Top 153 Background extra Jobs in Rhode Island

Case Specialist - GAU
Blue Cross and Blue Shield of RI Careers —Providence, RI
- $53,400 - $72,000 a year
- Full-time
- Hybrid work
- Inventory management
- Data analysis skills
- HIPAA
- Loan repayment program
- Dental insurance
7d
Dog Walker and Pet Sitter
Junebug's Walks & Care, LLC —Providence, RI
- $16 - $19 an hour
- Part-time
- Background check
- 18 years or older
- US work authorization
- Paid training
- Mileage reimbursement
Quick Apply
14d
Seasonal Warehouse Employees *No Weekends* Full Time and Part Time
Pet Food Experts,LLC —Cumberland, RI
- $18.27 - $20.30 an hour
- Part-time
- Background check
- English
- Forklift
- Paid holidays
- Health insurance
Quick Apply
General Cleaner
4M Building Solutions LLC —Providence, RI
- Part-time
- Background check
- 18 years or older
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
10d
Security Officer Front Desk
Allied Universal —Central Falls, RI
- $25.75 an hour
- Part-time
- 18 years or older
- Pass drug screening
- High school diploma or GED
- Paid training
- Opportunities for advancement
Quick Apply
1d
Customer Service Manager, Airport Customer Experience
American Airlines —Providence, RI
- $51,000 - $86,500 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Guest Service Agent
Hyatt Place Warwick Providence Airport —Warwick, RI
- Part-time
- Background check
- Hotel
- Entry level
- Paid holidays
- Health insurance
Quick Apply
13d
Retail Store Associate
Savers/Value Village —Warwick, RI
- Part-time
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Pet Care Specialist
Junebug's Walks & Care, LLC —Providence, RI
- $16 - $20 an hour
- Part-time
- Background check
- 18 years or older
- US work authorization
- Paid training
- Mileage reimbursement
Quick Apply
12d
Security Officer Entry Control
Allied Universal —North Smithfield, RI
- $20.72 an hour
- Part-time
- 18 years or older
- Pass drug screening
- High school diploma or GED
- Paid training
- Opportunities for advancement
Quick Apply
Case Manager - Behavioral Health
Blue Cross and Blue Shield of RI Careers —Providence, RI
- $73,600 - $110,400 a year
- Full-time
- Hybrid work
- RN License
- Mid-level
- Office
- Loan repayment program
- Health insurance
13d
Merchandise Processing Associate
Savers/Value Village —Warwick, RI
- Part-time
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Certified Nursing Assistant/Caregiver
Elder Care Homecare by Care at Home —Westerly, RI
- $20 - $24 an hour
- Part-time
- English
- Driver's License
- Home Health
- Paid holidays
- Health insurance
Quick Apply
1d
Home Weekly Class A CDL Truck Driver - Flatbed
Western Express —Rhode Island
- Up to $0.75 per mile
- Urgently hiring
- No experience needed
- CDL A
- Flatbed truck
- Health insurance
- Dental insurance
Quick Apply
Lead the Fun: Assistant Director of School-Age Programs
Boys & Girls Clubs of Warwick —Warwick, RI
- $18 an hour
- Part-time
- Dedicated
- Pass drug screening
- High school diploma or GED
Quick Apply
Construction Inspector- 1099 Contractor
NWM Risk Management —New Shoreham, RI
- $35 - $245 a month
- Choose your own hours
- Background check
- Construction site
- Residential
- Flexible schedule
Quick Apply
7d
Production Field Superintedent
Tecta America —Cranston, RI
- $70,000 - $80,000 a year
- Full-time
- Background check
- Spanish
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Quick Apply
Foreman Refrigeration - Commercial & Industrial
CoolSys —Providence, RI
- $50 - $65 an hour
- Full-time
- Background check
- Construction site
- 5 years
- Paid training
- Paid holidays
Substitute Teacher Assistant
ESS —North Kingstown, RI
- $125 a day
- Classroom
- Experience working with individuals with disabilities
- High school diploma or GED
- Flexible schedule
Quick Apply
Senior Data Visualization Analyst
Blue Cross and Blue Shield of RI Careers —Providence, RI
- $93,600 - $140,400 a year
- Full-time
- Hybrid work
- Computer science
- Azure
- Computer Science
- Loan repayment program
- Dental insurance

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background extra jobs near rhode island

Case Specialist - GAU

Blue Cross and Blue Shield of RI Careers -
Providence, RI

Apply Now

Job Details

Full-time
$53,400 - $72,000 a year
7 days ago

Benefits

Loan repayment program
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance

Qualifications

Research

Full Job Description

Pay Range:

$53,400.00 - $72,000.00

Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

At BCBSRI, our greatest resource is our people.

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.

We recognize that to do your best work, you have to be your best self.
It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.

Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued.

Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.

We’re dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.

Why this job matters:

The GAU Case Specialist is responsible for investigating, managing, and resolving member and provider grievances, complaints, and appeals in accordance with organizational policies, regulatory requirements, and service-level agreements. This position performs detailed research, analyzes information from multiple sources, documents findings, prepares written determinations, and ensures all cases are processed accurately, timely, and in compliance with CMS, NCQA, state, and internal requirements.

What you will do:

Manage a caseload of grievances, complaints, and appeals from receipt through final resolution.
Review and analyze case documentation, claims information, benefit plans, policies, contracts, and supporting records.
Conduct thorough investigations to determine the appropriate outcome for each case.
Document all case activity, research, and determinations in designated systems.
Ensure compliance with all regulatory and internal timeliness requirements.
Monitor assigned inventory and proactively communicate potential barriers to timely completion.

Research and Analysis

Research member, provider, and claim issues utilizing multiple systems and data sources.
Collaborate with internal departments, clinical staff, business partners, and external vendors as needed to obtain information required for case resolution.
Analyze contract language, medical policies, benefit plans, and regulatory guidance to support case determinations.
Identify trends, process gaps, and opportunities for operational improvements.

Documentation and Regulatory Compliance

Maintain complete, accurate, and audit-ready case documentation.
Ensure all required fields, regulatory categories, and reporting elements are accurately completed.
Adhere to CMS, NCQA, HIPAA, state regulatory, and organizational requirements.
Support internal and external audit activities as requested.
Follow established departmental workflows, policies, and procedures.

Communication and Correspondence

Draft and generate acknowledgment and determination letters.
Communicate professionally with members, providers, delegates, and internal stakeholders.
Participate in meetings, huddles, training sessions, and calibration activities.
Provide clear and concise explanations regarding case findings and determinations when appropriate.

Quality and Performance

Meet established productivity, quality, and timeliness standards.
Maintain satisfactory quality review scores and documentation accuracy.
Demonstrate accountability for assigned work and performance goals.
Participate in continuous improvement initiatives and process enhancement efforts.
Assist with cross-training and departmental projects as assigned.

Success in this role is measured by

Case timeliness and SLA compliance.
Quality audit results.
Documentation accuracy and completeness.
Productivity and inventory management.
Regulatory compliance.
Collaboration and professional communication.

What you need to succeed:

Strong analytical and critical-thinking skills.
Excellent written and verbal communication skills.
Ability to interpret regulatory requirements, policies, and benefit plans.
Strong organizational and time-management skills.
Ability to manage multiple priorities in a deadline-driven environment.
Attention to detail with a focus on accuracy and compliance.
Proficiency using Microsoft Office applications and case management systems.
Ability to work independently and collaboratively within a team environment.
Two or more years of relevant experience either administrative or with the company in another department with relevant knowledge.
Experience in healthcare operations, claims, customer service, grievances, appeals, complaints, utilization management, or related healthcare functions preferred.
Knowledge of Medicare, Commercial Health Insurance, CMS, NCQA, and regulatory requirements preferred.

The extras:

Bachelor's degree preferred in Healthcare Administration, Business Administration, or a related field; equivalent combination of education and relevant experience may be considered.

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

In-office : onsite 5 days per week
Hybrid: onsite 2-4 days per week
Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.

The law requires an employer to post notices describing the Federal laws. Please visit www.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.

Apply Now

Refine Your Search

background extra jobs in rhode island

Case Specialist - GAU

Dog Walker and Pet Sitter

Seasonal Warehouse Employees No Weekends Full Time and Part Time

General Cleaner

Security Officer Front Desk

Customer Service Manager, Airport Customer Experience

Guest Service Agent

Retail Store Associate

Pet Care Specialist

Security Officer Entry Control

Case Manager - Behavioral Health

Merchandise Processing Associate

Certified Nursing Assistant/Caregiver

Home Weekly Class A CDL Truck Driver - Flatbed

Lead the Fun: Assistant Director of School-Age Programs

Construction Inspector- 1099 Contractor

Production Field Superintedent

Foreman Refrigeration - Commercial & Industrial

Substitute Teacher Assistant

Senior Data Visualization Analyst

I want to receive the latest job alert for background extra in rhode island

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Why this job matters:

Research and Analysis

Documentation and Regulatory Compliance

Communication and Correspondence

Quality and Performance

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