Jobs in Dover Kent County De Remote
2,271 positions found — Page 114
Your CompHealth recruiter is your coach who will find the best fit for you and help highlight your strengths during the interview process.Contact Lindsay Merin at or (954) 837-2625 to learn more about this opportunity.
- Desirable 7-on/7-off schedule with 6-hour shifts
- 168 shifts annually with flexible scheduling options
- Manageable average daily census of 11 patients
- Comprehensive benefits including sign-on bonus with loan forgiveness
- H-1B visa sponsorship and green card support available
- Advanced practice provider support in place
- Board-eligible or board-certified in internal medicine or family practice
- Hospital-employed position with excellent stability
- Our services are free for you
- We help negotiate your salary and contract
- We coordinate interviews and help with licenses
- Specialized recruiters match your career preferences
- Experienced support teams take care of every detail
Remote working/work at home options are available for this role.
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Spanish Bilingual Healthcare Call Center Representative
Location: Remote (Virtual Environment)
Company: Trusted Leader in Healthcare Services
Are you fluent in both Spanish and English? Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
As a Spanish Bilingual Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.
What You'll Be Doing:
- Customer Interactions:
- Manage inquiries in areas such as Member Services, Medicare, and Billing , assisting Spanish- and English-speaking customers.
- Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.
- Quality Service:
- Uphold the organization's philosophy of extraordinary customer relations.
- Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.
- Problem Resolution:
- Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
- Document all member interactions meticulously following established procedures.
- Healthcare Knowledge
- Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
- Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.
- Operational Excellence
- Leverage a thorough understanding of company policies and processes to meet customer needs effectively.
- Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.
- Performance Metrics:
- Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.
- Compliance and Ethics:
- Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.
- Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.
- Tools and Systems:
- Use multiple systems/screens while assisting callers effectively
- Navigate CRM, EMR/EHR, and ticketing platforms effectively
What You Bring:
- Experience:
- Fluency in both Spanish and English (spoken and written) is required.
- Minimum of two (2) years of customer service or healthcare member-interaction experience.
- Previous call center experience and/or prior experience in the health insurance industry (preferred).
- Education:
- High School Diploma or GED required.
- Skills:
- Outstanding written and verbal communication skills.
- Proven analytical and problem-solving abilities.
- Ability to respond concisely and clearly to customer queries.
- Strong critical thinking and problem-solving skills.
- Typing speed of at least 35 WPM with a 5% or lower error rate.
Success Factors for Working from Home
- To thrive in this remote role, you'll need:
- Private Workspace: A dedicated, quiet workspace with a door that closes, free from ambient noise.
- Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.
- Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.
- Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.
- Tech-Savvy: Comfort with technology and ability to learn new systems quickly.
- Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment.
- Communication Skills: Strong verbal and written communication skills, especially in a virtual setting.
- Adaptability: Ability to adapt to changing technologies and procedures while working remotely.
What You Will Get:
- Competitive Pay: Enjoy a competitive hourly rate with opportunities for performance-based increases.
- Comprehensive Benefits: Full health insurance coverage, including medical, dental, and vision plans.
- Work Environment: A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.
- Career Growth: Abundant advancement opportunities within the organization.
- Inclusive Workplace: We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.
- Unique Perks:
- Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply).
- Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company.
Join Our Team:
If you are a motivated Spanish-English bilingual professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Remote working/work at home options are available for this role.
Benefits: There is an opportunity to receive a 90-day increase based on your performance, and how it aligns with our Vision // Mission // Values.
Crew meals 100% discount while clocked in.
Direct Family member discount Some Holiday Closures Medical, Dental, Vision, Flexible schedules, and more to full-time employees Vacation pay is available for employees at an anniversary date of 1 year We offer FLEXIBLE hours to fit your schedule †Morning, Evening, weekend Opportunity for the advancement of your carrer.
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Available shifts Weekday & Weekend availability // Day Shifts // Night Shifts Job Type Full-time Part-time Job Summary Team Members can serve in a variety of different roles that can include being a cashier, maintaining our dining room, or preparing our food.
One common expectation is that each team member can greet guests with a genuine smile and a warm and inviting spirit.
Essential duties for a Team Member may include, but are not limited to the following: Welcoming our guests and thanking them for choosing Bojangles.
Accepts payments from guests and makes changes correctly.
Explains menu and answers product questions for all guests.
Prepares and serves our exceptional food.
Maintains a clean and inviting restaurant.
Bending, kneeling, standing, and lifting (up to approximately 25 lbs.
as necessary).
Qualifications: Must be at least 16 years of age Cheerful and Positive Attitude Loves Serving and Helping Others Dependable and reliable Enjoys and values Teamwork Compensation details: 12-14 Hourly Wage PI98fed8df6bd6-25448-29386481
Remote working/work at home options are available for this role.
LOCATION: Virginia, Maryland or Washington, DC The Physician & Ancillary Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
Remote working/work at home options are available for this role.
LOCATION: Virginia, Maryland or Washington, DC The Physician & Ancillary Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting.
This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
Remote working/work at home options are available for this role.
Job Description The Manager of Physician Compensation & Productivity supports the Director in managing the compensation review and reconciliation process across all medical groups, including those under HHP.
This position maintains and assists in making recommendations related to physician compensation plans.
The Manager provides leadership and proficiency on physician compensation matters.
Remote working/work at home options are available for this role.
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.
Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done.
Remote working/work at home options are available for this role.
Prisma Health, the largest not-for-profit healthcare provider in South Carolina, seeks talented board-certified Emergency Physicians and fellowship-trained subspecialists to both teach and practice in the Department of Emergency Medicine, University of South Carolina School of Medicine Greenville.
Our Department of Emergency Medicine provides episodic care to more than 350,000 patients annually across seven emergency departments. The Prisma Health Department of Emergency Medicine boasts more board-certified Emergency physicians than any other Department in the state, more subspecialty fellowship trained Emergency Physicians than any other Department in the state, and the Upstate?s only Emergency Medicine residency program (PGY 1-3, accepting 10 residents per year), which is the 3rd largest residency program in the institution. Assistant Medical Directorships are available as well.
Actively recruiting for:
Academic Emergency Medicine Faculty Emergency Physicians with fellowship training in: Critical Care Medicine Medical Toxicology Pediatric Emergency Medicine Division Chief of Pediatric Emergency Medicine
Details:
- Accredited 3-year Emergency Medicine Residency Program Level 1 Trauma Center Dedicated Pediatric Emergency Department within the Children?s Hospital Six Community Hospital Emergency Departments Accredited Chest Pain, STEMI, and Comprehensive Centers Pediatric Intensive Care Unit and Neonatal Intensive care Unit Medical Toxicology program Dedicated Divisions of Emergency Psychiatry, Medical Education, Pediatric Emergency Medicine, Prehospital Medicine, Resuscitation and Critical Care, and Ultrasound Regional ground and air EMS System leadership Advanced Emergency Ultrasound Fellowship Medical Education, Technology, and Design Fellowship
Highlights:
- Competitive salary, variable compensation, and professional expense allowance
Paid relocation and malpractice with tail coverage Generous benefits including disability, life, retirement, health, dental, and vision coverage. Public Service Loan Forgiveness Employer With nearly 30,000 team members, 18 hospitals, 2,984 beds, and more than 300 physician practice sites, Prisma Health serves more than 1.2 million unique patients annually. Its goal is to improve the health of all South Carolinians by enhancing clinical quality, the patient experience, and access to affordable care, as well as conducting clinical research and training the next generation of medical professionals.
Greenville, South Carolina is a beautiful place to live and work in a catchment area of 1.3 million people. Greenville is located on the I-85 corridor between Atlanta and Charlotte and is one of the fastest-growing areas in the country. Ideally situated near beautiful mountains, beaches, and lakes, we enjoy a diverse and thriving economy, and excellent quality of life, with wonderful cultural and educational opportunities.
Candidates should submit a letter of interest and CV to: Darian Lyles, Physician Recruiter, .
Prisma Health is an equal-opportunity employer which proudly values diversity. Candidates of all backgrounds are encouraged to apply.
Remote working/work at home options are available for this role.
Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims.
The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Remote working/work at home options are available for this role.
Summary:
- The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization review criteria and renders a clinical opinion about the medical service under review while located in a state or territory of the United States.
Responsibilities include:
- Provide timely expert medical review of medical necessity requests for clinical services related to post-acute care and render a clinical opinion about the medical service under review, including post-decision reviews.
- Provide timely and collegial peer-to-peer discussions with treating physicians to clarify clinical information and to explain review outcome decisions.
- Participate in proactive peer to peers to assist with appropriate and timely discharge planning.
- Document all actions related to clinical review sessions and attest to review qualifications as required.
- Conduct weekly Case Conferences with nursing and social worker teams; discussing every assigned member receiving care in a post-acute care facility, focusing on discharge planning, complex medical care management, quality of care, appropriate level of care, and appropriate length of stay.
- Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications.
- Support the review of eviCore clinical guidelines.
- Support and communicate eviCore policies and procedures to the provider community.
- Testify at ALJ Hearings when your cases are being appealed
- Assist with staff educational training and in-service programs and serve as a clinical resource for eviCore staff.
- Serve as a Subject Matter Expert when Medical Directors and/or Senior Medical Directors are unavailable.
- Available for scheduled weekend call from home based on business needs.
- Participate in Joint Operating Committee (JOC) meetings, including the collection and review of data relevant to the client, and other virtual events with the provider engagement team in your specified territory.
- Participate in all required educational and quality improvement activities and maintain passing scores in all assessments.
- Assist in reviewing case determinations from clients responding to a provider or member complaint
- Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications
- Other duties as assigned
Minimum Education, Licensure and Professional Certification requirement:
- M.D or D.O with active board certification in primary care specialties (Family Medicine, Internal Medicine or Emergency Medicine) OR board certification in Physical Medicine and Rehabilitation required (recognized by the American Board of Medical Specialties or American Osteopathic Association) ?
- Three (3) or more years of relevant clinical practice post residency/fellowship required
- Active unrestricted license to practice medicine in a state or territory of the United States as a utilization review Doctor of Medicine or Doctor of Osteopathic Medicine.
- Knowledge of applicable state and federal laws, URAC and NCQA standards, and utilization management
- Ability to commit to a set, weekly work schedule (Monday through Friday)
- Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems
- Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of the time
- In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That?s why you?ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you?ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Remote working/work at home options are available for this role.
