• Medicaid Member Service

    CVS Health (Tallahassee, FL)
    …And we do it all with heart, each and every day. **Position Summary** The Customer Service Representative is the face of Aetna and impacts members' service ... complex nature. CSR engages, consults and educates members based upon the member 's unique needs, preferences and understanding while using tools and resources… more
    CVS Health (09/05/25)
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  • CSR Call Center - Medicaid Member

    Conduent (Helena, MT)
    …day. Must be in Montana as this is a hybrid position **Call Center Customer Service Representative - Member Support** **Pay $16.50/hr -** **8-5 Monday ... **Summary:** **. Using a computerized system, responds to Montana Medicaid member inquiries in a call center...disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic… more
    Conduent (08/23/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...of Colorado. The Investigator position is a critical team member of the MFANU that will work both independently… more
    State of Colorado (08/27/25)
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  • Customer Service Representative

    Robert Half Office Team (Austin, TX)
    Description Our client is hiring experienced Customer Service Representatives in a contract to hire capacity to support our Texas-based Call Center operations. This ... role focuses on assisting members enrolled in Texas Medicaid programs, including STAR, CHIP, and Home Health Care...in the system with accuracy and professionalism. + Resolve member concerns with empathy and efficiency. + Stay current… more
    Robert Half Office Team (09/19/25)
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  • Customer Service Representative

    CVS Health (Richmond, VA)
    …Customer Service group. Responsibilities below include, but not limited to: -Customer Service Representative is the face of Aetna and impacts members' ... to answer the unasked questions, eg additional plan details, benefit plan details, member self- service tools, etc. -Uses customer service threshold framework… more
    CVS Health (09/27/25)
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  • Remote Customer Service

    CVS Health (WV)
    …Friday *Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday As a Member Service Representative , you will be providing telephone assistance to ... Aetna Medicaid members and providers. You will assist with an...include but limited to the following: - Answering in-coming member and provider calls and responding to inquiries regarding… more
    CVS Health (09/23/25)
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  • Medical Records Retrieval Representative

    Humana (Little Rock, AR)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... help us put health first** The Medical Records Retrieval Representative (Risk Adjustment Representative 2) conducts quality...that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk… more
    Humana (09/25/25)
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  • Customer Service Representative

    US Tech Solutions (Pittsburgh, PA)
    **Job Title: Customer Support Representative ** **Location: Pittsburgh, PA** **Timing: 8am to 8pm CT (8-hour shifts Mon - Fri)** **Duration: 3 + FTE Possibility** ... coverage and options. You will have the opportunity to service a variety of clients and call types as...and Outbound Calls + Communication with the provider and member regarding their prior authorization/ PBM/ Medicare. + Review… more
    US Tech Solutions (10/04/25)
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  • Inbound Contacts Representative 2

    Humana (Columbus, OH)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... of their customers? Come be a part of Humana's Member Calls Organization! Our Call Center Representatives have a...assisting people with their healthcare needs; in particular, our Medicaid members, to provide the best solutions and outcomes… more
    Humana (09/30/25)
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  • Medicare Inbound Contacts Representative

    Humana (San Juan, PR)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... help us put health first** The Provider Group Medicare Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written… more
    Humana (10/03/25)
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  • Patient Access Representative , Call Center

    Stony Brook University (Commack, NY)
    Patient Access Representative , Call Center **Position Summary** At Stony Brook Medicine, our **Patient Access Representatives** are responsible for completing ... to our high standard of excellence. **The Patient Access Representative in our Call Center / Pre-Registration** location in.../ Pre-Registration** location in Commack, NY is a key member of the Patient Access Services team, responsible for… more
    Stony Brook University (09/13/25)
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  • Grievances & Appeals Representative

    Humana (San Juan, PR)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic… more
    Humana (09/19/25)
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  • Customer Care Representative

    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 connectivity, ... an accommodation is granted as required by law. The Customer Care Representative is responsible for successfully completing the required basic training. Able to… more
    Elevance Health (09/08/25)
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  • Health Services Representative

    MyFlorida (Fort Pierce, FL)
    …. Requisition No: 859967 Agency: Department of Health Working Title: HEALTH SERVICES REPRESENTATIVE - 64057641 Pay Plan: Career Service Position Number: 64057641 ... HEALTH SERVICES REPRESENTATIVE - 64057641 Date: Sep 2, 2025 The...supporting documentation with each submission that includes character of service (for example, DD Form 214 Member more
    MyFlorida (10/04/25)
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  • Patient Access Flex Representative

    CommonSpirit Health Mountain Region (Durango, CO)
    …who care about your success. The primary job role for the Flex Team Representative will be to support the facilities on-site by covering open shifts/positions left ... support the facility registration departments. On-Site Facility Patient Access Flex Representative : Create a positive impression for each patient, family member more
    CommonSpirit Health Mountain Region (09/25/25)
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  • Community Connections Representative I/II…

    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 Market - ... outreach and community events. Essential Accountabilities: Level I * Educates Medicaid , Medicare, and Commercial members on healthcare benefits, and community… more
    Excellus BlueCross BlueShield (09/02/25)
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  • Community Relations Representative

    Elevance Health (Reno, NV)
    …existing and potential members. **How you will make an impact:** + Acts as service representative for assigned projects and a resource to membership and ... **Community Relations Representative I** **Location:** Reno, Nevada. Field: This field-based...responsible for growing membership through educating and servicing the Medicaid population, including meeting the community's need for ongoing… more
    Elevance Health (10/01/25)
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  • Patient Access Representative I - Full…

    Atlantic Health System (Morristown, NJ)
    Patient Access Representative Responsible for patient-facing registration and other associated tasks like information collection, validation, and requisitioning of ... (including but not limited to) + The Patient Access Representative (PAR) plays a vital role in the patient...lift more than 25lbs if needed Preferred: + Customer service experience + Electronic Medical Record (EMR) experience, preferably… more
    Atlantic Health System (09/26/25)
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  • SCA Customer Care Representative I

    Elevance Health (East Syracuse, NY)
    **SCA Customer Care Representative I** **Location** : **East** **Syracuse, NY** **;** **Harrisburg, PA; Denison, TX.** This role enables associates to work virtually ... is granted as required by law._** **National Government Services** is a proud member of Elevance Health's family of brands. We administer government contracts for… more
    Elevance Health (10/04/25)
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  • Senior Provider Relations Representative

    Molina Healthcare (Buffalo, NY)
    …Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point of contact ... that services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
    Molina Healthcare (10/04/25)
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