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US Tech Solutions Careers 12 Jobs in Rhode Island

  • Prior Authorization Specialist – MED D

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other duties as needed to include but not limited ...
  • Representative I

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... Job Description: The Rep I, Clinical Services takes in-bound calls from providers ... reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team ...
  • Quality Management Nurse Consultant

    US Tech Solutions - Remote, Rhode Island
    ... Job Description: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply ...
  • Prior Authorization Specialist

    US Tech Solutions - Remote, Rhode Island
    ... and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other duties ...
  • Marketing Analyst- Paid Search Analyst

    US Tech Solutions - Woonsocket, Rhode Island
    ... . Responsibilities: The Total Search Analyst will be responsible for day-to-day management, support and ... develop business cases that support the opportunities for increased investment in the channel. The ...
  • Family Nurse Practitioner - Night Shift

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... -relevant experience • Basic Life Support (BLS) certification • A minimum of high speed/broadband ...
  • Clinical Pharmacist Advisor

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... ensuring cases are accurately set up for our members, review clinical information for decisioning the ... multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical ...
  • Prior Authorization Specialist

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... Job Description: The Rep I, Clinical Services takes in-bound calls from providers ... reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team ...
  • Utilization Review Nurse

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit ... /information to determine compliance with clinical policy, regulatory and accreditation guidelines ...
  • Prior Authorization Licensed Practical Nurse

    US Tech Solutions - Please note: Actual location may vary., Rhode Island
    ... support to the PA team and member services department . ∙ Refer cases not meeting clinical criteria ... Job Summary: This is a remote position and requires the ability to effectively support a ...
  • Psychiatric–Mental Health Nurse Practitioner (PMHNP)

    US Tech Solutions - woonsocket, Rhode Island
    ... business needs • Support the overall patient experience, by effectively managing clinical and non ... Job Summary: Nurse Practitioner leverages administrative support in addition to delivering ...
  • Legal Coordinator

    US Tech Solutions - Cumberland, Rhode Island
    ... -clinical aspects of physician operations. Collaborating within a cross-functional team, the role ensures ... , and practices. Duties: Support review of physician contracts, identifying key ...