Product Strategy Director - Provider Data - Cigna Healthcare - Remote The Cigna GroupProduct Strategy Director - Provider Data - Cigna Healthcare - RemoteSt. Louis, MORemote$161,900–$269,800 / yearThis role is responsible for defining and executing product strategy, overseeing the product lifecycle, and delivering innovative solutions that enhance customer experiences, improve operational efficiency, and drive measurable business outcomes. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Program Management Senior Advisor - Cigna Healthcare - Remote The Cigna GroupProgram Management Senior Advisor - Cigna Healthcare - RemoteSt. Louis, MORemote$116,100–$193,500 / yearThis role requires a great level of autonomy, independent critical thinking and flexibility to drive creative approaches and solutions to root cause analysis and problem solving, employing a wide range of methods, tools, and techniques to achieve optimal cross functional efficiencies and the strategic objectives of the PPC. Key Duties and Responsibilities: Review weekly Regulatory Instructions (RIs), assess applicability and impact across Payment Integrity (PI) and Payment Policy and Coding (PPC), and identify questions, risks, or implementation considerations for discussion with Regulatory and Compliance partners.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselMORemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
PRN After Hours - Remote Customer Service Specialist BJC HealthCarePRN After Hours - Remote Customer Service SpecialistSaint Louis, MORemoteNavigates the electronic health record to obtain and validate historical information; captures and documents demographic and financial information in the electronic health record; maintains accountability for accurate data entry in the electronic health record and maintains patient privacy and security as outlined by HIPAA.Manages a high volume of incoming calls from patients, healthcare providers and facilities who are calling for a variety of reasons, to include scheduling appointments, refilling medications, obtaining insurance referrals, receiving symptom-based care, obtaining pre-certification for testing, insurance and/or billing questions, requests for medical forms and/or test results, etc. Schedules patient visits based on complex provider preferences; verifies and updates insurance and checks insurance eligibility; collects and documents demographics; maintains proficiency in and shares knowledge of insurance basics, MyChart, and appointment instructions; documents and sends messages to providers and clinical staff in the electronic health record for clinical-based needs; communicates directly with providers (physicians) to relay pertinent clinical information during after hours.
French Speaking Customer Service Representative MCI LCFrench Speaking Customer Service RepresentativeMORemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Fully Remote Entry Level Customer Service AILFully Remote Entry Level Customer ServiceSt. Louis, MORemoteFull timeAs a Remote Client Success Specialist , you’ll connect with both current and prospective clients daily, providing expert product knowledge and personalized support to meet their needs. As a Client Success Specialist, you’ll play a vital role in helping clients secure their futures while advancing your career in a supportive, high-performing environment.