Sales Navigator Jobs in Eldon Iowa Remote

A leading technology consulting firm is looking for a BPO Associate Partner to drive finance transformation and digital solutions for large enterprises.

This role involves building client relationships, developing tailored solutions, and managing the full consultative selling process.

The ideal candidate must have over 10 years of experience in complex managed services sales and demonstrate strong leadership and strategic thinking skills.

The position offers flexibility to work from anywhere in the US.
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Remote working/work at home options are available for this role.

***A-Line Staffing is looking for qualified Benefit Verification Representatives or Prior Authorization Representatives for our Pittsburgh location
*** Benefit Verification Representative Hours: 8 hr shift, Must have availability from 7am to 10pm M-F & work rotating weekends Sat & Sun7-5:30 Benefit Verification Representative Job Description: The Benefit Verification Representative II will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of the client and in accordance with Medicare Part D CMS Regulations.

The Benefit Verification Representative Must apply information [provided through multiple channels] to the plan criteria defined through work instruction.

Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases.

Responsible for research and correction of any issues found in the overall process.

Phone assistance is required to initiate and/or resolve coverage requests.

Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed.

Must maintain compliance at all times with CMS and department standards.

Position requires schedule flexibility including rotations through nights, weekend and holiday coverage.

Benefit Verification Representative Experience: 2 Years of experience High School Diploma or G.E.D.

Strong Attention to detail Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality Proficient computer skills and the ability to navigate in a Windows based environment Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible If you are interested in the Benefit Verification Representative please reach out to Jacob Zaffuto ASAP at 412-823-2500 Ext 425 or by email at
Remote working/work at home options are available for this role.

Hybrid Recruiter / Account Executive – Schaumburg, IL

$50,000 – $60,000 Base + Aggressive Commission (Unlimited Earning Potential)

Year 1: $75,000 – $90,000 | Year 2: $100,000+

Monday – Friday 8am-5pm (Hybrid model- WFH Monday/Friday, in office Tuesday/Wednesday/Thursday)

For more than 30 years, Corporate Resources of Illinois, a woman-owned and operated recruiting firm, has partnered with businesses across Chicagoland to secure top talent and build high-performing teams. Our mission is simple: save companies time, money, and frustration while helping them grow stronger organizations.

We are expanding our internal team and looking for a highly driven Recruiter/Account Executive who is competitive, motivated by earning potential, and thrives in a fast-paced sales environment.

This is the perfect opportunity for someone with an entrepreneurial mindset who wants to control their income and build a lucrative career in recruiting and business development. The right person will be energized by closing deals, building relationships, and delivering talent solutions that make a real impact on our clients' businesses.

In this role, you'll have direct access to decision-makers, act as a trusted advisor to clients, and play a critical role in helping companies hire the right talent to grow.

What You'll Do

• Drive revenue growth by building relationships with new and existing clients and identifying hiring needs.
• Prospect and develop new business through outbound calls, warm leads, referrals, and networking.
• Source, interview, and evaluate candidates to identify top talent in the market.
• Match high-quality candidates with client opportunities to create successful, long-term placements.
• Serve as a consultative partner to clients, advising them on hiring strategy, talent market trends, and candidate selection.
• Present top-tier candidates after thoroughly vetting qualifications, references, and career motivations.
• Maintain strong client relationships through proactive communication, follow-through, and exceptional service.
• Collaborate with marketing and internal recruiting teams to strengthen client engagement and grow market share.
• Track performance metrics and revenue goals while building your own book of business.

What You Bring

• Highly motivated and competitive personality with a strong desire to earn.
• Sales mindset with the drive to exceed goals and increase income.
• Excellent communication and relationship-building skills.
• Strong work ethic and the ability to thrive in a performance-based environment.
• Natural problem solver with a solutions-focused mindset.
• Previous experience in sales, recruiting, HR, or client services is a plus but drive and ambition matter most.

Why Join Corporate Resources?

• Unlimited commission structure – no cap on earnings
• Opportunity to build a six-figure career in recruiting and sales
• Work directly with business leaders and decision-makers
• Collaborative and supportive team environment
• Established brand with 30+ years of success in the Chicagoland market

If you are competitive, money-motivated, and ready to build a career where your effort directly drives your income, we want to hear from you.

Remote working/work at home options are available for this role.

Back Executive Underwriter - Large Accounts - Hybrid #4571 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description:

In this position, you will underwrite new and renewal business which includes solicitation, selection and pricing of highly complex multi-line risks (workers compensation, commercial auto, general liability). You will actively and creatively pursue new commercial insurance solutions including guaranteed cost, large deductible and retro account opportunities throughout the territory through your network of national and regional brokers and agents. Maintain and develop prospects in order to have a strong base of future opportunities to build your large account book. Contribute to the development of broker and agency management strategies and lead the development and execution of relationship management plans.

Responsibilities:

• 
  
  
• Analyze, select and profitably price coverage for commercial risks and determine terms and conditions of coverage on new and renewal business.
  
  
• Apply and conform to underwriting rules and guidelines, rating manuals, insurance laws/ regulations.
  
  
• Utilize a consultative selling approach to generate new business consistent with underwriting strategy and in coordination with service team members to include accurately assessing the needs of the broker and the client and formulating solutions that effectively address those needs.
  
  
• Analyze underwriting & marketing activities and corresponding results; prepare reports to management.
  
  
• Mentor and provide technical training and guidance to coworkers.
  
  
• Determine, coordinate and direct account management activities with various departments.
  
  
• Negotiate and deliver proposals to producers and buyers.
  
  
• Develop and maintain client relationships and coordinate service team efforts.
  
  
• Identify opportunities for organizational improvement and recommend solutions.
  
  
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
  
  

Requirements:

• 
  
  
• Bachelor's degree or equivalent experience required.
  
  
• 7 years of casualty underwriting with an insurance carrier required.
  
  
• Advanced understanding and technical knowledge of underwriting mechanics and fundamentals.
  
  
• Advanced knowledge of casualty coverage and loss sensitive deal structures (retrospective rating, large deductible, captive, and self-insurance). Additional knowledge in financial analysis, account management and collateral management is desired.
  
  
• Advanced knowledge of local and regional market conditions as well as industry trends.
  
  
• Prior experience in or knowledge of Midwest markets and ability to travel within these markets is strongly preferred.
  
  
• Advanced knowledge of underwriting territory and strong relationships with the local distribution network (local and regional agents, national and regional brokers, and select consultants).
  
  
• Demonstrated proficiency in the successful marketing and prospecting of business opportunities, as well as, relationship building and agency management skills.
  
  
• Ability to create a presence that conveys interest, conviction, and energy in maintaining relationships with external business partners.
  
  
• Strong ability to effectively communicate verbally and in writing to uncover business needs.
  
  
• Ability to foster creative solutions that resonate with external business partners.
  
  
• Ability to interact with various levels of management and support personnel.
  
  
• Advanced skills in marketing, analysis, decision making/problem solving, planning and organizing; sales and negotiation and mathematical proficiency.
  
  
• Strong desire to work collaboratively and foster a team oriented environment with Claims, Risk Control and other departments.
  
  
• Willingness to travel for business purposes. Underwriters are expected to be visible with their agents and brokers in order to develop and maintain solid relationships and generate an adequate flow of qualified business.
  
  
• Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management designation or other professional designations are desired.
  
  

Remote working/work at home options are available for this role.

Back Executive Underwriting - Hybrid - Large Accounts #3818 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description:

In this position, you will underwrite new and renewal business which includes solicitation, selection and pricing of highly complex multi-line risks (workers compensation, commercial auto, general liability). You will actively and creatively pursue new commercial insurance solutions including guaranteed cost, large deductible and retro account opportunities throughout the territory through your network of national and regional brokers and agents. Maintain and develop prospects in order to have a strong base of future opportunities to build your large account book. Contribute to the development of broker and agency management strategies and lead the development and execution of relationship management plans.

Responsibilities:

• 
  
  
• Analyze, select and profitably price coverage for commercial risks and determine terms and conditions of coverage on new and renewal business.
  
  
• Apply and conform to underwriting rules and guidelines, rating manuals, insurance laws/ regulations.
  
  
• Utilize a consultative selling approach to generate new business consistent with underwriting strategy and in coordination with service team members to include accurately assessing the needs of the broker and the client and formulating solutions that effectively address those needs.
  
  
• Analyze underwriting & marketing activities and corresponding results; prepare reports to management.
  
  
• Mentor and provide technical training and guidance to coworkers.
  
  
• Determine, coordinate and direct account management activities with various departments.
  
  
• Negotiate and deliver proposals to producers and buyers.
  
  
• Develop and maintain client relationships and coordinate service team efforts.
  
  
• Identify opportunities for organizational improvement and recommend solutions.
  
  
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
  
  

Requirements:

• 
  
  
• Bachelor's degree or equivalent experience required.
  
  
• 7 years of casualty underwriting with an insurance carrier required
  
  
• Advanced understanding and technical knowledge of underwriting mechanics and fundamentals
  
  
• Advanced knowledge of casualty coverage and loss sensitive deal structures (retrospective rating, large deductible, captive, and self-insurance). Additional knowledge in financial analysis, account management and collateral management is desired.
  
  
• Advanced knowledge of local and regional market conditions as well as industry trends.
  
  
• Advanced knowledge of underwriting territory and strong relationships with the local distribution network (local and regional agents, national and regional brokers, and select consultants).
  
  
• Demonstrated proficiency in the successful marketing and prospecting of business opportunities, as well as, relationship building and agency management skills.
  
  
• Ability to create a presence that conveys interest, conviction, and energy in maintaining relationships with external business partners.
  
  
• Strong ability to effectively communicate verbally and in writing to uncover business needs.
  
  
• Ability to foster creative solutions that resonate with external business partners.
  
  
• Ability to interact with various levels of management and support personnel.
  
  
• Advanced skills in marketing, analysis, decision making/problem solving, planning and organizing; sales and negotiation and mathematical proficiency.
  
  
• Strong desire to work collaboratively and foster a team oriented environment with Claims, Risk Control and other departments.
  
  
• Willingness to travel for business purposes. Underwriters are expected to be visible with their agents and brokers in order to develop and maintain solid relationships and generate an adequate flow of qualified business.
  
  
• Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management designation or other professional designations are desired.
  
  

Remote working/work at home options are available for this role.

Our world class sales and sales support teams work directly with businesses of all sizes to offer products and services to meet our customers' unique needs. We are committed to understanding our customers and use best-in-class sales tools and technology to find the best solutions. We're constantly discovering new ways to reach our goals, taking time to develop our skills and investing in our career growth, so we can enjoy lucrative opportunities and grow our careers both within and beyond sales.
As a Key Account Executive supporting State, Local, and Education (SLED) clients, you will be at the forefront of driving growth and delivering exceptional value to our customers across the U.This position is a vital part of our world-class sales organization, connecting businesses with the products and solutions they need to thrive. We're seeking passionate professionals ready to leverage cutting-edge tools, collaborate across functions, and build lasting customer relationships. Utilize prescribed selling tools to prioritize activities and drive efficiency, as well as to document customer engagement and information (ex: Prioritized Insights and SFDC)
Profitably grow book of business by hunting programming and all opportunities across the full account hierarchy.
Partner with Outside Developers to drive sales through program compliance at all account sites
Lead Key Account selling team (i.e. category experts, site development, CSM, sales engineers, etc.) to execute account growth plan
Collaborate with Revenue Management Team on specific opportunities to make discretionary pricing decisions based on knowledge of the account and assessment of future spend potential, as well as pass BPIs based on contract language
Exhibit high level of business acumen and sales methodologies to discover incremental opportunities and align with the customers' vision and initiatives (ex: Expertise of customer industry buying process and ability to support product selection and standardization of products assortments.
Engage CSM to manage customer experience and complete customer maintenance requests.
Establishes and maintains business management relationships with the senior executive team members within customer base.
Experience in Education, State & Local Government beneficial but not a requirement
Experience and proven track record of managing programs or business development
Ability to interface at customer's most senior levels
Consultative selling, solutions selling, insight selling, negotiation and advanced client management skills
Ability to set targets, design customer growth plans and work with product category sales team members
Strong business, financial, operations and technology acumen
Ability to analyze customer data, business and industry trends to create tailored solutions for customers based upon Staples value proposition
Ability to function independently with minimal daily supervision
Experience and proven track record of managing programs or business development
Solid knowledge of Office Supplies including facility and breakroom, technology products, business furniture, print and promotional products
Ability to interface at customer's most senior levels
Consultative selling, solutions selling, insight selling, negotiation and advanced client management skills
Ability design strategic customer growth plans and work with product category sales team members
Strong business, financial, operations and technology acumen
Ability to analyze customer data, business and industry trends to create tailored solutions for customers based upon Staples value proposition
Ability to function independently with minimal daily supervision
Individual will oversee pricing negotiations for specific sales opportunities.
Individual will be responsible for coordinating and executing account planning processes in conjunction with category experts and customer experience teams.
Bachelor's degree or relevant experience
Proficient in Microsoft Office and other basic software tools
Prior account management and prospective experience with Fortune 1000 accounts
Had responsibility for a sales budget and track record of exceeding quota
Managed a complex deal shaping from start to finish
Experience with business-to-business sales process
Had responsibility to retain and grow accounts
Flexible PTO (22 days) and Holiday Schedule (7 observed paid holidays)
Online and Retail Discounts, Company Match 401(k), Physical and Mental Health Wellness programs, and more!
Staples is an Equal Opportunity Employer who values the diversity of our people, products, and services.
The specific base pay may be influenced by a variety of factors to include the candidate's experience, skill set, education, geography, business considerations, and internal equity. In addition to base pay, this role may be eligible for bonuses, or other forms of variable compensation.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law
At Staples, "inclusion" is an action word. It represents what we do to ensure that all employees feel valued and supported to contribute to their fullest potential. When we operate inclusively, diversity naturally follows. The result is a better workplace and innovative thinking that helps us exceed our customers' expectations – through the power of the people behind our iconic brand. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law.
Remote working/work at home options are available for this role.

Job Title: Clinical Case Manager II (ICM CCM) – Hybrid-167888 Location: Illinois (Candidates may reside anywhere in Illinois; hybrid role with occasional local member visits as needed) Pay: $35.87 per hour Schedule: Monday – Friday | 8:00 AM – 5:00 PM CST Overview We are seeking a Clinical Case Manager II to join a leading healthcare organization supporting members enrolled in Medicare and Medicaid.

This hybrid role allows candidates to work primarily from home while completing occasional in-person member visits in their local area as needed.

As part of the Integrated Care Management (ICM) team, the Case Manager works with members who have complex health and social needs.

Through collaboration, the Case Manager helps coordinate services and advocate for appropriate care to improve health outcomes and promote cost-effective care solutions.

Key Responsibilities Conduct comprehensive assessments of members’ health, social, and care coordination needs.

Develop and implement individualized case management plans based on member needs, benefit plans, and available resources.

Collaborate with members, healthcare providers, and community organizations to coordinate services and support care plans.

Apply clinical guidelines, policies, and regulatory standards to ensure appropriate benefit utilization and care management.

Utilize clinical tools and data review to evaluate member eligibility and determine appropriate care strategies.

Advocate for members by identifying resources and coordinating services to address medical and social determinants of health.

Maintain accurate documentation while navigating multiple systems and case management platforms.

Participate in care management and quality management processes in compliance with regulatory and accreditation standards.

Caseload Information Telephonic/Hybrid Case Managers: Caseloads typically range from 250–500 members , depending on stratification and complexity of member needs.

Field-Based Case Managers: Caseloads typically range from 30–100 members , depending on market needs and complexity.

Required Skills & Qualifications Active, unrestricted Illinois license required: RN, LCSW, or LCPC.

Minimum 3–5 years of clinical experience required.

2–3 years of care management, discharge planning, or home health coordination experience preferred.

Experience working with case management processes and care coordination programs preferred.

Experience with Illinois waiver services preferred.

Ability to work independently in a remote/home-based environment while collaborating with teams virtually.

Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint) and ability to navigate multiple systems.

Education Active Illinois licensure required as one of the following: Registered Nurse (RN) Licensed Clinical Social Worker (LCSW) Licensed Clinical Professional Counselor (LCPC) Keywords: case management, care coordination, discharge planning, RN case manager, LCSW case manager, LCPC case manager, managed care, Medicare, Medicaid, integrated care management, telephonic case management, hybrid case manager, population health, healthcare coordination, care management
Remote working/work at home options are available for this role.

Westgate Resorts is the largest privately held timeshare company in the world, with 60+ resorts in top destinations like Orlando, Las Vegas, Gatlinburg, Park City, and Myrtle Beach. Recognized by U.S. News & World Report as one of the Best Companies to Work For, we're committed to creating a supportive, rewarding workplace where our 9,000 Team Members can grow and thrive. Since 1982, we've delivered unforgettable vacations through exceptional service, innovation, and community engagement. With the recent addition of VI Resorts by Westgate, our footprint now includes the Pacific Northwest, Hawaii, Canada, and Mexico. Join us and be part of a team that values passion, integrity, and excellence, where your work helps create memories that last a lifetime.

Job Description

Rental Reservations Agent Jobs in Orlando, FL – Hiring Immediately

Westgate Resorts is hiring Full-Time Rental Reservations Agents in Orlando, FL with a unique hybrid work model—100% in-office for the first 90 days, then fully remote after training and passing quality checks. This role starts at $16/hr or $16.50/hr for bilingual Spanish-speaking agents, with additional 10% evening differential and 15% weekend differential. As a Rental Reservations Agent, you will handle 40–50 inbound calls per day from Westgate guests, assisting with servicing reservations, general resort questions, reservation questions and collecting payments. This role requires strong communication skills, fast typing, problem-solving ability, and comfort navigating multiple systems at once. We are hiring immediately for the upcoming 4/16 class.

This is a structured call‐center environment with 4 weeks of in-office training (Mon–Fri, 9:00am–5:30pm) followed by 2 weeks of nesting training, both with no time off allowed during the first 90 days. After nesting, the permanent schedule becomes 12:30pm–9:00pm on weekdays (two weekdays off) and a 10:00am–6:00pm weekend schedule. Candidates with hospitality call center experience, sales, collections, front desk, or previous work-from-home success excel in this role. As part of Westgate's commitment to excellence, training includes weekly Gate Assessments, requiring at least 80% performance to advance to the following week of training.

At Westgate Resorts, we live by our core values of Integrity, Passion, and a strong Work Ethic, ensuring every interaction strengthens the guest experience and reflects our standard of service.

What You'll Do

• Handle 40–50 inbound calls per day from guests regarding booking reservations, general questions, payments, and reservation updates
• Provide accurate information on availability, locations, policies, promotions to book or service reservations.
• Navigate multiple systems simultaneously including Rental Console, LMS, SAMS, Loyalty Console, Alveria Dialer, Teams, and SharePoint
• Deliver exceptional customer service and resolve guests concerns with professionalism
• Achieve performance benchmarks across QA, Revenue, call handling, system accuracy, and productivity metrics
• Participate in Gate Assessments during training with an 80% passing requirement
• Maintain excellent written notes and system documentation
• Meet all attendance, punctuality, and schedule requirements, including first‐90‐day restrictions

Qualifications

Qualifications

• High School Diploma or equivalent required
• 4–6 months of sales, customer service, call center, or related hospitality experience preferred
• Bilingual Spanish is a major plus (eligible for $0.50/hr bilingual differential after QA approval)
• Strong verbal and written communication skills
• Fast and accurate typing; ability to work across multiple screens and software programs
• Strong problem solver with a customer-first mindset
• Must be able to commit to no time off during the first 90 days
• Ability to sit for extended periods and occasionally lift up to 15 pounds
• Previous work-from-home experience preferred

Training & Schedule Details (Include in Job Posting)

• New Hire Orientation: 4/16
• Start Date: 4/17 in Ocoee, FL
• Training and Nesting: 6 weeks, Monday–Friday, 9:00am–5:30pm (in-office)
• No time off permitted during first 90 days
• Post‐training schedule:
  • Weekdays: 12:30pm–9:00pm (2 days off during the week)
  • Weekends: 10:00am–6:00pm
• Shift Differentials:
  • After 5pm: +10%
  • Weekends: +15%
• Pay $16.00/hr base / Bilingual Pay: $16.50/hr base → higher evening/weekend differential rates

Additional Information

Why Westgate?

• Comprehensive health benefits – medical, dental and vision
• Paid Time Off (PTO) – vacation, sick, and personal
• Paid Holidays
• 401K with generous company match
• Get access to your pay as you need it with our Daily Pay benefit
• Family benefits including pregnancy, and parental leave and adoption assistance
• Wellness Programs
• Flexible Spending Accounts
• Tuition Assistance
• Military Leave
• Employee Assistance Program (EAP)
• Life, Disability, Accident, Critical Illness & Hospital Insurance
• Pet Insurance
• Exclusive discounts for Team Member (i.e., hotels, cruise, resorts, restaurants, entertainment, etc.)
• Advancement & development opportunities
• Community Involvement Programs

Westgate Resorts is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status or any other protected status under federal, state or local law. If you have a disability and believe you need a reasonable accommodation in order to complete your application or any part of the recruiting process, please email with the job title and the location of the position for which you are applying.

This job posting is intended to provide a general overview of the position and may not include every responsibility, duty, or qualification required. Duties, responsibilities, and activities may change at any time with or without notice.

Remote working/work at home options are available for this role.

Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U.S.) Schedule: Business hours between 7:00 AM – 8:00 PM EST Monday–Friday and 7:00 AM – 4:30 PM EST Saturday & Sunday (rotating schedule) Training Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST for the first 8 weeks Position Overview We are seeking a Licensed Registered Pharmacist to join our team as a Clinical Pharmacist Advisor – Medicare .

In this role, you will support Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, evaluating clinical documentation, and ensuring decisions comply with Medicare guidelines and timelines.

This is an excellent opportunity for pharmacists interested in managed care, pharmacy benefit management, and clinical review operations .

High-performing contractors may have the opportunity for full-time employment based on performance .

Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach to obtain additional clinical details when necessary Document case activities clearly and accurately within internal systems Ensure compliance with CMS Medicare guidelines and timelines Meet departmental productivity and quality standards Utilize drug compendia resources and clinical references for appropriate decision-making Participate in feedback sessions and development discussions with supervisors Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in the state of residence Strong computer literacy including: Microsoft Excel Microsoft Word Data entry and multi-system navigation Ability to work independently in a productivity-driven environment Ability to sit and focus for extended periods during scheduled shifts Reliable wired internet connection Minimum 25 Mbps download / 5 Mbps upload Dedicated quiet workspace for remote work Verifiable High School Diploma or GED Preferred Qualifications Experience in Managed Care or PBM (Pharmacy Benefit Management) environments Knowledge of: Microsoft Access Microsoft PowerPoint Microsoft Visio Experience handling high-volume data entry and multi-screen workflows Work Environment Fully remote position Camera use required during training and meetings Data entry and navigating multiple systems across dual monitors Possible outbound provider calls for clinical information Important Training & Scheduling Requirements Attendance is critical during the first 8–10 weeks of training Training schedule is Monday–Friday, 9:00 AM – 5:30 PM EST After training, shifts may include one weekend day or rotating weekend coverage Assigned shifts will fall within 7 AM – 8 PM EST Hiring Process Requirements Candidates must provide the following with their resume: Internet speed test screenshot showing both download and upload speeds ( ) Must have 25 download and 5 upload.

MUST SHOW BOTH Screenshot of active pharmacist license showing: Name License number State Status Valid dates Interview Process Virtual interview via Microsoft Teams
Remote working/work at home options are available for this role.

Job Description

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.