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Highmark Health
Pharmacist - Utilization Management (UM) - (Remote)
Highmark Health Providence, RI, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

Mar 21, 2026
GAP Solutions, Inc.
Senior Management Analyst
GAP Solutions, Inc. Providence, RI, USA
Position Objective: Provide services as a Senior Management Analyst in support of the overall functions of the Dept. of Homeland Security (DHS), U.S. Immigration and Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC. Assist in coordinating program activities, supporting process improvements, and contributing to effective program execution. Duties and Responsibilities: Provide advanced analytical, administrative, and operational support to program leadership and staff. Coordinate and support program activities, initiatives, and operational priorities. Assist with development, review, and maintenance of program documentation, reports, and procedures. Conduct research, analysis, and information gathering to support program planning and decision-making. Support tracking and reporting of program activities, deliverables, and operational metrics. Facilitate communication and coordination among...

Mar 21, 2026
SR
Full time
 
Financial Management Analyst
Systems Resource Management Middletown, RI, USA
SRM is currently seeking qualified individuals . If you are interested in joining the SRM team, forward your resume and cover letter to employment@srminc.net, or fax to 401-849-2993. SRM BENEFITS INCLUDE Health Insurance Dental Insurance Vision Insurance Life Insurance Long-Term Disability Insurance Temporary Disability Insurance Workers Compensation 401(K) and Company Match Paid Vacation and Holidays Sick and Safe Leave SRM is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran’s status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any...

Mar 20, 2026
SR
Management Analyst III
Systems Resource Management Middletown, RI, USA
SRM is currently seeking qualified individuals . If you are interested in joining the SRM team, forward your resume and cover letter to employment@srminc.net, or fax to 401-849-2993. SRM BENEFITS INCLUDE Health Insurance Dental Insurance Vision Insurance Life Insurance Long-Term Disability Insurance Temporary Disability Insurance Workers Compensation 401(K) and Company Match Paid Vacation and Holidays Sick and Safe Leave SRM is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran’s status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any...

Mar 19, 2026
SR
Configuration Management Specialist
Systems Resource Management Middletown, RI, USA
SRM is currently seeking qualified individuals . If you are interested in joining the SRM team, forward your resume and cover letter to employment@srminc.net, or fax to 401-849-2993. SRM BENEFITS INCLUDE Health Insurance Dental Insurance Vision Insurance Life Insurance Long-Term Disability Insurance Temporary Disability Insurance Workers Compensation 401(K) and Company Match Paid Vacation and Holidays Sick and Safe Leave SRM is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran’s status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any...

Mar 19, 2026
PagerDuty
Principal, Enablement Program Management
PagerDuty Providence, RI, USA
PagerDuty (NYSE:PD) is a leader in Digital Operations Management. In an always-on world, organizations of all sizes trust PagerDuty to help them deliver a perfect digital experience to their customers, every time. Teams use PagerDuty to identify issues and opportunities in real time and bring together the right people to fix problems faster and prevent them in the future. Over 13,000 organizations (including 60 of Fortune 100) rely on PagerDuty to succeed with Digital Transformation, Cloud Migration, and DevOps Modernization. Notable customers include GE, Cisco, Genentech, Electronic Arts, Cox Automotive, Netflix, Shopify, Zoom, DoorDash, Lululemon and more. We are expanding rapidly as a platform for Digital Operations Management using AI/ML and Automation and growing our adoption by Development, IT, Customer Service, Security, and other teams across the organization, As a Senior Enablement Program Manager , you will be a strategic leader within our GTM Enablement...

Mar 16, 2026
Or
Director, Program Management - OCI
Oracle Providence, RI, USA
Job Description Oracle Cloud is searching for a Director, Program Management in our Nashville HQ. As Oracle continues its rapid growth, our team is focused on optimizing and streamlining key business processes to drive efficiency and scalability across the organization. In this high-impact role, you'll identify, scope, and deliver improvement initiatives by partnering with stakeholders across the enterprise. You'll collaborate closely with Oracle product management teams, service teams, global business practices, and corporate functions to transform how we approach problems and operate. Additionally, this position will play a key role in building and scaling our presence in Nashville by establishing and leading a high-performing team. Responsibilities - Lead Business Process Transformation: Define and implement robust business process improvements, including establishing baseline KPIs. Drive a culture of continuous improvement by leveraging analytics, root cause...

Mar 16, 2026
Otsuka Pharmaceutical Companies (U.S.)
Director, Clinical Management (Immunology/Biologics/Cell Therapy)
Otsuka Pharmaceutical Companies (U.S.) Providence, RI, USA
Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...

Mar 16, 2026
Co
Full time
 
Director Account Management- Global Technology
Concentrix North Kingstown, RI, USA
Sector Knowledge and Expertise: Demonstrates a clear understanding of client’s business, its objectives, strategy and industry where they operate. Supports the Portfolio Leader in the development of portfolio/sector strategy. Demonstrates a strong knowledge of BPO and Technical Services associated with their allocated accounts and industry sector. Leverages expertise and communication skills to speak at forums both internally and externally. Account Management and Business Growth: Builds and maintains strong, long-term relationships with assigned clients. These relationships should reflect coverage of the client’s comprehensive buyer personas, including but not limited to the CIO, CMO, CTO and CXO ensuring a partnership charter with their team. Develops sustainable and profitable strategic account plan that addresses whitespace planning, cross-selling and up-selling opportunities and incorporates the full extent of Concentrix services. Ensures Financial KPIs...

Mar 16, 2026
General Motors
Manager, Performance Management
General Motors Providence, RI, USA
Job Description Work Arrangement This role is based remotely but if you live within a 50-mile radius of Austin, Detroit, Mountain View or Warren, you are expected to report to that location three times a week, at a minimum. Role Summary The Manager, Performance Management, will lead the build, launch, and ongoing operations of GM's new global function responsible for formal performance management. This role oversees the design and implementation of global standards, SOPs, Workday workflows, and case administration processes, and will manage the team responsible for end-to-end formal performance management across all regions. Key Responsibilities Lead the build effortrequiredto stand up the Performance Managementfunction, including development of global standards, definitions, and process maps. Design andfinalizeglobal SOPs, templates, manager guidance, and country-specific localization for informal vs. formal performance management. Partner...

Mar 16, 2026
Or
Oracle Health Senior Manager, Federal Change Management and Learning Team
Oracle Providence, RI, USA
Job Description We are seeking a dynamic and results driven Senior Manager to lead and develop a high-performing team while driving strategic initiatives that align with our organizational goals. This role requires a strong leader with expertise in change management financial accountability for a portion of revenue and/or margin, excellent communication skills, and a passion for fostering collaboration and innovation. If you thrive in a fast-paced environment excel and managing budgets and resources and are committed to driving operational and financial success, we invite you to join our team. To be successful in this role: Ability to motivate, coach and develop team members Experience in building a high-performing team and fostering collaborative culture Strong decision-making and problem-solving skills Proven ability to set goals, measure progress and drive results Experience in revenue and/or margin management, resource allocation, and...

Mar 15, 2026
En
Intern - Service Delivery Management
Ensono Providence, RI, USA
Intern - Service Delivery ManagementRemote - United StatesJR012789 At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose: Honesty, Reliability, Collaboration, Curiosity, Passion About the role and what you'll be doing: We are looking for potential participants for our 2026 Summer Internship Program and are excited to invite driven and self-motivated candidates to apply! Ensono is dedicated to cultivating talented individuals with...

Mar 15, 2026
EH
LPN Care Advisor, Utilization Management
Evolent Health Providence, RI, USA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Use most up to date job description. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo...

Mar 15, 2026
En
Intern - Capacity Management Data Analyst
Ensono Providence, RI, USA
Intern - Capacity Management Data AnalystRemote - United StatesJR012790 At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose: Honesty, Reliability, Collaboration, Curiosity, Passion Role Summary As an intern at Ensono, you will have a direct impact working with your team and also take part in programming provided by our Training and Development team. This will include project work, professional development, a business challenge...

Mar 14, 2026
Or
Federal Learning & Change Management Consultant
Oracle Providence, RI, USA
Job Description Qualifications Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration, Project Management, or a related field. 3+ years of professional experience in operations, project coordination, administration, or a similar role-preferably in a healthcare or technology company. Demonstrated event planning and logistical coordination skills. Proficiency with Microsoft Office Suite (Excel, PowerPoint, Word); Oracle tools/ERP experience a plus. Analytical mindset with strong attention to detail; experience with financial tracking or auditing highly valued. Ability to proactively prioritize, multitask, and take initiative in an evolving environment. Excellent written and verbal communication skills; comfortable working cross-functionally and engaging with stakeholders at varying levels. Must be U.S. citizen and role requires ability to obtain a Public Trust clearance Preferred...

Mar 14, 2026
PE
Lead Specialist, Product Management
Pearson Education Services Providence, RI, USA
Role Title: Lead Specialist, Product Management Description: This role aligns to a Principal Product Manager Location: Hoboken - Hybrid About Pearson: At Pearson, we are committed to helping people make progress in their lives through learning. We create innovative and accessible educational products and services that foster personal and professional growth. We are looking for a passionate and skilled Product Director (IC) to join our team and drive the development of cutting-edge educational products. About the Job: We embrace the SVPG Product Operating Model by empowering our product teams to solve hard problems – customer problems and business problems – in ways that our customers love yet work for our business. Our product teams are cross-functional, durable and generally comprised of a product manager, product design, tech lead and a program manager (4-in-a-box model). We staff our product teams with the skills necessary to come up with effective solutions...

Mar 13, 2026
Ne
IT Service Management Analyst (On-Call Rotation Required)
Nelnet Providence, RI, USA
Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than 1,300 higher education institutions, 11,500 K-12 schools, 3,500 churches, and millions of individual students, families, and supporters across the globe. Our culture of service enables us to form long-lasting and trusted partnerships, while our focus on creativity and innovative solutions empowers our customer communities to thrive. As a Nelnet company, the perks at NBS go beyond our benefits package. You're part of a community, invested in you as an individual and united by our mission to create opportunities for people where they live, learn and work. The IT Service Management (ITSM) Analyst serves as the primary Major Incident Manager during assigned on-call rotations, leading real-time response to high-severity incidents and contributing to operational stability and site...

Mar 11, 2026
EH
Field Medical Director, Pain Management
Evolent Health Providence, RI, USA
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a...

Mar 11, 2026
CBRE
Project Management Director-Construction Controls & Analytics
CBRE Providence, RI, USA
About the role The Project Management Director is responsible for department-related management services for our healthcare client account to achieve the company's strategic business objectives. This role will oversee the Cost Management and Data and Analytics team implementation of cost control measures across the project lifecycle. This job is part of the Project Management function responsible for the management of projects from initiation through completion. The Project Management Director will focus on streamlining team, technology, and process requirements for staffing levels to ensure successful construction project management delivery. What you'll do Design, train, and drive the purpose of controls with the client, collaborators, and end users Provide formal supervision to employees. Conduct performance evaluations and coaching. Oversee the recruiting and hiring of new employees. Coordinate and manage the team's daily activities. Establish work schedules,...

Mar 11, 2026
Highmark Health
Senior Director Finance Ops & Workforce Management
Highmark Health Providence, RI, USA
Company : enGen Job Description : JOB SUMMARY This pivotal role will lead the strategic transformation and optimization of workforce operations across enGen, encompassing both internal resources and external vendors. The Senior Director will be a key driver in establishing robust frameworks for tracking hours, managing financial allocations, and ensuring highly efficient resource deployment. This individual will possess a deep understanding of transformational initiatives, serving as a change expert who can intelligently engage with vendors, internal stakeholders, and senior leadership to align business operations with strategic objectives and deliver significant value. This leadership role is responsible for influencing, shaping, and executing high-impact strategies and initiatives delivering significant enterprise-level value. The Senior Director level demands a high degree of strategic leadership, independent decision-making, and accountability for fostering...

Mar 10, 2026
Ne
IT Service Management Analyst (On-Call Rotation Required)
Nelnet Warwick, RI, USA
Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than 1,300 higher education institutions, 11,500 K-12 schools, 3,500 churches, and millions of individual students, families, and supporters across the globe. Our culture of service enables us to form long-lasting and trusted partnerships, while our focus on creativity and innovative solutions empowers our customer communities to thrive. As a Nelnet company, the perks at NBS go beyond our benefits package. You're part of a community, invested in you as an individual and united by our mission to create opportunities for people where they live, learn and work. The IT Service Management (ITSM) Analyst serves as the primary Major Incident Manager during assigned on-call rotations, leading real-time response to high-severity incidents and contributing to operational stability and site...

Mar 10, 2026
Or
Senior Manager of Product Management
Oracle Providence, RI, USA
Job Description The Oracle Dedicated Cloud Product Management team is looking for an experienced Senior Manager of Product Management to work across our Dedicated Region Cloud @Customer (https://www.oracle.com/cloud/cloud-at-customer/dedicated-region/) (DRCC) and Oracle Alloy (https://www.oracle.com/cloud/alloy/) offerings to focus on product Definition, Development, and Launch. The Senior Manager of Product Management for Oracle Dedicated Cloud is a leadership role responsible for defining, executing, and driving the product development with our outbound and engineering internal teams. The role carries broad influence, significant business impact, and ownership of mission-critical product releases and launches aimed at driving OCI's growth and success in global markets. The primary objective will be to define, manage and deliver the product solutions that resonate with customers. This should include managing the full portfolio roadmap for DRCC and Alloy across its...

Mar 10, 2026
CBRE
VP, Property Management Sales
CBRE Providence, RI, USA
About The Role: As a Property Management Sales Vice President, you will be responsible driving sales strategies and negotiations on key regional pursuits, as well as consolidation opportunities within the existing client base for the geography assigned. This role, which is within the US Client Solutions (USCS) team is to lead the solutioning process for all opportunities within assigned geography and to work with the US Client Solutions team in the development and management of the opportunity pipeline..The role will include end to end sales cycle responsibilities. The role will be based in a variety of locations, will be client facing and will involve travel to client locations when necessary. Stakeholders: The role will report to the US Head of Client Solutions. The role will have dotted line responsibility to the US Co-Heads of PM, PM Market Leaders, the Product organization and the US COO. The role will have no immediate direct reports. What...

Mar 09, 2026
Or
Program Management Director - Sustainability Reporting and Engagement
Oracle Providence, RI, USA
Job Description Oracle's Global Sustainability Office is seeking a dynamic and strategic leader to serve as a Program Management Director of Sustainability Reporting & Engagement. This high-impact role will oversee the functions of external sustainability communications, regulatory and voluntary reporting/disclosures, and internal employee engagement programs. The successful candidate will provide visionary leadership, manage and develop a multidisciplinary team, and drive Oracle's sustainability disclosures and communications in alignment with corporate growth and global regulatory trends. This role is for Nashville, TN. Candidate must live or be willing to relocate to Nashville, TN for this role. Key Responsibilities: Lead, develop, and inspire a team responsible for the strategic direction and execution of Oracle's sustainability reporting, external disclosures and communications, employee engagement and business enablement. Oversee the preparation...

Mar 09, 2026
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