- PharmaCord (Jeffersonville, IN)
- …that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com ... and anticipate, recognize and meet needs of others, including patients and care partners Communicate clearly and send clear messages Ability to consume complex… more
- CVS Health (FL)
- …or Jacksonville **.** **Preferred Qualifications** -1-2 years of Healthcare or Medicaid experience -Trauma informed care training -Bilingual candidates preferred ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- State of Colorado (Denver, CO)
- …are: + To protect the state and federal funds dedicated to providing health care and medical services to Colorado Medicaid beneficiaries. + To hold individuals ... Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010)...that Coloradans have access to the highest quality of care from dedicated providers while continuing to take an… more
- Elevance Health (Houston, TX)
- Customer Care Representative **Location:** **Hybrid:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... accommodation is granted as required by law. The Customer Care Representative is responsible for successfully completing.../ or Mandarin are preferred. + Previous Medicare / Medicaid experience preferred. + Long-term care experience… more
- Elevance Health (East Syracuse, NY)
- **SCA Customer Care Representative I** **Location** : **East** **Syracuse, NY** **;** **Harrisburg, PA; Denison, TX.** This role enables associates to work ... required by law._** **National Government Services** is a proud member of Elevance Health's family of brands. We administer...10:35 AM to 7:05 PM EST** The **SCA Customer Care Representative I** is responsible for handling… more
- Elevance Health (New York, NY)
- **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of ... and ensures essential face-to-face onboarding and skill development. The Customer Care Representative is responsible for successfully completing the required… more
- US Tech Solutions (San Antonio, TX)
- **Job Title: Customer Support Representative ** **Location: San Antonio, TX** **Timing: 8am to 8pm CT (8-hour shifts Mon - Fri)** **Duration: 3 + FTE Possibility** ... offer the solutions needed to help simplify their health care experience. You will have the opportunity to learn...and Outbound Calls + Communication with the provider and member regarding their prior authorization/ PBM/ Medicare. + Review… more
- Humana (Columbus, OH)
- …on the well-being of their customers? Come be a part of Humana's Member Calls Organization! Our Call Center Representatives have a passion for assisting people ... with their healthcare needs; in particular, our Medicaid members, to provide the best solutions and outcomes working in a best-in-class contact center. The Inbound… more
- Robert Half Office Team (Austin, TX)
- …enrolled in Texas Medicaid programs, including STAR, CHIP, and Home Health Care Services (HHCS). If you have 1+ years of healthcare call center experience and ... Handle inbound calls from members, providers, and caregivers regarding Texas Medicaid benefits, claims, authorizations, and provider details. + Provide accurate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual ... navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position educates and assists with the enrollment and… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency ... and urgent care centers, home care and hospice, Flight...success. The primary job role for the Flex Team Representative will be to support the facilities on-site by… more
- Atlantic Health System (Morristown, NJ)
- Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... patients, providers, payers, and other related stakeholders for all post- care matters related to account resolution. Principal Accountabilities: (including but… more
- MyFlorida (Fort Pierce, FL)
- …posting category (Open Competitive) Your Specific Responsibilities: The Linkage to Care Coordinator (LTC)/Disease intervention Specialist (DIS) representative is ... HEALTH SERVICES REPRESENTATIVE - 64057641 Date: Oct 4, 2025 The...engaging previously diagnosed HIV-positive individuals into HIV/AIDS system of care within Area 15 (St Lucie, Martin, Okeechobee, Indian… more
- Stony Brook University (Commack, NY)
- Patient Access Representative , Call Center **Position Summary** At Stony Brook Medicine, our **Patient Access Representatives** are responsible for completing ... excellent communication and interpersonal skills, knowledge and understanding of patient care and effectively respond to changing patient needs by making decisions… more
- Humana (San Juan, PR)
- …help us put health first** The Provider Group Medicare Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written ... inquiries. The representative performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations.… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with identified ... *Educate and promote INA product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. *Key Opinion Leader… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and ... between providers and internal departments such as Credentialing, Clinical, Member Services, and Provider Maintenance, ensuring compliance with state regulations… more
- LifePoint Health (Hickory, NC)
- *_Job Summary_* In a medical setting, a patient access representative is the first point of contact for a patient. This includes registration, scheduling patients ... located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty… more
- Molina Healthcare (Augusta, GA)
- …optimization of medication related health care outcomes, and quality cost-effective member care . Essential Job Duties * Handles and records inbound/outbound ... technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina...to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is… more
- BrightSpring Health Services (Chattanooga, TN)
- …Advantage is becoming Abilis Health Plan!* We are seeking a Sales Account Representative /Executive for our Signature Advantage Plan who will work with senior care ... You will actively market our plan to new senior care partners within a plan service area. Regional Travel...and claim payment solutions. + Assisting with resolution to Member and Provider issues. Refer all unresolved issues to… more
