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5days agod
Job DescriptionAvailable shift: 8:00 AM - 4:30 PM CSTFully remote role.As a 24 hour call center operation, every employee is required to work a minimum of 2 company observed holidays per year including 1 summer holiday (Memorial Day, Independence ...
2days agod
Job DescriptionFully remote role.As a 24 hour call center operation, every employee is required to work a minimum of 2 company observed holidays per year including 1 summer holiday (Memorial Day, Independence Day, Labor Day) and 1 winter holiday (...
2days agod
Job DescriptionWorks with internal staff across multiple departments to identify datasources, processes and activities required to meet regulatory andaccreditation requirements or meet the objectives of the QM program.Conducts outreach with comple...
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3days agod
Job Description-Responsible for developing, facilitating, and implementing outreach activities, special events, programs, and presentations which support member education and health plan awareness within the Medicaid or Medicare population and the...
3weeks agow
Job DescriptionExciting opportunity to join a team of pharmacy experts as an Appeals Technician III. In this role, the Texas registered pharmacy technician will take in-coming calls from members and providers, providing professional phone assistan...
5days agod
Job DescriptionYou'll play an essential role in assisting the nurses in the development of effective and efficient care coordination and self care for our members -The Care Management Associates will be responsible for making outreach calls to mem...
6days agod
Job DescriptionProvide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program/operational efficiency involving clinical issues.Support comprehensive coordin...
13days agod
Job DescriptionAs a Clinical Senior Representative, you will work closely with healthcare providers to process Prior Authorizations (PA) and drug benefit exception requests in a call center or fax environment. In this role, you will play a meaning...
5days agod
Job DescriptionAnswers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. T...
4days agod
Job DescriptionAnswers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. T...
5days agod
Job DescriptionAnswers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. T...
12days agod
Job DescriptionAs a Clinical Senior Representative, you will work closely with healthcare providers to process Prior Authorizations (PA) and drug benefit exception requests in a call center or fax environment. In this role, you will play a meaning...
3days agod
Job DescriptionThis is a work at home opportunity for candidates located in the CST, PST and MST time zones which includes a $1000 sign on bonus as well as an additional $2000 90 days post training! (Bonuses are only applicable to specific positio...
4days agod
Job DescriptionFully remote position. Work anywhere in the U.S.Schedule Tuesday - Saturday 4:15pm -12:45am ESTResponsible for provision of telephone-based consultation,counseling and informational services to members.Provides one-time lifestyle ma...
2days agod
Job DescriptionSchedule: Mon-Fri 2:30 pm - 11 pm ESTFully Remote role anywhere in the U.S. SomePosition Summary:- Responsible for provision of telephone-based consultation, counseling and informational services to members. - Provides one-time or ...
6days agod
Job DescriptionSchedule: Fri-Mon 8 pm-6:30 am EST (Overnight)Fully Remote role anywhere in the U.S. Position Summary:- Responsible for provision of telephone-based consultation, counseling and informational services to members. - Provides one-time...
6days agod
Job DescriptionSchedule: Mon, Thurs, Sat, Sun 11am-9:30pm ESTFully Remote role anywhere in the U.S. Position Summary:- Responsible for provision of telephone-based consultation, counseling and informational services to members. - Provides one-time...
6days agod
Job DescriptionSchedule: Mon-Fri 10:30 am-7 pm ESTFully Remote role anywhere in the U.S. Position Summary:- Responsible for provision of telephone-based consultation, counseling and informational services to members. - Provides one-time or ongoing...
6days agod
Job DescriptionSchedule: Sat-Wed (off Thurs/Fri) 6 am-2:30 pm ESTFully Remote role anywhere in the U.S. Position Summary:- Responsible for provision of telephone-based consultation, counseling and informational services to members. - Provides one-...
5days agod
Job DescriptionCaremark is a PBM (Pharmacy Benefits Management) Company responsible for managing Employers and/or Health Plan prescription benefit plans. As an Implementation Manager you have end-to-end accountability for the overall implementatio...