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Qualfon

Remote Job Openings at Qualfon (38)

Payroll Manager

United States $80000 - $90000 per year 5-10 yrs exp Finance

The Payroll Manager oversees end-to-end payroll operations for a large, multi-state workforce while ensuring regulatory compliance and financial accuracy. This role also involves leading a team of specialists, managing vendor relationships, and driving process improvements through automation and standardization.

Licensed Insurance Agent - Property & Casualty- Remote

United States $22.5 per hour 0-2 yrs exp Others

The role involves responding to inbound inquiries regarding personal lines insurance, including quotes, billing, and policy changes. You will collaborate with carriers and internal teams to resolve issues while maintaining high service quality and compliance standards.

Medi-Cal Claims Processing Specialist

United States $24 per hour 2-5 yrs exp Others

The specialist is responsible for reviewing and resolving suspended Medi-Cal claims while ensuring accuracy and adherence to regulatory policies. They must verify member eligibility, correct claim errors, and maintain strict HIPAA compliance throughout the adjudication process.

DIRECTOR, WORKFORCE MANAGEMENT

Philippines 10+ yrs exp Others

The Director of Workforce Management is responsible for overseeing planning, scheduling, and real-time management across centralized facilities to optimize production and financial targets. They lead a diverse team of professionals, driving standardization and continuous improvement in WFM processes to enhance client experience.

AI Solution Architect

United States $100K - $120K per year 5-10 yrs exp Software Development

The AI Solution Architect will own the AI relationship for external clients, serving as the primary point of accountability for AI strategy and adoption. They will translate AI capabilities into business value, design adoption roadmaps, and partner with Sales and Operations teams to drive revenue and client success.

Bilingual Seasonal Call Center Representative- New Mexico

United States $19.5 per hour 0-2 yrs exp Support

Handle incoming and outbound calls to assist members and providers with inquiries while documenting interactions in a CRM system. Collaborate with team members and supervisors to resolve customer service concerns and maintain accurate account records.

Bilingual Seasonal Call Center Representative- Arizona

United States $19.5 per hour 0-2 yrs exp Support

Handle incoming and outbound calls to assist members and providers with inquiries while maintaining accurate records in a CRM system. Collaborate with team members and supervisors to resolve customer service concerns and ensure service level agreements are met.

Bilingual Call Center Representative

United States $23 per hour 0-2 yrs exp Support

The representative will handle incoming and outbound calls to assist members and providers with inquiries while documenting interactions in a CRM system. They are responsible for resolving customer service concerns and maintaining accurate account records.

Vice President, Strategic Account Management

United States $140K - $160K per year 10+ yrs exp Others

The Vice President of Strategic Account Management is responsible for retaining and expanding relationships with key healthcare clients while serving as the primary executive point of accountability. This role involves leading cross-functional teams to ensure operational excellence, driving revenue growth, and positioning AI-enabled solutions to improve patient outcomes.

LEAD ANALYST, GLOBAL OPERATIONS (ITAM SAM & CMDB Lead Administrator)

Philippines 2-5 yrs exp Others

The Lead Analyst will administer and configure ITSM, ITAM, SAM, and CMDB platforms while ensuring data accuracy and governance. They will also oversee hardware and software lifecycles, manage discovery processes, and coordinate with cross-functional teams to optimize operational efficiency.

Remote Seasonal Customer Service Representative OK

United States $15 per hour 0-2 yrs exp Support

The representative will handle inbound and outbound calls to address customer inquiries regarding benefits and claims. They are responsible for documenting encounters in the tracking system and maintaining a professional demeanor while multi-tasking across various applications.

Remote Seasonal Customer Service Representative NC

United States $15 per hour 0-2 yrs exp Support

The representative will handle inbound and outbound calls to address customer inquiries regarding dental benefits and eligibility. They are responsible for documenting all encounters in the tracking system and forwarding complex issues for priority resolution.

Remote - Service Dispatch Representative

United States $14.5 per hour 0-2 yrs exp Others

The dispatcher coordinates field operations by managing technician schedules and monitoring job queues to ensure timely service resolution. They also communicate job updates to customers and internal teams while documenting status changes in various tracking systems.

Healthcare Claim Processor

United States $17.5 per hour 2-5 yrs exp Healthcare

The Healthcare Claim Processor is responsible for reviewing, processing, and adjudicating suspended Medi-Cal claims to ensure accurate and timely payment. They must evaluate member eligibility, interpret medical records, and resolve billing discrepancies while maintaining HIPAA compliance.

Remote Seasonal Customer Service Representative SC

United States $15 per hour 0-2 yrs exp Support

The representative will handle inbound and outbound calls to address customer inquiries regarding dental benefits and eligibility. They are responsible for documenting encounters in the tracking system and forwarding complex issues for priority resolution.

Remote Health Insurance Sales and Enrollment Agent

United States $25 per hour 0-2 yrs exp Sales

The agent will handle inbound and outbound calls to assist consumers with health insurance enrollment while maintaining compliance with CMS and company standards. They are responsible for building customer relationships, conducting needs-based consultations, and meeting daily sales and quality goals.

Senior Benefits Analyst

United States $75000 - $85000 per year 5-10 yrs exp Finance

The Senior Benefits Analyst manages the strategic planning, administration, and compliance of company-wide employee benefits programs. This role also oversees vendor relationships, data integrity in HRIS systems, and provides guidance to employees and leadership regarding benefits strategy.

MANAGER, FINANCE

Philippines 5-10 yrs exp Finance

The Finance Manager serves as a senior partner to regional leadership, overseeing financial narratives, budgeting, and forecasting to drive EBIT and operational performance. They lead financial performance reviews, manage portfolio-level financial health, and direct the work of Operations Analysts while coordinating with cross-functional teams.

Extended Service Contract Sales Representative

United States $20 per hour 2-5 yrs exp Sales

The representative will handle inbound calls to educate customers on extended service contracts and recommend tailored coverage solutions. They are also responsible for documenting interactions, meeting sales KPIs, and acting as a brand ambassador.

Seasonal Call Center Representative

United States $21 per hour 0-2 yrs exp Support

The representative will handle incoming and outbound calls to address member and provider inquiries while documenting interactions in a CRM system. They are responsible for resolving customer service concerns and maintaining accurate account records according to established service level agreements.

Remote Seasonal Health Insurance Sales and Enrollment Agent

United States 2-5 yrs exp Sales

Handle inbound and outbound calls to assist consumers with individual health insurance enrollment under age 65. Conduct needs-based consultations and maintain accurate documentation in CRM systems while meeting sales and quality goals.

SENIOR ANALYST, PROCESS OPTIMIZATION ENGINEERING

Philippines 5-10 yrs exp Others

The role focuses on identifying process improvement opportunities and designing transformative solutions for internal and external clients. It involves leading process redesign workshops, conducting audits, and presenting strategic results to executive-level stakeholders.

SENIOR ANALYST, POET

Philippines 5-10 yrs exp Others

The role focuses on identifying process improvement opportunities and designing transformative solutions for internal and external clients. It involves leading process redesign workshops, conducting audits, and presenting strategic results to executive-level stakeholders.

SPECIALIST II, WORKFORCE MANAGEMENT

Philippines 0-2 yrs exp Others

The role focuses on real-time intraday analysis, reporting, and monitoring staffing levels to ensure operational efficiency. Responsibilities include managing agent adherence, handling system downtime communications, and optimizing queue and skill plans.

SPECIALIST II, WORKFORCE MANAGEMENT

Philippines 0-2 yrs exp Others

The role focuses on real-time intraday analysis, reporting, and monitoring staffing levels to ensure operational efficiency. Responsibilities include managing agent adherence, handling system downtime communications, and optimizing queue and skill management.