- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacist /Clinician - Prior Authorization Location: Remote Pay Rate: $52.98 - $ 56.00/hour Training + Dates: October 27 - December 12, 2025 + ... for performing criteria-based and clinical reviews of medical data to process prior authorization requests. This role involves direct interaction with… more
- US Tech Solutions (RI)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- Prime Therapeutics (Providence, RI)
- …processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for ... + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs,… more
- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacy Technician I - Prior Authorization (Remote) Location: Fully Remote (US) Pay Rate: $19.99 - $ 21.13/hour Training: + 5 weeks, Monday-Friday, ... for PST time zone candidates Position Overview: The Pharmacy Technician I ( Prior Authorization ) handles inbound calls from providers, pharmacies, and members,… more
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies,...all clinical questions, escalations and judgement calls to the pharmacist team. + The Tech I will also assist… more
- Prime Therapeutics (Providence, RI)
- …Technician - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. + Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- US Tech Solutions (RI)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- Prime Therapeutics (Providence, RI)
- …Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Highmark Health (Providence, RI)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document… more
- US Tech Solutions (RI)
- …**Duration: 6 Months +** **Job Description:** + The Nurse Associate LPN - Prior Authorization is responsible for the efficient, accurate and timely ... and management of work. + Provides support to the Prior Authorization Department in meeting client expectations...all clinical questions and judgement calls to the Clinical Pharmacist as needed. + The Nurse Associate LPN will… more
- Option Care Health (Cranston, RI)
- …on system. Coordinates and executes shipping schedule. Communicates with Nurse and Pharmacist to ensure availability of patient supplies and confirms deliveries. + ... the time for business purposes. **Preferred Qualifications & Interests** **(PQIs)** + Prior experience working in a warehouse or delivery setting. _This job… more