• 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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  • Medicaid Provider Customer Service…

    CVS Health (Olympia, WA)
    …for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research on multiple platforms to assist providers with ... answer the unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer service threshold framework to… more
    CVS Health (08/16/25)
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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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  • Indiana Medicaid Inbound Contact Rep

    Humana (Indianapolis, IN)
    …part of our caring community and help us put health first** The Indiana Medicaid Inbound Contacts Representative 2 represents the company by addressing incoming ... telephone, digital, or written inquiries. The Indiana Medicaid Inbound Contacts Representative 2 performs varied...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (09/05/25)
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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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  • Manager, Fraud and Waste * Special Investigations…

    Humana (Annapolis, MD)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... experiences **Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations + Certifications (BA, MBA, JD, MSN, Clinical Certifications,… more
    Humana (09/05/25)
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  • Remote Customer Service…

    CVS Health (Charleston, 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 (09/04/25)
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  • Medical Records Retrieval Representative

    Humana (Oklahoma City, OK)
    …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 (09/11/25)
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  • Navicare Inside Sales Representative…

    Fallon Health (Worcester, MA)
    …care and are continually rated among the nation's top health plans for member experience, service , and clinical quality. Fallon Health's NaviCare is a ... **Overview** **The Inside Sales Representative position is working M - F 9:00...is an excellent opportunity for someone with a customer service or call center background. This position will require… more
    Fallon Health (09/10/25)
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  • Customer Care Representative

    Elevance Health (WV)
    Customer Care Representative **Location:** **Virtual MUST Reside in West Virginia** : This role enables associates to work virtually full-time, with the exception of ... 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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