Jobs in Rhode Island 2026 (Now Hiring) - Smart Auto Apply
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Clinical Pharmacist Advisor Medicare- #26-23278
US Tech Solutions, Inc.
cranston, RI
Duration: 11+ months contract Shift: 7am to 10pm CST - 8 hours/day Job Description: The Pharmacist – Prior Authorization Advisor is an operation-based role that conducts criteria b...
Posted 3 days ago
School Psychologist Full-Time - $90 To 100 Per Hour
Boston Speech Therapy
Smithfield, RI
Come work for a local woman-SLP-owned company based in Boston.. where we value YOUR work and make sure that caseloads are MANAGEABLE and that YOU have an appropriate space to work...
Posted 3 weeks ago
Certified Medication Technician
MAS Medical Staffing
Warwick, RI
$29 - $29 / hour
Certified Medication Technician | Up to $29/Hour Now more than ever before, medical professionals are taking charge of their own careers. Its your turn are you ready for somethi...
Posted 30+ days ago
Production Baker
Dunkin'
Cranston, RI
$15 - $16 / hour
Production Baker – Dunkin' Early Birds Welcome | Start Your Day at 3:00 AM Do you enjoy working independently, staying organized, and taking pride in preparing fresh products befor...
Posted 2 days ago
*Licensed Vocational Nurse - LPN
Lancesoft
Woonsocket, RI
Job ID: 26-118404 Position Type: Remote Location: Remote Work Type: Fulltime Est. Pay Range: $26.00/hr. To $28.50/hr. All-inclusive on W2 Position Summary: The Licensed Practical N...
Posted 3 weeks ago
Representative II
Integrated Resources, Inc
Woonsocket, RI
$20 - $28 / hour
Tittle: RepresentativeLocation : Woonsocket RI 02895Duration :11/02/2026 to 10/03/2027Pay $20.00 to $28.28 Duties: Case Intake, Review, and Processing (Phone & Fax) " Proc...
Posted 1 week ago
Licensed Marriage And Family Therapist (Lmft) (No Associates) - Remote
Rula Health
Cumberland, RI
$70 - $70 / hour
About Rula Rula is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality care to individuals, couples, and families. B...
Posted 30+ days ago
Assistant Manager
IHOP
Lincoln, RI
$42,000 - $56,000 / year
ASSISTANT RESTAURANT MANAGER – IHOP Cardinal Restaurant Group Grow Your Restaurant Management Career With Us Cardinal Restaurant Group is seeking a motivated, hands-on Assistant Re...
Posted 2 days ago
Account Representative
American Income Life
Providence, RI
$50,000 - $150,000 / year
Build Your Skills. Build Your Career. Are you looking for more than a position that simply gives you a paycheck? We’re looking for motivated individuals who want to develop profess...
Posted 2 weeks ago
Senior Recruiting Coordinator
Axelon
Johnston, RI
$1 - $30 / hour
Title: Hiring Specialist (Hybrid) Location: Johnston, RI | Pay: 29.50/Hr Description: The Hiring Specialist supports the Talent Acquisition team by managing high-volume requisition...
Posted 3 days ago
Weekend Crew Barista Rock
Dunkin' - Dan's Management Company
East Greenwich, RI
$18 - $18 / hour
Perks of the job… Start at $16 per hour, with tips potentially earn $17.50+ per hour TIPS!! We have generous customers! Free coffee, donuts, and an Employee Meal during shift Hours...
Posted 30+ days ago
CDL A Flatbed Driver
TMC Transportation
Providence, RI
TMC Transportation is growing and needs more Class A CDL Drivers! This is a regional position getting you home on the weekends. Apply today, or give us a call to speak with one of...
Posted 2 days ago
ACT II - Case Manager (Full Time)
Community Care Alliance
Woonsocket, RI
ACT II Case Manager (Full Time) Community Care Alliance, located only 15 miles from Providence, RI, is seeking compassionate individuals who want to make a difference in someone el...
Posted 30+ days ago
Licensed Mental Health Counselor (Lmhc)
Gotham Enterprises Ltd
East Providence, RI
$115,000 - $120,000 / year
Telehealth LMHC | Make Care More Accessible Rhode Island | Full-Time | Remote Pay: $115,000–$120,000 annually with full benefits Hours: Monday–Friday, 9:00 AM–5:00 PM About the Opp...
Posted 30+ days ago
Sales Associate And Stihl Repair Technician
Ace Hardware
North Kingstown, RI
$15 - $20 / hour
Notice to Applicant about this Employer: You are applying for a job with an independently owned cooperative member of Ace Hardware Corporation, who operates this Ace Hardware store...
Posted 30+ days ago
Senior Full Stack Engineer
HCL Global Systems Inc.
cranston, RI
The Role and the Team We are looking for an experienced Full Stack Developer to join us in the design and development of innovative technology for financial advisors and their clie...
Posted 30+ days ago
Weekend Crew Barista Hopk
Dunkin' - Dan's Management Company
West Greenwich, RI
$18 - $18 / hour
Perks of the job… Start at $16 per hour, with tips potentially earn $17.50+ per hour TIPS!! We have generous customers! Free coffee, donuts, and an Employee Meal during shift Hours...
Posted 2 days ago
Banquet Server
Providence Marriott Downtown
Providence, RI
Job DescriptionJob Title: Banquet ServerDepartment: BanquetsReports to: Catering Service / Banquet Manager Do you have the J Quality?Learn more about what makes Meyer Jabara Hotels...
Posted 3 weeks ago
Assistant Restaurant Manager
Dunkin' - Dan's Management Company
South Kingstown, RI
$52,000 - $52,000 / year
Dan's Management Co. Dan's Management Co. is a small business with big career opportunities. Dan’s Management Co. is a leader in the industry and committed to People First, Personn...
Posted 2 days ago
RN Nicu
Integrated Resources, Inc
Providence, RI
$85 - $85 / hour
Job Title: RN NICU Job Location: Providence, RI Duration: 11/02/2026 - 01/02/2027 Schedule: Weeknights and weekends, 48hrs/week, four 12-hour shifts. Flex position; shifts predomin...
Posted 3 days ago
Clinical Pharmacist Advisor Medicare- #26-23278
US Tech Solutions, Inc.cranston, RI
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Overview
Remote
On-site
Job Description
Duration: 11+ months contractShift: 7am to 10pm CST - 8 hours/dayJob Description:
- The Pharmacist – Prior Authorization Advisor 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 reviews of cases.
- This 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.
- Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes. (60%)
- 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. Performs 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 escalations. (25%)
- Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Specialty line of business.(10%)
- Performs other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist availability as needed.(5%)
- Previous pharmacy experience in PBM preferred.
- Appropriate state license required.
- Basic computer skills required.
- Strong organizational skill, interpersonal skills and detail orientation important for this position.
- MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge.
- MUST HAVE 6 months of experienced with Prior Authorization(required).
- Must Have Pharmacy Benefit Management (PBM) experience.
- Pharm D. required with at least two years experience as a pharmacist in Managed care environment.
- Must have an active Pharmacist license in the state of residence in good standing.
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