Serve as a clinical pharmacy advisor to clients and internal teams, reviewing account-specific utilization and performance data and recommending strategies to improve clinical outcomes and manage drug costs. Support client presentations, sales and new-business processes, clinical program oversight, market analysis, and training for offshore pharmacists.
Coach, develop, and manage employees to meet account and organizational performance targets, using dashboards, coaching tools, action plans, and performance reviews. Handle escalated customer claims issues, communicate expectations, promote teamwork and compliance, and contribute to cross-functional improvement efforts.
Coach, train, and develop customer service representatives while managing performance, productivity, and accountability against client and organizational KPIs. Handle escalated customer calls, communicate expectations, promote teamwork and compliance, and lead continuous improvement across call center operations.
Handle incoming calls promptly and professionally while researching and providing effective resolutions to customer inquiries. Accurately document call details and communicate empathetically to meet team goals for quality and customer satisfaction.
You will provide consultative support to customers by assessing their needs and explaining Medicare and health plan options. You are responsible for building trusting relationships with members and guiding them toward the most appropriate insurance plans.
The Senior Manager of Operations is responsible for ensuring operational performance standards are met to drive client satisfaction, retention, and account profitability. They oversee daily operations, manage staff performance, and act as a liaison between the organization and clients to resolve issues and improve processes.
The supervisor will lead and motivate a remote team of telesales agents to meet performance goals and quality standards. They are responsible for providing real-time coaching, monitoring KPIs, and ensuring compliance with industry regulations.
The Process Consultant is responsible for reviewing and processing healthcare claims while maintaining high standards of accuracy and quality. They must also investigate claim-related issues and collaborate with cross-functional teams to ensure compliance with service level requirements.
The Associate Clinical Training Manager is responsible for executing training programs, monitoring learner performance, and ensuring clinical readiness through disciplined coordination and reporting. This role involves coaching trainers, managing training logistics, and escalating risks to ensure operational and quality standards are met.
The Credentialing Advocate supports the credentialing and recredentialing of healthcare providers by verifying credentials and maintaining accurate records. They also ensure compliance with regulatory standards and communicate with providers to resolve documentation discrepancies.
The Senior Manager of Operations is responsible for ensuring operational performance standards are met to drive client satisfaction, retention, and account profitability. They oversee daily operations, manage staff performance, and act as a liaison between the organization and clients to resolve issues and improve service quality.
The Assistant Manager of Operations provides leadership and coaching to senior supervisors to ensure account performance and financial profitability. They are responsible for monitoring operating statistics, implementing process improvements, and optimizing staffing to meet client and organizational goals.
Collaborate with stakeholders to analyze business requirements and develop data-driven solutions for decision-making. Design and implement predictive models and machine learning algorithms to improve operational efficiency, fraud detection, and customer experience.
The Credentialing Specialist is responsible for verifying provider credentials, maintaining accurate databases, and ensuring compliance with regulatory standards. They also manage re-credentialing applications and communicate effectively with providers regarding their status.
Care Coaches support adult patients by conducting health assessments and gathering patient information to help them navigate healthcare needs. They also facilitate care coordination, educate patients on benefits, and maintain accurate documentation within electronic systems.
The Senior Care Specialist will conduct telephonic health assessments and develop individualized care plans for members with chronic conditions. They will also coordinate care services, provide health coaching, and collaborate with multidisciplinary teams to improve health outcomes.
Conduct telephonic health assessments and develop individualized care plans for members with chronic or complex health conditions. Collaborate with multidisciplinary teams to coordinate care, provide health coaching, and support transitions of care.
Conduct telephonic health assessments and develop individualized care plans for members with chronic or complex health conditions. Collaborate with multidisciplinary teams to coordinate care, provide health coaching, and support transitions of care.
Conduct telephonic health assessments and develop individualized care plans for members with chronic and complex health conditions. Collaborate with multidisciplinary teams to coordinate care, provide health coaching, and support transitions of care.
Conduct telephonic health assessments and develop individualized care plans for members with chronic or complex health conditions. Collaborate with multidisciplinary teams and healthcare providers to coordinate care, support transitions, and promote improved health outcomes.
The Care Specialist handles inbound and outbound calls to process requests, conduct enrollment projects, and perform customer satisfaction surveys. They are responsible for routing messages to clinical staff, maintaining accurate patient charts, and ensuring all actions comply with HIPAA standards.
The supervisor will lead and motivate a remote team of telesales agents to meet performance targets and quality standards. They are responsible for providing real-time coaching, managing team schedules, and ensuring compliance with healthcare regulations.
The Program Management Support role is responsible for translating client requirements into production floor activities and managing supervisory teams to ensure operational efficiency. This position also oversees clinical management functions, quality compliance, and staff development to meet account performance and profitability objectives.
Lead and motivate a remote team of telesales agents to meet and exceed performance targets. Monitor KPIs and provide real-time coaching to improve sales behaviors and conversion rates.
The Sales Coach drives the performance of the sales team through individualized coaching, training, and the development of actionable feedback plans. They analyze performance data to identify trends and partner with leadership to implement strategies that boost productivity and efficiency.
The Supervisor is responsible for coaching and developing customer service representatives to meet and exceed client KPIs and CPIs. They manage employee performance through monitoring tools, handle escalated customer claims, and drive continuous improvement efforts within the call center.
