• Bilingual Remote Member…

    TEKsystems (Las Vegas, NV)
    We're Hiring: Member Services Representative ( Remote ) Start Date: October 13, 2025 Location: Must sit in TX, CA, NV, or NM only! Workplace Type: 100% ... Job Overview Join a dynamic healthcare team as a Member Services Representative, where you'll be the...and ensuring satisfaction with professionalism. + Deliver superior customer service in a fast-paced, remote call center… more
    TEKsystems (09/27/25)
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  • Remote Bilingual Member…

    TEKsystems (Las Vegas, NV)
    …claims and any other aspects of plan benefits and services . Ensures member satisfaction by providing superior customer service and willingness to help at ... Additional Skills & Qualifications Call Center - 2+ years Bilingual in a MUST Health plan experience preferred Experience...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
    TEKsystems (10/01/25)
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  • Bilingual Member Services…

    TEKsystems (Las Vegas, NV)
    100% REMOTE ; Must live in Nevada, New Mexico, or...+ Spanish Overview: We are seeking a dedicated and service -oriented Member Services Advocate to ... ideal candidate will demonstrate a commitment to delivering exceptional customer service , maintaining professionalism, and ensuring member satisfaction at all… more
    TEKsystems (09/30/25)
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  • Bilingual RN Care Manager - Remote…

    Humana (Carson City, NV)
    …a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... nurses are titled Care Managers, because our case management services are centered on the person rather than the...fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to… more
    Humana (09/26/25)
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  • PCG Internship Summer 2026 ( Remote )

    Public Consulting Group (Carson City, NV)
    …and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 ... change lives for the better. The firm is a member of a family of companies with experience in...always-on, quickly changing environment + Fluent in English required, bilingual a plus + Our internship program is only… more
    Public Consulting Group (09/02/25)
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  • Social Services Care Manager

    Humana (Carson City, NV)
    …**Masters level, social worker** who functions as an interdisciplinary care team member , receiving referrals to assist members with Social Determinant of Health ... needs. In a telephonic environment, they assess and evaluate member needs related to their physical, environmental, and psycho-social health. This includes… more
    Humana (08/08/25)
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  • Medicare Sales Field Agent

    Humana (Las Vegas, NV)
    …Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have ... to put their Health First. After all, a health services company that has multiple ways to improve the...to life: Deliver on the fundamentals, differentiate through exceptional service , and grow by expanding our reach and impact.… more
    Humana (10/02/25)
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  • Grievances and Appeals 3

    CenterWell (Carson City, NV)
    …or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically focus on methods, tactics ... **Required Qualifications** + 1 - 3 years of customer service experience + Less than 2 years of leadership...appeals experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read,… more
    CenterWell (10/03/25)
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  • Senior Clinical Programs Pharmacist

    CenterWell (Carson City, NV)
    …tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members + Previous management experience and ... Excel + Lean, 6 sigma experience and/or certification + Bilingual (English/Spanish) **Additional Information** WAH requirements: + Must have...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
    CenterWell (09/30/25)
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  • Case Manager, Registered Nurse

    CVS Health (NV)
    …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key… more
    CVS Health (10/02/25)
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