Customer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only) TriWest Healthcare AllianceCustomer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only)Charleston, SCRemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Supervisor, Contact Center TriWest Healthcare AllianceSupervisor, Contact CenterCharleston, SCRemoteFull timeEnsures accurate completion of VA-approved medical authorizations, appointment scheduling, thorough documentation of all Veteran and provider encounters in the TriWest medical management system and receipt of timely medical documentation from network providers. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
NewBe Your Own Boss, Backed by a Team Griffin AgencyBe Your Own Boss, Backed by a TeamSummerville, SCRemoteClient Fulfillment: As a client advisor you will have access to our technology driven CRM to connect with clients who have requested a consultation, the automation will set a virtual appointment from home or anywhere to help them apply for the best plan for their needs. You may qualify for an agency contract, which gives you full ownership of your permanent residual income stream Expectations: This position is remote and combines the freedom and tax benefits of being an independent contractor, with the ongoing support and coaching from our team of experts who will help you every step of the way.
NewWorksite Executive Disability Re-Enrollment and Client Consultant Massachusetts Mutual Life Insurance CompanyWorksite Executive Disability Re-Enrollment and Client ConsultantCharleston, SCRemote$88,300–$115,900 / yearYour primary responsibility will be to work directly with our producers and existing customers to identify growth opportunities, support benefit re-enrollments and be stewards of key producer and client relationships. Networking opportunities including access to Asian, Hispanic/Latinx, African American, women, LGBTQIA+, veteran and disability-focused Business Resource Groups.
NewYour Income Shouldn't Have a Ceiling Griffin AgencyYour Income Shouldn't Have a CeilingMount Pleasant, SCRemoteClient Fulfillment: As a client advisor you will have access to our technology driven CRM to connect with clients who have requested a consultation, the automation will set a virtual appointment from home or anywhere to help them apply for the best plan for their needs. You may qualify for an agency contract, which gives you full ownership of your permanent residual income stream Expectations: This position is remote and combines the freedom and tax benefits of being an independent contractor, with the ongoing support and coaching from our team of experts who will help you every step of the way.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMCharleston, SCRemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
New1099 Commission-Based Recruiter KC Elite Staffing1099 Commission-Based RecruiterNorth Charleston, South CarolinaRemote$50–$60 / hourCandidate Sourcing: Use your network, LinkedIn, job boards, and social media to identify qualified candidates for open roles across our split platform network. This role is built for self-directed recruiting professionals who want to maximize their earning potential on a flexible, fully remote schedule — with no cap on what you can earn.
NewVirtual - Member Care Representative AO Garcia AgencyVirtual - Member Care RepresentativeMount Pleasant, South CarolinaRemoteWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. You are paired with a growing team, given tools and mentorship, and expected to enroll and support clients who asked for guidance.
New100% Remote Client Relations Specialist AO Garcia Agency100% Remote Client Relations SpecialistGoose Creek, South CarolinaRemoteWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. You are paired with a growing team, given tools and mentorship, and expected to enroll and support clients who asked for guidance.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerCharleston, SCRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystCharleston, SCRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Online Research Panel Participant - Charleston, SC Maxion CorpOnline Research Panel Participant - Charleston, SCCharleston, South CarolinaRemoteMaxion Research invites people in Charleston, SC to join an online research panel and be considered for optional surveys, interviews, focus groups, and product-feedback studies. Research activities may include completing online questionnaires, joining remote discussions, testing concepts, or sharing opinions about products and services.
NewProgram Integrity Clinical Spc TriWest Healthcare AllianceProgram Integrity Clinical SpcCharleston, SCRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Account Executive, Cybersecurity, remote in the EST Planet Green SearchAccount Executive, Cybersecurity, remote in the ESTCharleston, South CarolinaRemoteThe platform discovers exposures across 40+ tools customers already own, plans the fix, simulates business impact before anything ships, executes in production, and rolls back automatically if anything looks wrong. Status quo in their numbers: hours burned, headcount trapped in tickets, wasted tool spend, open risk.
NewTRICARE Customer Service Rep TriWest Healthcare AllianceTRICARE Customer Service RepCharleston, SCRemoteFull timeAccurately and professionally answer health care inquiries and provide resolutions to TRICARE beneficiaries & providers over the phone, chat, email or other written correspondence. • Effectively and professionally answer customer inquiries by taking ownership of issues, utilizing sound judgement and the tools at your disposal to resolve customer issues on the initial contact.
Senior Sales Representative - Pelvic Health- Charleston, SC MedtronicSenior Sales Representative - Pelvic Health- Charleston, SCCharleston, South CarolinaRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). We seek out and hire a diverse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader —that’s why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients.
Security Engineer SoteriaSecurity EngineerCharleston, South CarolinaRemoteRelevant certifications such as CISSP, CCNA or higher, MCSE, VCP, RHCSA or higher, AWS SysOps Admin, Solutions Architect, Advanced Networking or Security, MCAA (Azure Administrator), MCASA, or MCASEA. You will also keep them informed of emerging trends in security and serve as a sounding board and trusted advisor for security questions and concerns to help build aspects of their security program.
Customer Care & Technical Support Representative Heritage civil WorksCustomer Care & Technical Support RepresentativeCharleston, South CarolinaRemoteResolve technical issues related to hardware (desktops, laptops, printers, monitors) and software provided by Heritage Civil Works or our partner platforms. In this role, you'll be on the front lines of our support operations resolving technical issues, answering customer questions, and delivering high-quality service across phone, chat, email, and SMS.
NewSenior Claims Adjuster Workers Compensation - NC, SC GallagherSenior Claims Adjuster Workers Compensation - NC, SCCharleston, South CarolinaRemoteFull timeAbout you : As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
NewRemote Benefits Representative AO Garcia AgencyRemote Benefits RepresentativeMount Pleasant, South CarolinaRemoteWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. What comes with the seat • No cold calling • Qualified-interest pipeline • Performance-based advancement • Full training • Current tech stack • Work from home .