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... 
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    US Tech Solutions

    Providence, RI
    1 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.... 
    Suggested
    Work at office
    Local area

    ORTHOPAEDIC & NEUROSURGERY SPECIALISTS P.C.

    Warwick, RI
    3 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... 
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    Work at office
    Shift work

    Brown University Health

    Providence, RI
    3 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... 
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    Contract work
    Local area
    Remote work
    Monday to Friday
    Shift work

    US Tech Solutions

    Providence, RI
    2 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... 
    Suggested
    Work experience placement

    US Tech Solutions

    Woonsocket, RI
    2 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... 
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    US Tech Solutions

    Providence, RI
    3 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... 
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    Contract work
    Remote work

    US Tech Solutions

    Woonsocket, RI
    2 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... 
    Suggested
    Contract work

    US Tech Solutions

    Woonsocket, RI
    2 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... 
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    Contract work
    Remote work
    Monday to Friday
    Shift work

    US Tech Solutions

    Woonsocket, RI
    2 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... 
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    US Tech Solutions

    Providence, RI
    1 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.... 
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    Day shift

    Brown University Health

    Providence, RI
    3 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-... 
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    Remote work
    Work from home
    Shift work

    US Tech Solutions

    Providence, RI
    1 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... 
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    Work at office
    Immediate start
    Remote work
    Shift work

    Evolent

    Providence, RI
    2 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... 
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    Daily paid
    Work at office
    Shift work
    Weekend work

    Brown University Health

    Providence, RI
    5 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... 
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    US Tech Solutions

    Providence, RI
    6 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 commission
    Work experience placement
    Remote work

    Carrington

    Providence, RI
    4 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 time
    Work at office

    LendSure Mortgage Corp.

    Warwick, RI
    1 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 work
    For contractors
    Work at office
    Local area

    Highmark Health

    Providence, RI
    2 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 placement
    Work at office
    Local area

    HUB International

    Warwick, RI
    6 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 work
    Work at office
    Monday to Friday
    Shift work

    Brown University Health

    Providence, RI
    4 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 job
    Full time

    Zuzick Organization of Globe Life

    Cranston, RI
    2 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 contractors
    Local area

    Highmark Health

    Providence, RI
    2 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 employment
    Full time
    Work at office
    Local area

    Johnson & Johnson

    Cranston, RI
    4 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 job
    Full time
    Part time
    Summer work
    Internship
    Work at office
    Immediate start
    Work from home

    QBE North America

    Bristol, RI
    6 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 job
    Full time
    Summer work
    Internship
    Immediate start

    QBE North America

    Bristol, RI
    4 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 job
    Full time

    Fisher Organization

    Warwick, RI
    6 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 office
    Local area
    Flexible hours

    Sedgwick

    Providence, RI
    4 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 time
    Local area

    Staff My Agency

    Portsmouth, RI
    3 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 area

    Travelers Insurance

    Providence, RI
    3 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 time
    Temporary work
    Local area
    Remote work

    Johnson & Johnson

    Providence, RI
    4 days ago