• 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 (06/12/25)
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  • Remote Call Center Customer…

    Conduent (VA)
    …a culture where individuality is noticed and valued every day. ** Remote - Call Center Customer Service Representative** ** Medicaid Member Support - Tier ... a full understanding of program requirements. **Requirements** + Basic understanding of a call center environment in a customer service role and quality… more
    Conduent (06/21/25)
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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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  • Sr Cloud Solutions Engineer - Genesys

    Humana (Richmond, VA)
    call recording and speech/text analytics + Experience working within Enterprise Contact Center Environments + Experience with call routing and voice response ... will be pivotal in supporting and optimizing our contact center solutions to enhance customer and employee engagement and...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (06/24/25)
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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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  • Coordinator, Individualized Care

    Cardinal Health (Richmond, VA)
    …experience, preferred + Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred + Knowledge of Medicare, ... calls, with ability to determine needs and provide one call resolution + Responsible for reporting adverse events within... Medicaid and Commercially insured payer common practices and policies,… more
    Cardinal Health (06/20/25)
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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 (06/18/25)
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  • Care Coordinator - Clinical

    Healthfirst (VA)
    …**Preferred Qualifications:** + Associates degree + Prior work experience in a call center , care management, or healthcare environment or familiarity with ... **This position is 100% Remote ** **Duties and Responsibilities:** + Receive incoming calls...factors requiring medical intervention + Contemporaneously and accurately documents call in designated PHI system. + Manages an assigned… more
    Healthfirst (06/24/25)
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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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  • Sr. Learning Design Professional

    Humana (Richmond, VA)
    …and delivering onboarding and additional training content to support medical coders or call center employees in addition to regular MRA business content. This ... your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (06/21/25)
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