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.
*Pharmacist LanceSoft Inc*PharmacistPlease note: Actual location may vary., RIRemote$53–$58 / hourThis role will work from 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.
NewRepresentative I Integrated Resources, IncRepresentative Iwoonsocket, RIRemote$18–$18.98 / hourFurther responsibilities include researching reports, maintaining complete, timely and accurate documentation of Coverage Determination/Appeal requests and escalating issues to the Coverage Determination/Appeal pharmacists or management staff as needed. Position Summary: The Coverage Determination/Appeals Service Representative I is responsible for working and triaging in the data entry related fax queues.
Veeva CRM Lead HCL Global Systems Inc.Veeva CRM LeadBoston, MA (Remote), MARemoteKnowledge of application design and development using Salesforce Apex, Salesforce configurations, Veeva Vault SDK, and Veeva Vault Platform configuration. Experience in the full System Development Life Cycle (Proposal, Process Engineering, Design, Development, Testing, Deployment, and Support).
NewCustomer Service Representative Axelon Services CorporationCustomer Service RepresentativeWarwick, RIRemote$20 / hourTraining conducted on-site at our Warwick, Rhode Island office with a five-week instructor-led program followed by a two-week nesting period. Complete account maintenance requests, including direct deposit and address changes, beneficiary and death notifications.
NewClient Services American Income LifeClient ServicesNewport, RIRemote$65,000–$150,000 / yearFisher Organization is the New England division of American Income Life, dedicated to protecting the members of Labor and Credit Unions and various Associations in the region. Our goal is to become the premier in-home supplemental insurance company in New England, while fostering a company culture that promotes personal growth and making a positive impact on the lives of those we serve and lead.
Entry Level Leadership American Income LifeEntry Level LeadershipNewport, RIRemote$60,000–$120,000 / yearThis role focuses on helping families understand and access valuable benefits while developing leadership and communication skills. We are currently expanding and looking to bring on motivated individuals for a remote position with a fast-growing organization.
Principal Engineer – Web Threat Detection & Distributed Systems MaxIT Consulting - Max Corporate GroupPrincipal Engineer – Web Threat Detection & Distributed SystemsMassachusetts, MassachusettsRemoteMaxIT Consulting – Max Corporate Group is seeking an experienced Principal Engineer – Web Threat Detection & Distributed Systems for a leading global technology organization specializing in web technologies and large-scale digital protection solutions. This is a senior individual-contributor opportunity focused on defining end-to-end technical solutions for highly scalable, low-latency products that protect web applications, online services, and digital transactions.
Remote after Training- Customer Service Representative Axelon Services CorporationRemote after Training- Customer Service RepresentativeWarwick, RIRemote$20 / hourComplete account maintenance requests such as direct deposit and address changes, beneficiary and death notifications. High-speed internet with home office connected to router using an ethernet cable required.
Licensed Mental Health Counselor (LMHC) (No Associates) - Remote Rula HealthLicensed Mental Health Counselor (LMHC) (No Associates) - RemoteMARemotePart timeBy taking care of all the new client marketing and administrative heavy-lifting, we allow providers at Rula to focus on what they do best; helping clients get better. About RulaRula is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality care to individuals, couples, and families.
PROJECT MANAGER Resource Logistics, Inc.PROJECT MANAGERRhode Island, RIRemoteMust Have Experience: Healthcare Payer industry experience (claims, enrolment, provider management, utilization management, care management, regulatory programs, etc.). Strong experience managing large, complex business and technology programs in a Waterfall environment.
Virtual Entry Level Leadership American Income LifeVirtual Entry Level LeadershipAdamsville, RIRemoteThis role focuses on helping families understand and access valuable benefits while developing leadership and communication skills. We are currently expanding and looking to bring on motivated individuals for a remote position with a fast-growing organization.
K-12 Region Manager, east coast Rich Products CorpK-12 Region Manager, east coastRIRemote$122,800–$184,200 / yearThis role reports to the Vice President, Foodservice Sales - Non Commercial & K 12 and may oversee District Managers, Key Account Managers, and broker partners within the region. Our portfolio includes creative solutions geared at helping food industry professionals compete in foodservice, retail, in-store bakery, deli, and prepared foods, among others.
Managed Care Consultant Pharmacist IV - REMOTE University of Massachusetts Medical SchoolManaged Care Consultant Pharmacist IV - REMOTEWestborough, MassachusettsRemoteThis position will participate in prospective and retrospective DUR activities including, but not limited to: handling live calls from physicians and pharmacists, reviewing appropriate drug therapy, coordinating and managing the request for prior authorization process, and participating in the development of clinical drug use criteria. Under the general direction of the Manager or Consultant Pharmacist Team Lead or designee, the Consultant Pharmacist IV functions as a team member of the drug utilization review and medication management therapy programs within Clinical Pharmacy Services (CPS).
Entry-Level Remote Sales American Income LifeEntry-Level Remote SalesCumberland, RIRemoteNo previous experience is necessary—we offer comprehensive training, mentorship, and opportunities to advance into leadership positions. We're growing our remote team and seeking motivated individuals who enjoy helping others and are looking for long-term career growth.
NewUX Designer RESOURCESOFT, INC.UX DesignerNULL, MARemoteWe engage them in technology centric client projects that provide opportunities for them to evolve, innovate and deliver world class products and services. We partner with leading organizations to provide technology solutions within the financial, insurance, education, government, publishing, healthcare and pharmaceutical domains.
Business Development Associate American Income LifeBusiness Development AssociateProvidence, RIRemoteThis role focuses on helping families understand and access valuable benefits while developing leadership and communication skills. Check us out! https://drive.google.com/file/d/15hSsjHhFnpH-u3OjgG9dc3pQ5WzjRNkz/view?usp=sharing .
Telehealth Registered Dietitian | FT W2 AllaraTelehealth Registered Dietitian | FT W2MassachusettsRemoteTrusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes .
Inside Sales Account Manager -Print (Remote) StaplesInside Sales Account Manager -Print (Remote)Framingham, MARemoteAs an Inside Sales Account Manager-Print Services, you will be responsible for growing revenue through a combination of outbound prospecting, inbound customer engagement, quote management, and account development. The team partners closely with retail stores, marketing, merchandising, and vendor partners to deliver an exceptional customer experience while helping businesses find solutions that meet their needs.
Field Engineer, DEWALT Anchors & Fasteners - New England Stanley Black & Decker IncField Engineer, DEWALT Anchors & Fasteners - New EnglandRhode Island, RIRemote$62,200–$100,200 / yearJoin our top-notch team of approximately 43,500 diverse and high-performing professionals globally who are making their mark on some of the world's most beloved brands, including DEWALT, BLACK+DECKER, CRAFTSMAN, STANLEY, CUB CADET, and HUSTLER. Learning & Development: Our lifelong learning philosophy means you'll have access to a wealth of state-of-the-art learning resources, including our Lean Academy and online university (where you can get certificates and specializations from renowned colleges and universities).