- CVS Health (Richmond, VA)
- …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
- CareFirst (Fairfax, VA)
- …client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims or other ... planning and reviewing compensation actions; enforcing policies and procedures. + Develops call center , claims and or enrollment and billing systems by… more
- 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
- 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
- Humana (Richmond, VA)
- …considerable latitude in determining objectives and approaches to assignments. Performs on- call and implementation duties on nights and weekends as required. Humana ... technologies. + Strong experience supporting enterprise cloud, large-scale datacenters and remote sites. + Experience with Cisco networking equipment. + Experience… more
- Humana (Richmond, VA)
- …enrollment and eligibility, the State Agency (DMAS), Adult Protection Services, and call center operations. The Senior Consumer Experience Professional may ... market or regulatory compliance information, Grievance and Appeal information, call listening, member experience design, elimination and recognition of friction… more
- Healthfirst (VA)
- …community.** + Work experience with member outreach in a member services or call center environment preferred. + Work experience with healthcare background or ... **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
- Humana (Richmond, VA)
- …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 (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