• Remote Medicaid Call

    CVS Health (Richmond, VA)
    …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 (07/05/25)
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  • Call Quality Coach - Vietnamese

    Humana (Richmond, VA)
    …+ 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
    Humana (07/08/25)
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  • Medication Therapy Management (MTM) Specialist…

    Prime Therapeutics (Richmond, VA)
    …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
    Prime Therapeutics (05/10/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Richmond, VA)
    …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
    Evolent (04/30/25)
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  • Reimbursement Specialist

    Cardinal Health (Richmond, VA)
    …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
    Cardinal Health (06/24/25)
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  • CenterWell Strategy & Operations Lead

    Humana (Richmond, VA)
    …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
    Humana (07/08/25)
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  • Senior Strategy Advancement Professional

    Humana (Richmond, VA)
    …analyze, optimize and consult on end-to-end Sales initiatives across all distribution channels ( call center , direct & digital) + Through discovery and findings ... process analysis practices + Salesforce and/or other CRM technology + Contact Center , Omnichannel or Digital experience in a Sales environment helpful + Advanced… more
    Humana (06/18/25)
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  • Senior Workforce Management Professional

    Humana (Richmond, VA)
    …Minimum 5 years of Workforce Management experience + Minimum 2 years of call center forecasting experience + Experience utilizing Workforce Management software ... + Prior experience in Process or Project Management Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (07/09/25)
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