• Remote Medicaid Call

    CVS Health (Annapolis, MD)
    …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
    CVS Health (05/15/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Washington, DC)
    …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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  • Pharmacy Claims Representative

    Humana (Washington, DC)
    …Obtain all necessary information for facilities and their related pharmacies * Assist the Call Center management team with projects to enhance the workflow and ... LTC hospice patients and reconcile historic billing issues. **Location: Remote US** **Shift: Monday-Friday 2:30pm-11pm EST. Flexibility to work...success of the Call Center * Assist Customer Service team… more
    Humana (05/23/25)
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  • UM Administration Coordinator 2

    Humana (Washington, DC)
    …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 (05/29/25)
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  • Product Owner - Brokerage Technology

    Humana (Washington, DC)
    …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
    Humana (05/29/25)
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  • Reimbursement Specialist

    Cardinal Health (Washington, DC)
    …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 (05/17/25)
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  • Customer Success Agent

    Humana (Annapolis, MD)
    …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 (05/29/25)
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