- CVS Health (Phoenix, AZ)
- …Guidelines. **Required Qualifications** Demonstrated leadership abilities. Experience with inbound call center operations. **Preferred Qualifications** - 2 years ... - Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer service. Is visible and… more
- CVS Health (Phoenix, AZ)
- …assess, manage multiple tasks and adapt to constantly changing situations. * Call center and clinical pharmacy experience. * Excellent organizational skills. ... states for the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid , Commercial Prior Authorization and Case Review Unit (CRU) line of… more
- Humana (Phoenix, AZ)
- …+ Bachelor's degree + Applied knowledge of Direct Marketing Processes + Call Center /Contact Center Operations leadership + Project Management ... our caring community and help us put health first** Call Quality Professionals provide information that will assist in...by the Federal Government. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Actalent (Phoenix, AZ)
- …authorization experience. Additional Skills & Qualifications + Experience in retail pharmacy, call center , hospital, or specialty pharmacy settings. + Knowledge ... Job Title: Remote Pharmacy Technician Job Description Pharmacy technicians will...of Medicare and Medicaid . + Experience with prescription benefits management. + National… more
- Prime Therapeutics (Phoenix, AZ)
- …make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy Management (MTM) Service ... targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliant + Act as a Subject...Pharmacists + Facilitate training for new hire classes, including call shadowing; complete Quality Assurance on recorded calls and… more
- Evolent (Phoenix, AZ)
- …capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Molina Healthcare (AZ)
- …exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives. * ... service support to members and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but… more
- Humana (Phoenix, AZ)
- …members. The platforms consist of Nuance IVA, Voice of the Consumer Survey, Guidance Center Video Kiosk, as well as InMoment market research. These platforms are at ... **Experience as a Lead solutions Architect involving large scale cloud contact center experience solutions implementation on Genesys cloud platform** + Partner with… more
- Humana (Phoenix, AZ)
- …client administration, customer service, enrollment, and eligibility, claims processing, and call center operations. Investigates and settles claims and customer ... of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the...employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 11… more
- Humana (Phoenix, AZ)
- …virtual position? Humana's Care Management Support Assistants perform their role in a call center environment that includes working in an auto-dialer telephone ... speed of change in healthcare. **Training and Schedule** + Call center hours of operation are Monday-Friday...to keep you informed. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Phoenix, AZ)
- …event reporting when appropriate. Additional tasks that are not directly phone call related include but are not limited to: + **Pharmacist Care Plan/Treatment ... experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care **Additional… more
- Cardinal Health (Phoenix, AZ)
- …experience, preferred + Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred + Clear knowledge of ... calls, with ability to determine needs and provide one call resolution + Responsible for reporting adverse events within...Medicare, Medicaid & Commercial payer policies and guidelines for coverage,… more
- Humana (Phoenix, AZ)
- …relevant technologies, including Salesforce, MuleSoft, AI, and other emerging CRM and Call Center technologies. + Commitment to maintaining an up-to-date ... apply for this exciting opportunity. This is a fully remote position; standard work hours will align with the...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Phoenix, AZ)
- …+ Architect a best-in-class, multi-channel onboarding experience (email, mail, SMS, app, web, call center , IVR) tailored to member needs and Next Best Action ... that puts the needs of the member at the center of all business functions, coordinated and pervasive throughout...however, it is not required and can be 100% remote anywhere in the US** To ensure Home or… more
- CenterWell (Phoenix, AZ)
- …401(k) with Employer Match + Life Insurance/Disability + Paid Time Off/Holidays + Minimal call Travel: While this is a remote position, occasional travel to ... in the medical centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five… more
- Humana (Phoenix, AZ)
- …Familiarity with service operations such as workforce management, customer service, or call center environments + Proficiency with program and project management ... (eg, Microsoft Project, Planner, Azure DevOps, or Jira) **Additional Information** + Remote role; Washington, DC metro area preferred (hybrid option available with… more