Average salary: $37,629 /yearly
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- ...Job Description: ~ It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent...Suggested
US Tech Solutions
Providence, RI1 day ago - ...hours of receipt). Work and school notes. Use of Centricity, and Exscribe EMR to support patient care. Obtain prior authorizations for any assigned advanced imaging studies, specialty injections, prescriptions and accurately update order statuses....SuggestedWork at officeLocal area
ORTHOPAEDIC & NEUROSURGERY SPECIALISTS P.C.
Warwick, RI3 days ago $18.66 - $30.77 per hour
...established timelines and departmental procedures. Ensuring proper authorization is obtained and monitored during course of patient’s treatment... ...by practice protocols and specifically those that require prior authorization.ppMaintains current knowledge of insurer...SuggestedWork at officeShift workBrown University Health
Providence, RI3 days ago- ...Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for...SuggestedContract workLocal areaRemote workMonday to FridayShift work
US Tech Solutions
Providence, RI2 days ago - ...The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and...SuggestedWork experience placement
US Tech Solutions
Woonsocket, RI2 days ago - ...Job Description: ~ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria...Suggested
US Tech Solutions
Providence, RI3 days ago - ...Duration: 6+ months contract Job Description: ~ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible...SuggestedContract workRemote work
US Tech Solutions
Woonsocket, RI2 days ago - ...~ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and...SuggestedContract work
US Tech Solutions
Woonsocket, RI2 days ago - ...Location: Fully remote Duration: 06+ months contract Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday and...SuggestedContract workRemote workMonday to FridayShift work
US Tech Solutions
Woonsocket, RI2 days ago - ...upon approval & denial management processes. (20%) # Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%) # # Performs other related projects and duties as assigned including on...Suggested
US Tech Solutions
Providence, RI1 day ago $20.55 - $33.93 per hour
...resolution of medical expenses incurred. Obtains and verifies coverage authorizations for referrals, medications, and procedures, ensuring financial... ...providers to schedule peer-to-peer discussions to obtain prior authorization of services denied by the patient’s insurance....SuggestedDay shiftBrown University Health
Providence, RI3 days ago- ...answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls... ...management, and reporting. Experience: · Review criteria-based prior authorizations following policy and procedure. · Provide on-...SuggestedRemote workWork from homeShift work
US Tech Solutions
Providence, RI1 day ago $20 per hour
...'ll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements. Collaboration...SuggestedWork at officeImmediate startRemote workShift workEvolent
Providence, RI2 days ago$17.77 - $29.31 per hour
...information. Provides routine information to callers and gives only authorized medical advice from a provider. Provides a high level of... ...Collects required insurance co-pays from patients including any prior balances. Follows scheduling notes and direct schedules patient...SuggestedDaily paidWork at officeShift workWeekend workBrown University Health
Providence, RI5 days ago- ...of experience as an RN • 1+ years of inpatient hospital experience • Registered Nurse in state of residence • Must have prior authorization utilization experience • Able to work in multiple IT platforms/systems Skills: • MUST HAVE MEDCOMPASS or ASSURECARE...Suggested
US Tech Solutions
Providence, RI6 hours ago $90k - $120k
Come join our amazing team and work Remote ! We are hiring Underwriters for our Non- Agency Products- NO DE REQUIRED! The Wholesale Underwriter will underwrite loans in accordance with Company and Investor guidelines following company's policies and procedures under...Base plus commissionWork experience placementRemote workCarrington
Providence, RI4 days ago$68.5k - $90k
...the next level and join a team that values hard work and good times, complete our application today! This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S....Full timeWork at officeLendSure Mortgage Corp.
Warwick, RI1 day ago$50.2k
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance...Contract workFor contractorsWork at officeLocal areaHighmark Health
Providence, RI2 days ago- About HUB Join our Stevie Award Winning Team at HUB International! When you join the team at HUB International, you become part of the largest privately owned global insurance broker, providing a broad array of property, casualty, risk management, life and health,...Work experience placementWork at officeLocal area
HUB International
Warwick, RI6 hours ago $20.96 - $34.61 per hour
...with patients and families. Acts as an agent of the provider to authorize refills in accordance with established practices, policies, and... ...necessary for filling prescriptions, benefits investigation, prior authorization, and/or financial assistance applications. Enters...Contract workWork at officeMonday to FridayShift workBrown University Health
Providence, RI4 days ago- Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...Remote jobFull time
Zuzick Organization of Globe Life
Cranston, RI2 days ago $19.01 per hour
...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...For contractorsLocal areaHighmark Health
Providence, RI2 days ago- ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Cranston, RI4 days ago $20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from homeQBE North America
Bristol, RI6 hours ago$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timeSummer workInternshipImmediate startQBE North America
Bristol, RI4 days ago- ...overrides as you develop leadership skills Strong communicator who cares about helping people Self-disciplined, organized, and goal-oriented Willing to obtain a life insurance license (we help guide you) Prior sales or service experience is a plus—but not required...Remote jobFull time
Fisher Organization
Warwick, RI6 hours ago - ...settlement with claimants. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock). Examines claim form...Work at officeLocal areaFlexible hours
Sedgwick
Providence, RI4 days ago - Our local Allstate Agency is seeking high energy, driven and motivated individual to become part of our winning sales team. Must be fluent in both Spanish and English. Must have an active Property and Casualty insurance license. Required Skills Goal oriented and...Full timeLocal area
Staff My Agency
Portsmouth, RI3 days ago $99.1k - $163.4k
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover...Local areaTravelers Insurance
Providence, RI3 days ago$137k - $235.75k
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise...Full timeTemporary workLocal areaRemote workJohnson & Johnson
Providence, RI4 days ago
