-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:30
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:29
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:29
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:28
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:27
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:27
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:26
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:25
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:24
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:21
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:18
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:14
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:11
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:07
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Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:04
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:01
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:58:00
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:59
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:59
-
Essential Duties and Responsibilities:
- Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed
- Interview and recommend hiring and promotion of contact center staff, through partnering with Talent Acquisition and Human Resources
- Develop work schedules and assign duties to direct report personnel to ensure efficiency
- Evaluate employees' job performance and recommend appropriate personnel action, including disciplinary action, performance improvement plans, and termination through partnering with Human Resources
- Discuss job performance concerns with employees to identify causes and issues and work closely with Human Resources on resolving problems
- Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get their rest & meal breaks
- Provide support and identify training needs and development opportunities, through weekly coaching sessions with direct reports
- Perform operational tasks to assure project and program service level requirements and goals are met, including analyzing direct reports' quality performance and trending call types, and providing coaching on a regular basis
- Participate in meetings and recommend changes to policies and procedures
- Assume leadership responsibility for departmental tasks and call center activities as required
- Support and enforce call center expectations
- Oversee the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
- Assist direct reports with escalated issues or cases as needed- Perform other duties as assigned by leadership
- Maintain a high level of confidentiality while performing all work tasks
- Perform other duties as assigned by leadership.
- Take call escalations as needed.
- Monitor and provide feedback as it pertains to the performance of Team Leads and Customer Service Representatives.
- Provide updates on performance data to Customer Service Representatives and Team Leads on a weekly basis.
- Maintain documented review of QA evaluations that fall below the established performance threshold.
- Ensure the individual and units are meeting and exceeding quality and service requirements.
- Complete monthly requirements of 2 documented coaching's and 2 quality checks per assigned agent.
- Supervisors will receive a monthly inspection on their Coaching/Genesys logs for compliance.
- Submit Team Lead time off request to Call Center Management for approval.
- Oversee the documentation of staff performance, one-on-one coaching sessions documented in supervisor coaching log and/or Workday.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree, or demonstrated ability to perform the role successfully.
- Experience supporting Marketplace (ACA) and Me...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:55
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Extensive documentation review and/or medical review experience.
- Possess ample medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT) codes, with exposure to applying actual costs and workers' compensation fee schedules in pricing medical items and services.
- Availability during core business hours EST Monday - Friday.
- Ability to commit to a training period with zero absences (to include pre-planned vacations).
- Ability to pass a Federal Suitability Clearance.
Preferred Skills and Qualifications:
- Bachelor's degree from an accredited institution in Nursing, Pharmacy (PharmD), or other healthcare-related clinical discipline.
- Active, valid RN licensure.
- Medicare Set-Aside Certified Consultant (MSCC) certification (obtainable within 3 months of hire).
- Medical/Utilization Review experience.
- Medicare Set-Aside Arrangement experience.
Additional Knowledge of:
- Healthcare Common Procedure Coding System (HCPCS) coding practices.
- Medicare coverage guidelines.
- Anatomy, physiology, and pharmacology.
- Clinical practice guidelines.
- Utilization review standards and pract...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:52
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Extensive documentation review and/or medical review experience.
- Possess ample medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT) codes, with exposure to applying actual costs and workers' compensation fee schedules in pricing medical items and services.
- Availability during core business hours EST Monday - Friday.
- Ability to commit to a training period with zero absences (to include pre-planned vacations).
- Ability to pass a Federal Suitability Clearance.
Preferred Skills and Qualifications:
- Bachelor's degree from an accredited institution in Nursing, Pharmacy (PharmD), or other healthcare-related clinical discipline.
- Active, valid RN licensure.
- Medicare Set-Aside Certified Consultant (MSCC) certification (obtainable within 3 months of hire).
- Medical/Utilization Review experience.
- Medicare Set-Aside Arrangement experience.
Additional Knowledge of:
- Healthcare Common Procedure Coding System (HCPCS) coding practices.
- Medicare coverage guidelines.
- Anatomy, physiology, and pharmacology.
- Clinical practice guidelines.
- Utilization review standards and pract...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:52
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Extensive documentation review and/or medical review experience.
- Possess ample medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT) codes, with exposure to applying actual costs and workers' compensation fee schedules in pricing medical items and services.
- Availability during core business hours EST Monday - Friday.
- Ability to commit to a training period with zero absences (to include pre-planned vacations).
- Ability to pass a Federal Suitability Clearance.
Preferred Skills and Qualifications:
- Bachelor's degree from an accredited institution in Nursing, Pharmacy (PharmD), or other healthcare-related clinical discipline.
- Active, valid RN licensure.
- Medicare Set-Aside Certified Consultant (MSCC) certification (obtainable within 3 months of hire).
- Medical/Utilization Review experience.
- Medicare Set-Aside Arrangement experience.
Additional Knowledge of:
- Healthcare Common Procedure Coding System (HCPCS) coding practices.
- Medicare coverage guidelines.
- Anatomy, physiology, and pharmacology.
- Clinical practice guidelines.
- Utilization review standards and pract...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:49
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Extensive documentation review and/or medical review experience.
- Possess ample medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT) codes, with exposure to applying actual costs and workers' compensation fee schedules in pricing medical items and services.
- Availability during core business hours EST Monday - Friday.
- Ability to commit to a training period with zero absences (to include pre-planned vacations).
- Ability to pass a Federal Suitability Clearance.
Preferred Skills and Qualifications:
- Bachelor's degree from an accredited institution in Nursing, Pharmacy (PharmD), or other healthcare-related clinical discipline.
- Active, valid RN licensure.
- Medicare Set-Aside Certified Consultant (MSCC) certification (obtainable within 3 months of hire).
- Medical/Utilization Review experience.
- Medicare Set-Aside Arrangement experience.
Additional Knowledge of:
- Healthcare Common Procedure Coding System (HCPCS) coding practices.
- Medicare coverage guidelines.
- Anatomy, physiology, and pharmacology.
- Clinical practice guidelines.
- Utilization review standards and pract...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:45
-
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Extensive documentation review and/or medical review experience.
- Possess ample medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT) codes, with exposure to applying actual costs and workers' compensation fee schedules in pricing medical items and services.
- Availability during core business hours EST Monday - Friday.
- Ability to commit to a training period with zero absences (to include pre-planned vacations).
- Ability to pass a Federal Suitability Clearance.
Preferred Skills and Qualifications:
- Bachelor's degree from an accredited institution in Nursing, Pharmacy (PharmD), or other healthcare-related clinical discipline.
- Active, valid RN licensure.
- Medicare Set-Aside Certified Consultant (MSCC) certification (obtainable within 3 months of hire).
- Medical/Utilization Review experience.
- Medicare Set-Aside Arrangement experience.
Additional Knowledge of:
- Healthcare Common Procedure Coding System (HCPCS) coding practices.
- Medicare coverage guidelines.
- Anatomy, physiology, and pharmacology.
- Clinical practice guidelines.
- Utilization review standards and pract...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-08-12 09:57:41
