Tag Archives: telecommute

Marketing Administrator (Marketing Comm Sr Assoc) QualCare

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Marketing Administrator (Marketing Comm Sr Assoc) QualCare

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Description

Marketing Administrator is responsible for supporting the marketing operations by assisting the marketing department in the development and execution of Company’s marketing and communication programs, and by carrying out the daily tasks to keep the department functioning.
• Supports marketing department by assisting with proposals, presentations, and mailings and product brochures.
• Maintains marketing materials by checking and replenishing inventory.
• Provides marketing tracking and research information by collecting, analyzing, and summarizing data and trends.
• Support communication and logistics for events, trade shows, mailings and related activities via telephone and email.
• Assist the Marketing Manager with the implementation of a complete marketing program and marketing initiatives.
• Responsible for Company website organization and updates.

Qualifications

Requirements include:
Bachelor’s degree Bachelor’s degrees with a focus in marketing, communication or administration preferred
2-4 years minimum marketing experience required, preferably in a healthcare environment
Strong Communication skills are required
Proficiency in MS Office is required
Effective project management skills are required
Sound understanding of marketing principles is required
Strong administrative and organizational skills are required

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Provider Contract Negotiator – OH or PA

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Provider Contract Negotiator – OH or PA

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This position serves as an integral member of the Provider Contracting Team. This resource will report directly to the Contracting Lead/Manager and will assist in developing the strategic direction and management of the day to day contracting activities for a given territory.

DUTIES AND RESPONSIBILITIES

-Manages contracting with providers (e.g. physicians, ancillary facilities)-Specific responsibilities include, but are not limited to: strategic positioning for contracting with providers and developing networks in outlying areas

-Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.

-Conducts negotiations and drafts individual and group contracts.

-Ensures the smooth operation and administration of provider agreements.

-Track financial performance of contracts and ensure compliance with contracting guidelines.

-Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated and sensitive issues.

-Other projects and duties as assigned.

-Responds to provider inquiries, concerns, complaints, appeals and grievances.

-Initiates and maintains effective channels of communication with providers and related office staff.

-Researches and reconciles based on HCP requests (received directly and indirectly)

-Maintains databases that support specific contract terms/needs (such as P4P, etc)

-In-house point of contact for contracting calls (responds and distributes as necessary)

-Receives/responds/distributes incoming mail

-Maintains departmental contract files

-Maintains departmental supplies/needs

-Manages, researches and responds to letters of interest and changes from providers. Directs nonstandard, more complex requests to contracting lead.

-Maintains and coordinates with matrix partners on recruitments and fee schedule grids.

-Manages Regional Lead Travel, Expenses and Scheduling as needed

-Demonstrates knowledge of Providers in assigned geographic area. Understands interrelationships among providers in local market.

-Respond to provider inquiries and instructions regarding provider data in Cigna systems.

-Coordinate these provider interactions with Provider Relations Representatives and Matrix Partners as necessary.

-Communicate provider demographic and reimbursement information to PDM for loading into Cigna systems.

-Initiates and maintains effective channels of communication with matrix partners, particularly with provider services staff in the field.

Qualifications

-Bachelor’s degree preferred
-Two to three years contracting and negotiating experience involving complex delivery systems and organizations.
-Strong analytical skills
-Knowledge of hospital and managed care finance.
-Strong written and verbal communication skills and experience with formal presentations.
-Superior problem solving, decision-making and negotiating skills.
-Ability to use PC software and multiple Cigna systems
-Team player with proven ability to develop strong working relationships within a matrix organization.

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Billing/Premium Senior Associate

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Billing/Premium Senior Associate

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Role Summary:

In the Premium Analyst II role, you will be responsible for providing world class customer service to our clients. You will interact regularly with internal and external customers and partners as it relates to client invoicing, account reconciliation and collections. This role requires analyzing complex client data to reconcile and resolve discrepancies.

Responsibilities/Core functions:

• Manage assigned portfolio of complex client accounts
• Perform tasks related to collections processes and procedures
• Perform tasks related to review of client AR for preparation of necessary adjustments/disbursements to submit to processing team
• Research/respond to billing or payment inquiries within established turnaround times. Escalate issues as needed.
• Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
• Facilitates conference calls or meetings with internal and external parties
• Extensive research related to member eligibility and rate variances
• Prepare necessary adjustments to resolve member level discrepancies identified in reconciliation process
• Build effective relationships with internal and external partners
• Handle special billing or report requests
• Analyze client data utilizing various reports and resources
• Prepare and distribute Schedule A & C tax forms
• Coordinate various activities to ensure compliance with tax regulations

Billing Specialist (Band 2)

Responsibilities/Core functions:

– Manage the day to day Billing schedule and work with internal partners to ensure all groups are invoiced in accordance with their pre-established invoicing schedule
-Work with internal partners to provide pre-bills for groups who are being implemented or experiencing a rate change as part of the Renewal/ Maintenance process
-Work with the Premium Team and Benefits Teams each month to ensure that group cancellations are processed within the appropriate timeframe
-Place bills on hold upon request and actively follow up with internal partners until the bills are released
-Responsible for the daily maintenance of the Analyst Listing on SharePoint as well as ARCUS
-Work with other internal partners to facilitate the testing for invoice enhancements or template changes (please note, that this may involve occasional after hours production check-outs)
-Ensure that all invoices are successfully dispatched systematically and work with IT to trouble-shoot any invoices whose dispatch may have failed
-Distribute returned hard copy invoices to the Premium Team on a regular basis
-Manage the billing inbox and all requests that are received on a daily basis
-Prepare and deliver pre-established Billing reports for internal partners each month

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

eFolks Financial Solutions Agents

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Some responsibilities include:
eFolks hiring Financial Solutions Agents

Responsibilities:

Make outbound calls (never cold calling) to potential clients and provide them an “Outrageous Client Experience”
Maintain a high level of customer service expertise
Work directly with customers over the phone to provide personalized credit solutions
Maintain determination, interest and ability while working at home
Participate in and apply weekly coaching/feedback to ensure your success
Resolve customer concerns by utilizing effective listening and critical thinking skills
Express the value of our services to customers by aligning our services with our customers’ needs

Qualifications:

*must live within 45 miles of our Provo or West Valley office**

Customer Service Experience
Sales Skills
Call Center Experience; 6+ months
High speed Internet connection
Extremely quiet work space
Typing speed of 20 WPM or greater
Ability to navigate Microsoft Windows efficiently and maintain your computers health
Stable, relevant work history
Able to work independently
Ability to listen to customer challenges, provide assistance to-wards a potential resolution, and drive overall sales
High level of professionalism, maturity, honesty, and drive, with a passion to excel
Excellent communication, problem solving skills and multi-tasking abilities

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Medical Transcriptionist-Glen Allen, Virginia-FT

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Medical Transcriptionist-Glen Allen, Virginia-FT

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The responsibilities of this job include, but are not limited to, the following:
Accurately transcribing physician’s dictation of medical office visits, including incoming correspondence and x-rays;
Proofreading and correcting documents for spelling, grammar, and physician errors.

Minimum education and professional requirements include, but are not limited to, the following:
High school graduate or equivalent;
At least three years of medical transcription experience in a hospital or specialty setting (preferred);
Must be self-motivated and self-disciplined in order to work at home office without direct supervision;
Must be able to accurately type more than 65 words per minute;
Must be able to meet a minimum line count of 7000 lines per week;
Must have basic computer skills with a firm understanding of Windows, Microsoft Word, and Internet Explorer.
In order to be considered for this position, all applicants must complete a transcription skills assessment by clicking here. This skills assessment must be completed in addition to the application for this position, which is accessible by clicking the “Apply Now” button below. Applicants who do not complete both the skills assessment and the application will not be considered for an interview.

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Mail Order Pharmacist – Customer Service and Prescription Review/Research

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Mail Order Pharmacist – Customer Service and Prescription Review/Research

Some responsibilities include:

Description

Work Schedule:

This is a 4 10-hour Weekend Work Schedule.

· Friday: 11:30am-10:00pm CST

· Saturday: 8:00am-6:30pm CST

· Sunday: 8:00am-6:30pm CST

· Monday: 11:30am-10:00pm CST

Responsibilities:

· Interpret and validate written, electronic, verbal, and fax prescriptions within regulatory and company guidelines

· Complete a review of all pertinent patient information and medication history prior to dispensing medication

· Screen the accuracy and clinical appropriateness of prescription orders

· Contact physicians via telephone or fax for clarification of prescriptions

· Take calls from customers and physicians requesting counselling, education, clarification, order completion, or drug information

· Resolve any questions or concerns resulting from customers, physicians, or other health care professionals

· Answer phone inquiries in a timely and accurate manner

· Maintain production and quality service levels

· Vary work priorities and activities to accommodate business needs

· Provide input and feedback on potential efficiency improvements

Qualifications

US Candidates Only: Qualified applicants will be considered for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. If you require a special accommodation, please visit our Careers website or contact us at SeeYourself@cigna.com.

Qualifications:

· Bachelor’s degree in Pharmacy or PharmD degree from an accredited school of pharmacy

· Active Pharmacy license in Pennsylvania or South Dakota with no restrictions

· Experience in clinical pharmacy work within the pharmacy profession

· Excellent interpersonal skills and ability to communicate clearly and effectively

· Appropriate computer skills for the position (Microsoft Office)

· Handle and prioritize multiple tasks in a fast paced environment

· Commitment to excellence in customer service and patient care

· Flexibility to adapt to in a dynamic team environment

· Strong work ethic, with attention to detail and quality

· Positive and proactive attitude

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Efolks- Work from Home

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Efolks- Work from Home

Some responsibilities include:

What We Offer:

$10.00 per hour + bonus opportunities
We provide you with all equipment necessary
Warm leads – no cold calling
Work from Home Opportunity
Health and wellness benefits after 60 days of employment
401(k)/Roth IRA with company match (vesting after 1 year)
Free credit repair for you and a Plus One
Growth/advancement opportunities
Convenient locations in West Valley City, close to the Maverick Center and in Provo, on Freedom Blvd.
Top performers of 2016 get an all expenses paid, all inclusive, luxury 1 week vacation to Wild Orchard Jamaica for themselves and a plus one!

Responsibilities:

Make outbound calls (never cold calling) to potential clients and provide them an “Outrageous Client Experience”
Maintain a high level of customer service expertise
Work directly with customers over the phone to provide personalized credit solutions
Maintain determination, interest and ability while working at home
Participate in and apply weekly coaching/feedback to ensure your success
Resolve customer concerns by utilizing effective listening and critical thinking skills
Express the value of our services to customers by aligning our services with our customers’ needs

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Scrum Master

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Scrum Master

Some responsibilities include:

Qualifications

Role Essentials

Bachelor’s Degree in Computer Science, Engineering or a related technical field
Experience with the SDLC
Excellent communication skills, leadership competencies, and high level of emotional intelligence
Experience working in an Agile Scrum environment or good familiarity with the Agile methodologies
IT software development project management or leadership experience
Experience with the SDLC
Excellent communication skills, leadership competencies, and high level of emotional intelligence
Experience working in an Agile Scrum environment or good familiarity with the Agile methodologies
Advanced knowledge of Agile/Scrum development methodology

Role Desirables

Prior insurance operations background
Technical documentation abilities
Advanced knowledge of Agile/Scrum/Kanban development methodology
Working knowledge of Agile Project Management Tools
Scrum Master certification
Previous experience planning and managing large projects
Prior experience in the health solutions industry
Working knowledge of Agile Project Management Tools
Scrum Master certification
Previous experience planning and managing large projects
Prior experience in the health solutions industry
Salesforce.com Certifications
Salesforce.com Certified Force.com Developer
Salesforce.com Certified Administrator
Salesforce.com Certified Service Cloud Consultant

Reporting Relationships

You will report to a Technology Manager. This area is under the leadership of the SVP & Chief Information Officer.

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Inside Sales Representative – Foodservice at IAC

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Inside Sales Representative – Foodservice at IAC

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This position is full time and allows for a defined, yet reasonably flexible work schedule. It is a home office-based position allowing the successful candidate to avoid the time, money and stress associated with a daily commute!

IAC provides all the necessary hardware, software, telephony, and connectivity, so that the experienced Inside Sales Representative can focus on what he or she does best. We utilize Salesforce.com, the world-class Customer Relationship Management (CRM) software, to manage the entire sales cycle for our clients.

Our Inside Sales Representatives manage an active sales pipeline, creating opportunities and increasing customer demand for our clients’ products. We provide a valuable service to well-established companies with long-term customers. Our success is measured by the number of successful sales we generate, in addition to our clients’ overall business growth.
SKILLS & EXPERIENCE:

Inside Sales experience in B2B markets

Proven ability to reach and even surpass sales goals

Experience working with different channels of distribution

Ability to self-manage, i.e. to work unsupervised from home

Previous experience working with CRM systems (Salesforce.com, Microsoft Dynamics, Sugar CRM, Siebel, ACT, Goldmine, or another comparable system)

A college degree is strongly preferred

You must have a high-speed Internet connection in order to work with our hardware and software systems.

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!

Customer Service Representative – Part-time Work at Home

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Customer Service Representative – Part-time Work at Home

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Role Summary/Purpose: We are looking for Customer Service professionals to join GE Appliances. Our Core Team professionals provide world class customer experiences for our Area Sales Managers (Outside Sales Representatives) and our customers by taking incoming calls, processing orders and completing the order/delivery process. This is a part-time work at home opportunity (19 hours per week). This position does not qualify for benefits.

Essential Responsibilities:

Process retail and contract customer orders for GE Appliances; support Specialty Teams as needed.
Work with ASM’s (Field Sales Reps), Customers, Logistics and SDS’s to ensure smooth deliveries to all accounts.
Research, troubleshoot and/or analyze customer issues and bring to resolution.
Handle incoming team calls, review website data, manage emails and release diverted orders for the teams.
Provide customer information on product availability, delivery, billing and finance processes.
Provide customer education on product features and specifications.
Be able to maintain a work schedule during the hours of 9:00am – 8:30pm Monday-Friday.
Be able to attend a 6 (six) week training class upon being hired during the hours of 8:30am-5:00pm, Monday – Friday.
Live the Louisville, KY metro area. Customer Service Representatives will be required to attend training and periodic meetings in GE Appliances’ Forum office.
Relocation provided: No.

To find out more visit Indeed.com and search for the position title and company. Apply now. Jobs go fast!