- Daiichi Sankyo, Inc. (Bernards, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination with, and ... Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government contracts, trade/distribution agreements,… more
- TEKsystems (Wichita, KS)
- …Css, Cms, Customer service , Call center, Health care, Data entry, Insurance, Member service , Health plan, medicare Additional Skills & Qualifications: + ... and regulations. + Utilize appropriate resources to respond to member inquiries. Pay: $23-$24/hr Skills: Customer service ...and Asia. As an industry leader in Full-Stack Technology Services , Talent Services , and real-world application, we… more
- TEKsystems (Madison, WI)
- …Support, Css, Cms, Customer service , Call center, Health care, Data entry, Insurance, Member service , Health plan, medicare Top Skills Details: Customer ... Company's business, products, members and operations to accurately and effectively fulfill member service requests and inquiries. Ensure adherence to policies… more
- TEKsystems (Minneapolis, MN)
- …company's business, products, members and operations to accurately and effectively fulfill member service requests and inquiries. Ensure adherence to policies ... and procedures and meet service level expectations by following established guidelines and standards. Achieve fluency in at least one core product or service … more
- Geisinger (Danville, PA)
- …relationship with the Health Plan internal operational departments that facilitate excellent member services , ie enrollment. + Attends meetings as required. Work ... Plan and Geisinger Indemnity Insurance Company's (the Health Plan/GIIC) Medicare Lines of business. + Increases membership in the...(high speed, only - No DSL or Wireless Cellular Service or Satellite Service ) The minimum requirement… more
- Molina Healthcare (Bowling Green, KY)
- …including but not limited to, formulary information, copay amounts, pharmacy location services and prior authorization outcomes. + Assists member and providers ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services /Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company...you go document, and a Summary of Benefit). Customer Service + Ensures any/all concerns are addressed and resolved… more
- The Cigna Group (Denver, CO)
- …license + Mileage reimbursement provided **Job** **Summary:** The Provider Performance External Representative is a key member of the market that assists ... conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative 's responsibilities… more
- Trinity Health (Columbus, OH)
- …! **About the job:** In accordance with the Mission and Guiding Behaviors; the Member Service Representative responds to all consumer inquiries received by ... interdisciplinary care delivery system. + Complies with internal policies, Center for Medicare and Medicaid Services (CMS), Ohio Department of Insurance (ODI),… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Senior Contact Center Representative , you will be addressing and resolving complex member inquiries, providing detailed ... principle to maintain the highest standards of care and service + Resolve member inquiries with a...Medicare Advantage role, highly desired + Exceptional customer service and communication skills + Strong attention to detail… more
- Martin's Point Health Care (Portland, ME)
- …Avenue in Portland, Maine. This is not fully remote position. Job Description The Member Service Representative will interact and support our Health Plan ... standards and all regulatory requirements. + Works with the Member Service Representative II for...compliance requirements. + Performs administrative activities in relation to Member Services . + Maintains accurate information and… more
- InnovaCare (Guaynabo, PR)
- …the business. MMM Holdings, Inc.Job Description DEPARTMENT: CastellanaPOSITION: Customer Service Representative POSITION DESCRIPTION This position is responsible ... to work as a Customer Service Representative and serve as a primary...Service call center during normal operating hours.3. Documents member or provider information in system.4. Accomplish established metrics… more
- TEKsystems (Minneapolis, MN)
- …Medicaid, Customer service , Call center, Health care, Data entry, Insurance, Member service , Health plan, medicare Additional Skills & Qualifications: ... resolve and communicate effectively with internal and external customers regarding member /provider concerns or issues. Educate members and external customers on… more
- InnovaCare (San Juan, PR)
- …of Customer Service call center during normal operating hours. Documents member or provider information in system. Accomplish established metrics by the Call ... This position is responsible to work as a Plan Representative for Mental Health related benefits and serve as...benefits and serve as a primary liaison between enrolled Medicare beneficiaries and the organization in order to provide… more
- Humana (Orlando, FL)
- …our caring community and help us put health first** The Bilingual Consumer Service Operations Representative is responsible for the daily activities across ... Orlando, Tampa, and South Florida area The Bilingual Consumer Service Operations Representative + Handling a large...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- Humana (Hialeah, FL)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 is responsible for the daily activities across ... multiple service functions area. South Florida area The Consumer Service Operations Representative 2 + Data Entry and Review screenings for state and federal… more
- Spectrum Health Services (Philadelphia, PA)
- …This position is the first point of contact for the organization. The Patient Service Representative must have interpersonal skills and critical thinking to be ... in this position. The PSR serves as an important member of the Patient Centered Medical Home (PCMH) care...procedures + Working knowledge of medical insurance Keyword: Patient Services Representative (PSR) From: Spectrum Health … more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by ... and/or providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Enrollment Services Representative II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Customer Solution Center Enrollment Services Representative II is responsible to audit, research, update and… more
