Providence

The Principal Service Engineer will act as the technical authority, driving the design, optimization, and evolution of enterprise IT Service Management (ITSM) capabilities using deep ITIL-aligned expertise and advanced cloud engineering skills. This role involves leading major service initiatives, guiding teams, shaping the ITSM roadmap, and setting standards to deliver reliable and efficient service experiences.

The RN Care Coordinator-Quality Medical Management will administer medical management programs including prior authorization, concurrent hospital and skilled nursing review, appeals, grievance, delegation, medical policy development, and medical claims audits. These responsibilities aim to manage medical expenses, determine medically appropriate services, and define clinical criteria for decision-making, including retrospective review and discharge planning.

The RN Care Coordinator-Quality Medical Management will administer medical management programs, including prior authorization, concurrent hospital and skilled nursing review, appeals, grievance, and medical claims audits. These duties are designed to manage medical expenses, determine medically appropriate services, and define clinical criteria for decision-making, encompassing retrospective review and discharge planning.

The Senior Pharmacy Technician supports clinicians and pharmacists by preparing and triaging prescription refill requests received via Epic, MyChart, fax, and phone, focusing on accuracy and patient safety. This role provides expertise in Ambulatory Clinical Pharmacy practice and supports caregivers and leadership in meeting clinical and operational goals.

The Senior Pharmacy Technician supports clinicians and pharmacists by preparing and triaging prescription refill requests received via Epic, MyChart, fax, and phone, focusing on accuracy and patient safety. This role provides expertise in Ambulatory Clinical Pharmacy practice and supports caregivers and leadership in meeting clinical and operational goals.

The Research and Development Analyst is responsible for identifying, developing, and implementing solutions to enhance the accuracy and integrity of claims payments across the Plan. This involves scoping Payment Integrity initiatives, analyzing claims data, and developing implementation plans to optimize payment processes.

The Research and Development Analyst is responsible for identifying, developing, and implementing solutions to enhance the accuracy and integrity of claims payments across the Plan. This involves scoping Payment Integrity initiatives, analyzing claims data, and developing implementation plans to optimize payment processes.

The RN Care Coordinator-Quality Medical Management will administer medical management programs, including prior authorization, concurrent hospital and skilled nursing review, appeals, grievance, delegation, medical policy development, and medical claims audits. These responsibilities aim to manage medical expenses, determine medically appropriate services, and define clinical criteria for decision-making, encompassing retrospective review and care coordination.

The Senior Pharmacy Technician supports clinicians and pharmacists by preparing and triaging prescription refill requests received via Epic, MyChart, fax, and phone, focusing on accuracy and patient safety. This role provides expertise in Ambulatory Clinical Pharmacy practice and supports caregivers and leadership in meeting clinical and operational goals.

The Research and Development Analyst is responsible for identifying, developing, and implementing solutions to enhance the accuracy and integrity of claims payments across the Plan. This involves scoping Payment Integrity initiatives, analyzing claims data, and developing implementation plans to optimize payment processes.