• Remote Medicaid Call

    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 (07/05/25)
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  • Clinical Pharmacist - Medicaid Prior…

    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
    CVS Health (07/09/25)
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  • Manager, IFG Agnostic Call Center

    Humana (Phoenix, AZ)
    …first** We are seeking a dynamic and results-driven Sales Manager to lead our Agnostic Call Center Sales Team within the IFG line of business. This leader will ... proven ability to achieve and exceed key performance metrics in a fast-paced, remote sales environment. The Agnostic Sales Manager leads and grows an internal sales… more
    Humana (07/10/25)
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  • Call Quality Coach - Mandarin

    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
    Humana (07/08/25)
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  • Lead, Customer Experience ( Remote )

    Molina Healthcare (Phoenix, AZ)
    center communication channels. * Achieves individual performance goals as it relates to call center objectives. * Assists with training needs of employees as ... 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
    Molina Healthcare (06/14/25)
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  • Medication Therapy Management (MTM) Specialist…

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

    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
    Evolent (04/30/25)
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  • Registered Nurse RN Case Manager Care Coordination

    Banner Health (Gilbert, AZ)
    …development at Banner Health's state-of-the-art hospital Banner Gateway Medical Center . With comprehensive electronic medical records, physician order entry, digital ... enabled us to achieve Magnet (TM) recognition by the American Nurses Credentialing Center . Located near Phoenix in Gilbert, Ariz., Banner Gateway Medical Center more
    Banner Health (05/30/25)
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  • Bilingual Reimbursement Specialist

    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
    Cardinal Health (06/24/25)
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  • Market CMO, Centerwell Senior Primary Care…

    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
    CenterWell (04/25/25)
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  • CenterWell Strategy & Operations Lead

    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
    Humana (07/08/25)
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  • Senior Strategy Advancement Professional

    Humana (Phoenix, AZ)
    …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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  • Grievance and Appeal Representative

    Humana (Phoenix, AZ)
    …needs.** **Preferred Qualifications** + Associate or bachelor's Degree + Previous inbound call center or related customer service experience + Prior grievance ... to keep you informed. Travel: While this is a remote position, occasional travel to Humana's offices for training...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (07/10/25)
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  • Senior Workforce Management Professional

    Humana (Phoenix, AZ)
    …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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