Work From Home Customer Service (Entry Level) Globe Life AIL - Lisa RusselWork From Home Customer Service (Entry Level)Bellingham, WARemoteFull timeWith 100% remote flexibility, world-class mentorship, and a leadership-driven culture, AO provides the tools and environment high performers need to thrive—both professionally and financially. AO is seeking driven, ambitious professionals ready to step into a leadership-focused role within a fast-growing, fully remote organization.
Work From Home Customer Service (Entry Level) - Globe Life AIL Lisa RusselWork From Home Customer Service (Entry Level) - Globe Life AILBellingham, WashingtonRemoteWith 100% remote flexibility, world-class mentorship, and a leadership-driven culture, AO provides the tools and environment high performers need to thrive—both professionally and financially. AO is seeking driven, ambitious professionals ready to step into a leadership-focused role within a fast-growing, fully remote organization.
Remote Care Management Nurse Cambia Health SolutionsRemote Care Management NurseBurlington, WARemoteFull timeAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed - all in service of creating a person-focused health care experience.
Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianBurlington, WARemote$20.50–$30.80 / hourAssist with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices; investigate and organize workflow for claims referred to Pharmacy Services for review and allowable determination including miscellaneous J codes, providers on review, and reconsiderations. Support wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement; contribute to and support the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward quality improvement efforts.
Temporary Customer Service Professional I Cambia Health Solutions IncTemporary Customer Service Professional IBurlington, WARemote$19–$22.25 / hour6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.
Utilization and Care Management Nurse Cambia Health Solutions IncUtilization and Care Management NurseBurlington, WARemote$34.20–$55.70 / hourAs a member of the Clinical Services team, our Utilization and Care Management Nurses provide utilization and care management (such as prospective concurrent, retrospective review, post-discharge care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services - all in service of making our members' health journeys easier. Must have at least one of the following: Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Masters' degree in Behavioral Health preferred for behavioral health); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management).
Clinical RFP Coordinator Cambia Health Solutions IncClinical RFP CoordinatorBurlington, WARemote$76,500–$103,500 / yearAs a member of the Clinical Program Management team, the Clinical RFP Coordinator & Communications Specialist partners with the Marketing and Sales teams by representing clinical areas of the company in business acquisition and retention opportunities. What You Will Do at Cambia: Facilitates responses to RFPs, RFIs, and surveys for clinical areas in collaboration with sales bid response teams and other divisions to ensure timely delivery of high-quality responses.
Utilization Management Inpatient Clinical Specialist Cambia Health Solutions IncUtilization Management Inpatient Clinical SpecialistBurlington, WARemote$25.90–$37.30 / hourWhat You Will Do at Cambia: You'll utilize clinical knowledge and critical thinking to research and review IP UM requests, ensuring completeness of information and taking action to obtain necessary details, while also completing non-clinical tasks to close cases accurately and efficiently. You'll perform detailed research and problem-solve using sound decision-making skills to ensure IP UM case accuracy and completeness, and contribute to continuous improvement by identifying opportunities for improvement within systems and workflows.