and submit your application through the Jobs Hub. A great job-and a great future-awaits you at Smithfield Foods. We are an American food company with a leading position in packaged meats and fresh pork products. We're looking for motivated people who want to join our team and grow lasting...

Job DetailsJob Location Smithfield, RI - Smithfield, RIPosition Type Full TimeEducation Level Undergraduate Certificate Travel Percentage OccasionalJob Shift DaytimeJob Category Some ExperienceDescription Location: Smithfield, RI. (On-site)Position OverviewThe Claims Reconsideration Coder (CRC) is a multidisciplinary Certified Professional Coder...

Job SummaryAs a Quality Assurance Specialist at Chili's Grill & Bar, you will play a crucial role in ensuring that every guest receives perfectly prepared, high-quality food. You will provide dependable, fast service that is absolutely Chili's. If you take pride in great teamwork, then we want to hear from you.ResponsibilitiesEnsure food is prepared to...

Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description The Senior Manager of Quality Improvement and Analysis is Neighborhood's organizational lead for implementing all facets of the Healthcare Effectiveness Data...

Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description The Senior Manager of Quality Improvement and Analysis is Neighborhood's organizational lead for implementing all facets of the Healthcare Effectiveness Data...

Job Title: Administrative ManagerJob Summary:Ultimate Staffing is seeking a highly skilled Administrative Manager to oversee financial administrative tasks and ensure smooth workflow in our Smithfield location.Key Responsibilities:Ensure accurate and timely processing of vendor invoices and creditsCoordinate with Account Administrative Managers on purchasing...

At Neighborhood Health Plan of Rhode Island, we are seeking a highly skilled Data Governance Specialist to join our team. As a Data Governance Specialist, you will play a pivotal role in ensuring the integrity, quality, and security of our organizational data assets.The ideal candidate will have a deep understanding of data governance principles, practices,...

Ultimate Staffing is seeking candidates for a Direct Hire position in Smithfield!This position is 100% ON SITE! Hours will be Monday-Thursday 7AM-4PM, Friday 7AM-12PM.Salary will be $60-80K/yr DOE - FREE HEALTH INSURANCE!!Details:The Administrative Manager will oversee many of the financial administrative tasks being completed by other departments, including...

Job Description for Clinical Care Specialist - Long Term Care FacilityWe are seeking a skilled Clinical Care Specialist to join our team at a long-term care facility in Smithfield, NC. This is a PRN position that requires a Licensed Practical Nurse (LPN) with a passion for delivering high-quality patient care.Key Responsibilities:Provide direct patient care,...

Job Description:Global Security Operations Center (GSOC) SpecialistThe GSOC Specialist is responsible for providing support in Security/Fire/Life Safety Alarm Monitoring; Global Threat Management, Video Monitoring, Incident Management, Travel Safety and Security and dispatching of Fidelity regional security or Public Safety personnel to corporate...

About Smithfield FoodsSmithfield Foods is a leading American food company with a strong presence in the packaged meats and fresh pork products market. We are committed to providing a dynamic and inclusive work environment that fosters growth and development for our employees.Job SummaryWe are seeking a highly skilled Corporate Tax Manager to join our team....

Join Artisan Direct, Ltd. as a Sign Placer and become an integral part of our Weekend Directional Sign Business team. This role is pivotal in contributing to the growth and success of our well-established territory in the Smithfield area. We are seeking a dependable individual with their own vehicle for the role of Sign Placer. This position involves...

Your Opportunity:A great job awaits you at Smithfield Foods, a leading American food company with a strong presence in packaged meats and fresh pork products. We're seeking a motivated individual to join our team as a Corporate Tax Project Manager. This role will be responsible for managing the Company's Federal and State income tax compliance function,...

Job SummaryWe are seeking a highly experienced and skilled Vice President of Finance to join our team at Neighborhood Health Plan of Rhode Island. The successful candidate will be responsible for leading our financial operations, developing and executing financial strategies, and ensuring compliance with federal and state regulatory agencies.Key...

Job DetailsJob Location Smithfield, RI - Smithfield, RIPosition Type Full TimeEducation Level Associates Degree Travel Percentage OccasionalJob Shift DaytimeJob Category Professional / ExperiencedDescription Position Overview (On-site, Smithfield, RI)The Configuration Management Analyst is an entry to mid- level position responsible for the...