- CVS Health (Richmond, VA)
- …Conduct, Disciplinary Guidelines. **Required Qualifications** - 4 years experience with member/ call center environment. - 2 years leading member/customer service ... - Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer service. Is visible and… more
- Humana (Richmond, VA)
- …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
- 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
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ###. If you believe you are the victim of fraud ... planning and execution + Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements + Develop… more
- Humana (Richmond, VA)
- …for members. As a UM Coordinator you will be part of our fast paced Clinical Call Center where you will engage with Providers on a daily basis, answering about ... Utilization Review and/or Prior Authorization within a managed care call center + Experience with CGX, Genesys...member PHI / HIPAA information **Additional Information** + **Workstyle:** Remote /work from home + **Core Workdays & Hours:** Must… more
- Humana (Richmond, VA)
- …across the brokerage business lines, including Agent CRM, Agent Contracting, Commissions, and Call Center support. In this role, you will be accountable for ... completion. **Preferred Qualifications** + Experience in Agent Contracting, Commissions, and Call Center support + Medicare domain experience, strongly preferred… more
- 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
- Humana (Richmond, VA)
- …South Dakota. Connectivity requirements are detailed below. **Preferred Qualifications** + Prior call center experience + Prior success in Medicare Product Sales ... in Exceptions, Section 7.0 in this policy.) **_Travel_** _While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Humana (Richmond, VA)
- …enrollment and eligibility, the State Agency (DMAS), Adult Protection Services, and call center operations. The Senior Consumer Experience Professional may ... market or regulatory compliance information, Grievance and Appeal information, call listening, member experience design, elimination and recognition of friction… more