• Remote Medicaid Call…

    CVS Health (Richmond, VA)
    …Guidelines. **Required Qualifications** Demonstrated leadership abilities. Experience with inbound call center operations. **Preferred Qualifications** - 2 years ... - Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer service. Is visible and… more
    CVS Health (09/02/25)
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  • Manager, IFG Agnostic Call Center

    Humana (Richmond, VA)
    …first** We are seeking a dynamic and results-driven Sales Manager to lead our Agnostic Call Center Sales Team within the IFG line of business. This leader will ... proven ability to achieve and exceed key performance metrics in a fast-paced, remote sales environment. The Agnostic Sales Manager leads and grows an internal sales… more
    Humana (09/09/25)
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  • Field Medical Director, Interventional Cardiology…

    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
    Evolent (07/30/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Richmond, VA)
    …+ Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Call center or triage experience + Bilingual is a plus **Work-At-Home ... and to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (08/09/25)
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  • Bilingual Reimbursement Specialist

    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
    Cardinal Health (09/03/25)
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  • Clinical Reviewer, Nurse

    Evolent (Richmond, VA)
    …process at first call while promoting a supportive team approach with call center staff. Clinical Reviewers are supported by Field Medical Directors (MDs) ... state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"...wired connection to their home network to ensure effective remote work. These requirements may be updated as needed… more
    Evolent (08/19/25)
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  • Senior Data Manager

    Humana (Richmond, VA)
    …or C#, JAVA (script), Python, R, SAS, SPSS, QlikView, Hadoop, and/or SQL + Call Center experience a plus. + Genesys platform experience a plus. **Work-At-Home ... the information into the application at Humana's secure website. \#LI- Remote Travel: While this is a remote ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (09/10/25)
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  • Grievances and Appeals 3

    Humana (Richmond, VA)
    …consumer experiences **Preferred Qualifications** + Associate's or Bachelor's Degree + Previous inbound call center or related customer service experience + 1 - ... interact with geriatric population **Additional Information** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings… more
    Humana (09/09/25)
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