54 billing associate jobs found in Providence

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

MuleSoft Architect Anywhere Type: Contract-to-Hire Category: Architecture Industry: Government Workplace Type: Remote Reference ID: JN -032026-105818 Date Posted: 03/05/2026 Shortcut: http://careers.eliassen.com/bYsWOR Description Recommended Jobs Description: Remote Our client seeks a MuleSoft Architect to lead architecture, design, and delivery of enterprise integrations centered on Deltek Costpoint. The role will define API-led connectivity, govern standards, and implement secure, scalable integrations across finance and operations domains. The architect will guide teams on Costpoint Web Services over REST and SOAP, drive best practices on CI/CD, testing, observability, and ensure reliable production operations. The position requires GovCon ERP domain familiarity and hands-on MuleSoft expertise. This is a contract to hire opportunity. Applicants must be willing and able to work on a w2 basis and convert to FTE...

Technical Enterprise Solution ArchitectRemote - United StatesJR012718 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, Curiosity, Collaboration, and Passion . * * About the role and what you'll be doing: Ensono's Enterprise Solution Architects are cross-functional technical Architects that bring multi-tower solutions together. This is a pre-sales role in which you work alongside and support Sales,...

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 Director, Venture Factory leads the design, operation, and continuous improvement of a venture creation engine that systematically identifies, assesses, prototypes, and pilots new business opportunities. This role is...

Position Overview The Sr Service Administration Specialist, ES will support the Endoscopy business unit by administering all service-related functions for ES Capital Equipment, from the time of installation to the time that the equipment is sent inhouse for repairs. This position will have oversight for processes including, but not limited to, collection of installation documents, execution of Point of Purchase (POP) service contracts, and distribution and follow up of Time & Material (T&M) estimates for final authorization. The Senior ES Service Administrator specialist will review and track service contract renewals of existing Fujifilm Healthcare Americas Corporation (HCUS) customers and will work closely with the sales team by providing analysis for non-contract customers and to advise of any possible upcoming terminations and renewals for business generation opportunities. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to...

Sr. Distinguished, Data Engineer - Enterprise Data Storage and Consumption Platforms Data Engineer - Remote-Eligible Distinguished Data Engineers are individual contributors who strive to be diverse in thought so we visualize the problem space. At Capital One, we believe diversity of thought strengthens our ability to influence, collaborate and provide the most innovative solutions across organizational boundaries. Distinguished Engineers will significantly impact our trajectory and devise clear roadmaps to deliver next generation technology solutions. About the Team: You will join the Data Storage & Consumption Platform team within Enterprise Data, serving as a Senior Director-level Individual Contributor (IC). This role demands a visionary and hands-on leader to drive the technical strategy for consumption platforms leveraged by all lines of business. Your focus is on maturing platform scalability, Operational Excellence, Performance, and Resiliency. We require deep...

Company : Highmark Inc. Job Description : JOB SUMMARY The job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. This incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/ savings of money related to fraud, waste and abuse. The incumbent must be able to testify in a court of law, prepare cases for referral to...

Software Developer Req number: R7288 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As a Software Developer, you will be responsible for the development, enhancement, and troubleshooting of Lawson applications using LID, COBOL, AS/400, and RPG. Job Description We are looking for a Software Developer with expertise in Lawson LID, RPG, COBOL, and AS/400 to create, modify, and enhance applications, reports, and...

SALES ASSOCIATE (COLLEGE) - PROVIDENCE, RI JOB TYPE: Part-time - Average 20 hours weekly, increasing during peak. ABOUT YOU: Jostens is currently searching across the United States for Sales Associates to work at college events. Creating a positive customer experience and welcoming atmosphere. This seasonal, part-time event-based role is the face of Jostens on college campuses across the country. This role is responsible for assisting students and parents in purchasing commencement products at scheduled events on college campuses. Candidates must have reliable transportation and be willing to travel throughout the assigned local territory, with the potential opportunity to work additional events outside of the local territory. Travel time and miles will be reimbursed. RESPONSIBILITIES: Main responsibilities include, but are not limited to: Transporting, setting up, and breaking down event displays. Educating...

Software Developer Req number: R7288 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As a Software Developer, you will be responsible for the development, enhancement, and troubleshooting of Lawson applications using LID, COBOL, AS/400, and RPG. Job Description We are looking for a Software Developer with expertise in Lawson LID, RPG, COBOL, and AS/400 to create, modify, and enhance applications, reports, and...

Summary This position is located in Fiscal Service of the New England Health care System, Providence VA Medical Center which is in Providence, Rhode Island. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties ** *THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties include but may not be limited to: Tracks Measures of Performance (MoP) and Measures of Effectiveness (MoE). Inputs and contributes to the required annual Mail Management Expenditure Report. Provides support in all aspects of mail operations. Responsible for mail distribution. Provides support in all aspects of Print Center operations. Processing batch print jobs including receipt, processing, printing, postage, and mailing as outlined within Federal Laws and Regulations. Work Schedule: Monday-Friday, 7:30am - 4:00pm or...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, experienced individual for the position of Senior Manager, Meetings and Events that will function as primary liaison for internal meetings and events. Job Duties and Responsibilities Lead strategic and tactical development of internal meetings execution to ensure strong engagement with stakeholders Manage and negotiate any...

Bilingual (Italian/English) Service Desk Analyst Req number: R7295 Employment type: Part time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As a Bilingual Service Desk Analyst, you will be responsible for receiving requests from associates and vendors, and providing the technical support and customer service needed to solve requests. Job Description We are looking for a bilingual customer service-oriented Bilingual Service Desk Analyst to...

Bilingual (Spanish) Director, Global Acceptance - Americas (Remote-Eligible) Capital One is seeking a Director for our International Markets - Americas team who will lead a team of client relationship managers and manage the relationships with existing as well as prospective Acquiring and Payment Enablement partners for the purpose of growing and maintaining the Discover Network Acceptance footprint in the Caribbean. The Director will oversee the overall strategy in the region, business development efforts, sales activities, and relationship management duties for Network Participants in the Caribbean. Key Responsibilities: Direct client relationship management with senior level partners, working with partners to grow our presence, negotiating new and renewal agreements, and assisting marketing and product areas in adding a span of activities and products used by the partners in the region that enhance cardholder experience Develop and execute comprehensive...

Service Desk Analyst Req number: R7292 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As a Service Desk Analyst, you will be responsible for receiving requests from associates and vendors, and providing the technical support and customer service needed to solve requests. Job Description We are looking for a customer service-oriented Service Desk Analyst to provide Level 1 technical support to users in an efficient and...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CAI. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Director of Procurement Req Number R7177 Employment Type Full time Worksite Flexibility Remote Who We Are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions...

Sr. Program Manager Req number: R7296 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary We are looking for a motivated Sr Program Manager ready to take us to the next level! If you have specialized knowledge in workforce development, and are looking for your next career move, apply now. Job Description We are looking for a Sr Program Manager to be responsible for managing the delivery of services and initiatives within a...

Java Spring Microservices Developer Anywhere Type: Contract Category: Development Industry: Communications Workplace Type: Remote Reference ID: JN -032026-105796 Date Posted: 03/04/2026 Shortcut: http://careers.eliassen.com/DZwuWk Description Recommended Jobs Description: Remote Our client seeks a Java and Spring developer to build and support microservices in an AWS serverless and containerized environment. The role requires strong hands-on development in Java/Spring Boot, AWS services, and Kubernetes, with additional exposure to Node.js on AWS Lambda. You will contribute to scalable, resilient services for media-grade workloads, troubleshoot production issues, and collaborate within Agile teams. Experience across observability, data stores, and CI automation will support delivery quality and speed. Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we...

Work From Home Recovery Skip Unit Manager As a Unit Manager at Capital One, you will lead a dynamic team of front line associates In Recovery Skip who are the face of Capital One for our customers. Creating excitement and maintaining high levels of morale through change are essential for leaders within Capital One. Unit Managers manage, develop and motivate an internal team of 15 - 25 associates and strive to exceed standards of customer service and experience. General Responsibilities: Accountable for achieving business goals for a team of up to 25 associates within the unit Provide continuous feedback and coaching to improve and maintain high quality customer experience, effectiveness and efficiency metrics Prepare and deliver monthly performance reviews for direct reports Manage business level metrics to high efficiency standards Share in the accountability for a business level function team (Logistics, quality, innovation, morale)...

Product Support Specialist Req number: R7287 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As a Product Support Specialist, you will be responsible for providing level 1 technical support for our a corporate tax software. Job Description We are looking for a Product Support Specialist to remotely provide level one technical support to a corporate tax software product. The Product Support Specialist will remotely...

Senior Information Technology Business Analyst Req number: R7273 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary We are looking for a motivated Senior Information Technology Business Analyst ready to take us to the next level! If you have strong project management skills and expertise in business analysis and are looking for your next career move, apply now. Job Description We are looking for a Senior Information...

Job Description Team Overview The Data Center Infrastructure Delivery team at Oracle Cloud Infrastructure is a dynamic group of professionals dedicated to delivering state-of-the-art data center facilities at scale and at pace. This team comprises experienced project managers who work collaboratively with vendors and internal teams to ensure the successful execution of complex data center construction and network projects. They bring a wealth of expertise in project management, technical design, and on-site construction, ensuring that our data centers meet the highest standards of quality, efficiency, and sustainability. This team plays a crucial role in supporting Oracle Cloud Infrastructure's data needs and driving our growth and success. Job Summary Strategically, you will be responsible for developing and implementing comprehensive plans that optimize efficiency, cost-effectiveness, and operational excellence in delivery. You will engage with key stakeholders,...

Job Description The AI Gigascale Construction Cost Manager Lead (OCI) provides end-to-end cost leadership for Oracle Cloud Infrastructure (OCI) gigascale construction programs, including hyperscale data center campuses and associated enabling infrastructure. This role blends rigorous cost management and project controls with scaled, time-to-market-focused delivery execution to improve forecast accuracy, accelerate executive decision-making, strengthen early risk detection, and deliver clear, auditable cost transparency across the full project lifecycle. You will build and lead a cost controls function and team, establishing standardized processes, systems, and reporting that scale across multiple sites and workstreams. You will own the development and maintenance of estimates, budgets, forecasts, cash flow, contingency, and change control, partnering closely with Design & Construction, Procurement/Supply Chain, Finance, Scheduling/Project Controls, and Delivery...

Senior MuleSoft Integration Architect Anywhere Type: Contract-to-Hire Category: Architecture Industry: Government Workplace Type: Remote Reference ID: JN -032026-105716 Date Posted: 03/01/2026 Shortcut: http://careers.eliassen.com/LGTT9f Description Recommended Jobs Description: Remote The organization seeks a Senior MuleSoft Integration Architect to lead end-to-end API-led integration solutions on MuleSoft Anypoint Platform. The role will drive standards, governance, and delivery quality while executing nine core integrations across enterprise systems. Due to federal security clearance requirements, applicant must be a United States Citizen. This is a contract to hire opportunity. Applicants must be willing and able to work on a w2 basis and convert to FTE following contract duration. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company...