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Remote Authorization Jobs in Mapleville, RI (NOW HIRING)

Jetset With J

Remote Travel Consultant

Providence, RI · Remote

$35K - $65K/hr

Must be authorized to work in the United States What We Offer * 100% Remote work * Flexible full-time or part-time schedule * Comprehensive training provided * Ongoing mentorship and support

Posted today

AO Globe Life

REMOTE Representative - Benefits

Providence, RI · On-site +1

$40K - $55K/yr

  • Medical

  • Life

Remote Insurance Representative - Customer Service & Sales - Work From Home Company: Globe Life AO ... Applicants must be legally authorized to work in the United States. Globe Life AO Work From Home.

Talkiatry

Psychiatrist (Remote)

Putnam, CT · Remote

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

Talkiatry

Psychiatrist (Remote)

Worcester, MA · Remote

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

Talkiatry

Psychiatrist (Remote)

Warwick, RI · Remote

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

Talkiatry

Psychiatrist (Remote)

Providence, RI · Remote

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

Talkiatry

Remote Psychiatrist (MD/DO) - Rhode Island

Warwick, RI · Remote

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

Talkiatry

Remote Psychiatrist (MD/DO) - Rhode Island

Cranston, RI · Remote

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

thg

Senior Data Protection Engineer (REMOTE)

Worcester, MA · Remote

$114K - $156K/yr

... remote capacity. POSITION SUMMARY: In this role, you will provide subject matter expertise on ... Authorization to work in the United States without current or future sponsorship (U.S. citizen or ...

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All JobsAuthorization JobsRemote Authorization JobsRemote Authorization Jobs in Mapleville, RI

Remote Authorization information

See Mapleville, RI salary details

$16

$24

$37

How much do remote authorization jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote authorization in Mapleville, RI is $24.43, according to ZipRecruiter salary data. Most workers in this role earn between $20.24 and $26.97 per hour, depending on experience, location, and employer.

What is a remote authorization?

A Remote Authorization job typically involves reviewing, verifying, and approving requests for access, transactions, or services from a remote location. Professionals in this role work in industries like healthcare, finance, or IT, ensuring compliance with policies and security standards. They assess authorization requests, analyze supporting documents, and use software tools to make informed decisions. Strong attention to detail, communication skills, and familiarity with relevant regulations are essential for success in this role.

What are the key skills and qualifications needed to thrive in remote authorization?

To excel as a Remote Authorization professional, you need strong analytical skills, attention to detail, and a background in healthcare administration or insurance processes. Familiarity with claims management software, electronic health records (EHR), and relevant compliance certifications such as HIPAA are often required. Effective communication, problem-solving, and time management are vital soft skills for collaborating with team members and handling authorization requests efficiently. These competencies are crucial to ensure accurate, timely approvals and to maintain compliance with organizational and regulatory standards.

What does a remote authorization do?

In a Remote Authorization role, your day usually involves reviewing medical or service requests, verifying patient eligibility, and ensuring all required documentation is complete before approving or denying authorization. You may interact with healthcare providers, patients, and insurance companies to gather information and clarify details as needed. The role often requires maintaining up-to-date records in internal systems and adhering to company or legal guidelines on privacy and compliance. Since the work is remote, staying organized and proactive in digital communication is essential to success. The position also provides opportunities to develop expertise in healthcare policies and can serve as a foundation for career advancement in medical administration or insurance.

Remote Authorization jobs near you

Remote Pharmacist - Prior Authorization / Coverage Determination

A-Line Staffing Solutions

Woonsocket, RI • Remote

$53/hr

Full-time

Medical, Dental, Vision

Posted 29 days ago

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Job description

Remote Pharmacist – Prior Authorization / Coverage Determination

Pay Rate: $53.00/hr

Start Dates

  • September 7
  • September 28

Training Requirements

  • Mandatory paid training is held Monday – Friday, 9:00 AM – 5:30 PM EST for approximately 8–10 weeks.
  • Attendance is mandatory during training. No planned vacation or scheduling conflicts are permitted during this period.
  • Candidates must be available for the entire training schedule before accepting the assignment.
  • Camera must remain on during all virtual training sessions, supervisor meetings, and team meetings.

Schedule

Business Hours:

  • Monday – Friday: 7:00 AM – 8:00 PM EST
  • Saturday & Sunday: 7:00 AM – 4:30 PM EST

Schedule Type: Set Rotation

After training, candidates will be assigned an 8-hour shift based on business needs, which will include either:

  • One weekend day each week, or
  • A rotating weekend schedule.


Job Summary

We are seeking a licensed Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage Determination team. This role is responsible for reviewing pharmacy benefit requests, interpreting clinical criteria, evaluating Medicare Part D coverage determinations, and ensuring accurate, timely decisions while maintaining compliance with regulatory requirements.

The ideal candidate has experience in Pharmacy Benefit Management (PBM), prior authorizations, managed care, or clinical pharmacy operations and thrives in a productivity-driven remote environment with strict turnaround times.

This is a Safety Sensitive position.

Key Responsibilities

  • Review and evaluate prior authorization and coverage determination requests.
  • Interpret Medicare Part D guidelines, formulary requirements, and clinical criteria.
  • Apply evidence-based clinical judgment using drug information resources and clinical compendia.
  • Ensure compliance with CMS regulations, plan policies, and pharmacy benefit guidelines.
  • Document case reviews accurately and maintain audit-ready records.
  • Manage a high-volume case queue while meeting quality and productivity standards.
  • Perform provider outreach as needed to obtain clinical information or clarify requests.
  • Navigate multiple applications simultaneously while documenting case activity.
  • Work independently in a fast-paced remote environment with minimal supervision.
  • Participate in virtual meetings, coaching sessions, and required training.

Required Qualifications

  • Active Registered Pharmacist (RPh) license in good standing in the state of residence.
  • Experience with:
    • Pharmacy Benefit Management (PBM)
    • Prior Authorizations
    • Coverage Determinations
    • Medicare Part D
    • Formulary management
    • Drug Utilization Review (DUR)
  • Strong understanding of CMS regulations and managed care pharmacy.
  • Excellent documentation and data entry skills.
  • Experience working in high-volume, productivity-driven environments.
  • Strong computer skills, including Microsoft Excel and Word.
  • Ability to navigate multiple computer applications using dual monitors.

Preferred Qualifications

  • Experience with provider outreach and clinical case review.
  • Retail pharmacy combined with managed care or PBM experience.
  • Knowledge of Microsoft Access, PowerPoint, and Visio.
  • Previous remote clinical review experience.

Remote Work Requirements

Candidates must have:

  • A dedicated, quiet workspace free from interruptions.
  • Wired high-speed internet with a minimum of:
    • 25 Mbps download
    • 5 Mbps upload
  • Dual-monitor capability.
  • Ability to remain seated and focused throughout the workday.

Additional Requirements

  • Virtual interviews are conducted through Microsoft Teams.
  • Candidates must be comfortable with extensive data entry, multitasking, and working independently while maintaining productivity standards.
  • Opportunity for full-time employment based on performance.
A-Line Staffing Solutions logo

About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

Social media

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