Clinical Pharmacist Advisor Medicare- #26-23278 US Tech Solutions, Inc.Clinical Pharmacist Advisor Medicare- #26-23278Please note: Actual location may vary., RIRemote$53–$57 / hourThis role will work from our supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth team and member services department, as well as provide on-call after hours availability for urgent PA request as needed. Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements.
Junior Level MERN Stack Developer (Remote) SynergisticITJunior Level MERN Stack Developer (Remote)Pawtucket, RIRemote$95,000–$154,000 / yearA typical market demand pattern is clear: organizations still need entry-level software programmers , Java full stack developers , Python/Java developers , DevOps-focused engineers , and on the data side data analysts, BI analysts, data engineers, data scientists, and machine learning engineers . SynergisticIT since 2010, has helped candidates land full-time roles at major organizations ( including Google, Apple, PayPal, Visa, Western Union, Wells Fargo, Client, Banking, Wayfair, Client, Client, and more) with offers commonly in the $95k–$154k range depending on role and skill depth.
Senior Solution Architect (Data/Integration) Wittij ConsultingSenior Solution Architect (Data/Integration)Providence, RIRemote$125,000–$185,000 / yearMost of the time you're leading solution design on large, complex projects: architecting end-to-end solutions and working through integration patterns, data flows, modern data patterns, APIs, security, and the non-functional details that make or break a design. Real breadth across application, data, and integration architecture, with genuine depth in data and modern data patterns, comfortable working across cloud and on-prem environments, and the judgment to evaluate vendors and platforms on the merits.
Senior Solution Architect (AI Security) Wittij ConsultingSenior Solution Architect (AI Security)Providence, RIRemote$125,000–$185,000 / yearMost of the time you're leading solution design on large, complex security projects: architecting end-to-end solutions and working through integration patterns, data flows, APIs, security, and the non-functional details that make or break a design. The center of gravity is you in the thick of it, creating guardrails for security architeture in an AI-emergent world and owning the toughest solution designs yourself and stepping in when a domain needs reinforcement, a decision is stuck, or a design needs a second set of expert eyes.
Fast-Track Leadership Career in Sales (Remote-CB) Fisher AgenciesFast-Track Leadership Career in Sales (Remote-CB)Providence, RIRemote$75,000–$120,000 / yearFisher Agencies is seeking driven individuals for our Fast Career Track in Sales , designed for those looking to build a rewarding career with unlimited growth potential. We're looking for coachable, ambitious individuals with an entrepreneurial mindset, a strong work ethic, and a desire to grow personally and professionally.
Remote Market Research Participant Up to $90/Session No Experience Required Occupons QuebecRemote Market Research Participant Up to $90/Session No Experience RequiredPerezview, RHODE ISLANDRemoteYou will complete a short screening form so our system can match you with relevant consumer research opportunities within our national insights program. All tasks are conducted online and can be completed outside traditional business hours.
NewEntry-Level Leadership Opportunity (Remote) Fisher AgenciesEntry-Level Leadership Opportunity (Remote)Providence, RIRemote$50,000–$120,000 / yearThis is a remote opportunity built to fast-track your growth into a leadership role through hands-on training and real mentorship, all from home. The Fisher Organization is hiring driven, coachable individuals for our Entry-Level Leadership Program.
Remote After Training (Customer Service Representative) AxelonRemote After Training (Customer Service Representative)Warwick, RIRemote$18–$20 / hourCompany-provided equipment including laptop, docking station, monitors, keyboard, mouse, and headset. Provide strong customer service and convey complex topics clearly to customers.
MP Project Scheduler Revive Business SolutionsMP Project SchedulerLaurel, Maryland, MARemoteThis role will also actively contribute to Corporate Initiatives including, but not limited to, training development and delivery, data analytics, trend identification and reporting. Interact with the Operations team and represent Johnson Controls, Inc. and its partners in the best manner to owners, subcontractors, and their representatives.
Family Nurse Practitioner Virtual Care Weekend + PRN - MC LancesoftFamily Nurse Practitioner Virtual Care Weekend + PRN - MCPlease note: Actual location may vary., RIRemote$74.87You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. •Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR.
Licensed Vocational Nurse-LPN LancesoftLicensed Vocational Nurse-LPNPlease note: Actual location may vary., RIRemote$26Position Summary: We are seeking experienced LPN/LVN candidates with prior authorization experience in a specialty medical office (MDO), PBM, or clinical setting. This role requires the ability to work in a high-volume, metrics-driven environment while maintaining strong clinical judgment, accuracy, and efficiency.
*Licensed Vocational Nurse - LPN Lancesoft*Licensed Vocational Nurse - LPNPlease note: Actual location may vary., RIRemote$26Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve calls with a one call solution. Education: A LVN (Licensed Vocational Nurse) or LPN (Licensed Practical Nurse) that must hold an unrestricted license in their state of residence or a compact license.
*Coordinator II - Eligibility Consultant Paper Ops (Fully Remote) Lancesoft*Coordinator II - Eligibility Consultant Paper Ops (Fully Remote)Please note: Actual location may vary., RIRemote$18G., sales, competition, ethnicity of clientele, etc.) in an effort to maximize individual store profit;and to confirm product mix, category adjacency and service issues as they relate to customer needs. Advocate alternative approaches, as needed, and communicate incremental scope of work and added cost to field management and project partners.
*Pharmacy Tech I LanceSoft Inc*Pharmacy Tech IPlease note: Actual location may vary., RIRemote$19–$20 / hourPosition Summary: The Pharmacy Technician is responsible for placing outbound calls to physician offices to obtain verbal authorization for prescription refill renewals when previous outreach attempts have not received a response. This role supports continuity of patient care by ensuring refill requests are addressed in a timely and compliant manner while maintaining professionalism and accuracy in all communications.
NewProcess Engineer Amicis GlobalProcess EngineerNULL, RIRemote$64As a Process Engineer, Strategic Process Improvement/Operations for Health, You will be responsible for delivering process maps, gap analysis, defect identification, and problem solutioning. -Superior communication skills and experience communicating at all levels of the organization, including the Executive Leadership Team.
Pharmacist Clinical Pharmacist Advisor Medicare LancesoftPharmacist Clinical Pharmacist Advisor MedicarePlease note: Actual location may vary., RIRemote$53This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of Medicare Part B requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Position Summary: As a Clinical Pharmacist Advisor, Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related requests for injectable and infused medications covered under their medical benefits.
Nurse Case Manager II LancesoftNurse Case Manager IIPlease note: Actual location may vary., RIRemote$34.35Duties:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Remote opportunity for Family Nurse Practitioner Virtual Care LancesoftRemote opportunity for Family Nurse Practitioner Virtual CarePlease note: Actual location may vary., RIRemote$70You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. •Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR.
Hiring for Clinical Pharmacist - Prior Authorization Remote role LancesoftHiring for Clinical Pharmacist - Prior Authorization Remote rolePlease note: Actual location may vary., RIRemote$65.75The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. Evaluate patient-specific factors including diagnosis, laboratory results, prior therapy, dosing, contraindications, and comorbid conditions.
Family Nurse Practitioner Virtual Care - MC LancesoftFamily Nurse Practitioner Virtual Care - MCPlease note: Actual location may vary., RIRemote$74.87You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. •Assure complete and accurate payment for services through comprehensive documentation in the patient chart, verification of payment method (insurance, cash or combination) for each visit, and collection of payment as directed by the EMR.