business analyst regulatory reporting solutions remote

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p>
The Business Analyst provides foundational support for execution of PBM, Medicaid, and Licensure regulatory and state reporting requirements. This role provides support by maintaining documentation, updating Salesforce case records, organizing reporting inputs, and assisting with report preparation activities within established processes and governance structures. The role works with internal and external partner teams that provide data, files, and subject matter input to the reporting process, helping ensure deliverables are complete, organized, and ready for review.</p><p></p><p><b>
Key Responsibilities</b></p><ul><li>
Support the team in meetings with internal and external customers to define high level report scope and requirements</li><li>
Support the team in coordination with different reporting teams to ensure that PBM based reports meet all requested information</li><li>
Maintain regulatory reporting documentation, trackers, and supporting artifacts for assigned reports</li><li>
Update Salesforce cases and related records with required information, status updates, and supporting materials throughout the reporting lifecycle</li><li>
Maintain report templates, instructions, and standardized documentation files in designated repositories</li><li>
Collect, organize, and route inputs from partner teams based on established instructions, trackers, and identified points of contact</li><li>
Prepare draft report files and supporting materials for review</li><li>
Track deadlines and reporting status</li><li>
Perform basic completeness, formatting, and validation checks and escalate missing information, inconsistencies, or open questions</li><li>
Maintain organized file structures in SharePoint, Teams, and shared folders, historical artifacts, and supporting documentation to promote continuity and future reuse</li><li>
Perform basic data validation and formatting checks</li><li>
Assist in maintaining reporting inventories</li><li>
Escalate missing information or delays</li></ul><p></p><p><b>
Audit &amp; Control Responsibilities</b></p><ul><li>
Maintain documentation according to defined naming, storage, and retention practices</li><li>
Support audit readiness by ensuring files are complete, organized, and accessible for review</li><li>
Execute basic validation checks in accordance with defined instructions and escalate documentation or control gaps as identified</li><li>
Escalate documentation gaps or inconsistencies</li></ul><p></p><p><b>
Data &amp; Analytical Expectations</b></p><ul><li>
Ensure completeness of reporting inputs</li></ul><ul><li>
Perform basic data validation, reconciliation, and comparison checks using defined templates, prior-period files, and established instructions</li><li>
Support identification of year-over-year file, template, or input changes and route questions to the appropriate reviewer</li><li>
Ensure reporting inputs are complete and organized prior to review</li></ul><p></p><p><b>
Required Qualifications</b></p><ul><li>
1&ndash;3+ years of business analysis experience in reporting, finance operations, compliance operations, or healthcare operations</li><li>
Strong attention to detail and organizational skills</li><li>
Proficiency in Excel and working with structured data and templates</li></ul><p></p><p><b>
Preferred Qualifications</b></p><ul><li>
PBM or healthcare experience preferred</li><li>
Experience supporting regulatory reporting, compliance operations, finance operations, or healthcare environments preferred</li><li>
Experience working with medical and/or pharmacy claims data preferred</li></ul><p></p><p><b>
Education</b></p><ul><li>
Bachelor&rsquo;s degree or equivalent experience</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$43,888.00 - $102,081.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.</p><br>
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.<p><br>
Additional details about available benefits are provided during the application process and on Benefits Moments.</p><br>
We anticipate the application window for this opening will close on: 07/31/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Business Analyst, Regulatory Reporting Solutions (Remote)

ValueMomentum

<div>
 <p>
  <strong>
   Role: Lead Data Analyst - P&amp;C Insurance.
  </strong>
 </p>
 <p>
  <strong>
   Location: Cincinnati, OH
  </strong>
 </p>
 <p>
  <strong>
   Duration: Long Term
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <u>
    Responsibilities
   </u>
  </strong>
 </p>
 <ul>
  <li>
   Lead end-to-end data analysis initiatives and guide a team of analysts to deliver high‑quality, actionable insights.
  </li>
  <li>
   Interpret complex datasets using advanced analytical and statistical techniques, present findings to senior leadership.
  </li>
  <li>
   Define and implement analytics strategies, KPIs, and reporting frameworks aligned to business goals.
  </li>
  <li>
   Design, build, and oversee scalable data models, databases, and data pipelines to ensure efficiency and accuracy.
  </li>
  <li>
   Drive data acquisition from multiple sources and ensure robustness, governance, and data quality standards.
  </li>
  <li>
   Identify trends, patterns, and anomalies in large datasets to support decision‑making and process improvement.
  </li>
  <li>
   Review, validate, and standardize data cleansing, profiling, and validation processes across analytics workstreams.
  </li>
  <li>
   Partner closely with business and technology stakeholders to prioritize requirements and translate them into solutions.
  </li>
  <li>
   Lead continuous improvement initiatives and adoption of modern analytics platforms and tools.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   <u>
    Requirements
   </u>
  </strong>
 </p>
 <ul>
  <li>
   Proven experience as a Data Analyst Lead with ownership of complex analytics projects.
  </li>
  <li>
   Strong expertise in data modeling, database design, data architecture, data mining, and segmentation techniques.
  </li>
  <li>
   Solid understanding of advanced statistical methods (regression, hypothesis testing, distributions, etc.).
  </li>
  <li>
   Experience with data profiling, data quality management, and metadata‑driven processes.
  </li>
  <li>
   Strong hands-on experience in gathering requirements and developing source to target mapping documentation.
  </li>
  <li>
   Must have experience in defining data elements, transformation and business rules.
  </li>
  <li>
   Proficiency in SQL, databases, and data integration or ETL frameworks; exposure to scripting/programming is a plus.
  </li>
  <li>
   Experience working with large-scale datasets and distributed computing technologies such as Snowflake
  </li>
  <li>
   Advanced hands‑on experience with Power BI, Cognos, Tableau, Business Objects, or similar reporting and visualization tools.
  </li>
  <li>
   Knowledge or hands‑on experience with Microsoft Fabric is desirable.
  </li>
 </ul>
 <p>
  <br/>
 </p>
</div>


Lead Data Analyst

Disabled Veteran Solutions

<div><p><b>Remote Inbound Customer Service Representative (Full-Time)</b><br>
<b>Disabled Veteran Solutions (DVS)</b></p><p><b>
Make an Impact Through Meaningful Work</b></p><p>
Disabled Veteran Solutions (DVS) is seeking dedicated and professional Inbound Customer Service Representatives to support government-based programs across security, healthhuman services, and state benefits.</p><p>
This is an opportunity to be part of a mission-driven organization where communication, accuracy, and customer care are essential. As a member of our team, you will serve as a trusted point of contact-providing support, guidance, and resolution to individuals who rely on these services every day.</p><p><b>
Start Date:</b> July 20, 2026<br>
Initial training will take place during your first two weeks.</p><p><b>
Position Overview</b></p><p>
In this role, you will manage inbound customer interactions and provide timely, accurate support across a variety of service areas. You will be responsible for maintaining a high level of professionalism while ensuring each interaction is handled with care and efficiency.</p><p>
Responsibilities include:</p><ul><li>
Answering inbound calls and providing a positive, solution-oriented customer experience</li><li>
Assisting with basic technical troubleshooting and initiating support tickets as needed</li><li>
Scheduling appointments at designated service locations</li><li>
Accurately documenting all customer interactions, including inquiries, concerns, and resolutions</li><li>
Conducting follow-up calls to ensure issues are resolved and customers remain informed</li><li>
Delivering consistent, high-quality service in a structured environment</li></ul><p><b>
Required Qualifications</b></p><p>
We are looking for individuals who are reliable, detail-oriented, and capable of managing multiple responsibilities in a remote setting.</p><ul><li>
High school diploma or GED required; additional education preferred</li><li>
Prior customer service experience, particularly in call-driven environments</li><li>
Strong verbal communication skills with the ability to build rapport quickly</li><li>
Ability to troubleshoot basic technical issues independently</li><li>
Comfortable working in a remote environment with minimal supervision</li><li>
Ability to successfully complete an extensive credentialing and background check process</li></ul><p>
Preferred:</p><ul><li>
Bilingual (English/Spanish) candidates are strongly encouraged to apply</li></ul><p><b>
TechnicalWork Environment Requirements</b></p><ul><li>
Reliable high-speed internet connection</li><li>
Private, distraction-free workspace</li><li>
Ability to navigate computer systems efficiently</li><li>
DVS will provide a computer and monitor; employees are responsible for providing a USB-wired headset</li></ul><p><b>
ScheduleTraining</b></p><ul><li><b>
Training Schedule:</b> 9:00 AM - 4:30 PM EST</li><li><b>
Regular Schedule - regular schedule set between the hours of 8:00am - 8:00pm - Monday - Friday</b></li></ul><p>
Consistent attendance and reliability are essential for success in this role.</p><p><b>
Why Join DVS</b></p><p>
Disabled Veteran Solutions is a nationally recognized leader in business process outsourcing and a certified Service-Disabled Veteran-Owned Small Business (SDVOSB). We are committed to delivering excellence while creating meaningful employment opportunities for Veterans, military families, and professionals seeking purposeful work.</p><p>
At DVS, you can expect a supportive environment that values performance, encourages growth, and provides opportunities for career advancement.</p><p><b>
Build a career where your work matters. Apply today to join the DVS team.</b></p></div>

Inbound Customer Service Agent

Gainwell Technologies LLC

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Certified Pharmacy Technician - Remote US
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 19, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, OH, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36696
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><div>The Certified Pharmacy Technician supports pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, pharmacy claims inquiries, benefit questions, and other pharmacy-related services. This role works in a fast-paced, high-volume environment while ensuring accuracy, compliance, and exceptional customer service. The ideal candidate combines strong pharmacy knowledge with excellent communication skills and a commitment to supporting healthcare outcomes.</div>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues.</li>
<li>Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations.</li>
<li>Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines.</li>
<li>Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation.</li>
<li>Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>Active Certified Pharmacy Technician (CPhT) certification required.</li>
<li>Active Pharmacy Technician registration with a State Board of Pharmacy, where applicable.</li>
<li>Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred.</li>
<li>Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment.</li>
<li>Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Support pharmacy-related operations serving members, providers, pharmacies, and healthcare professionals across a variety of programs and clients.</li>
<li>Research and resolve pharmacy inquiries related to benefits, claims, medications, prior authorizations, and other pharmacy services.</li>
<li>Utilize multiple systems and resources to investigate issues, document interactions, and provide timely and accurate resolutions.</li>
<li>Participate in training and professional development opportunities designed to expand pharmacy, healthcare, and customer service knowledge.</li>
<li>Remote work environment with opportunities for professional growth and a comprehensive benefits package including medical, dental, vision, 401(k) with company match, flexible paid time off, paid holidays, wellness programs, and additional employee support resources.</li><br>
</ul><div></div><div>This is a <b>pipeline requisition</b> intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position in the near future.</div><br>
<div></div><div>#LI-REMOTE</div>
<div>#LI-JT1</div><br>
</div></div></div><p></p><p>The pay range for this position is $37,440 - $47,840 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Certified Pharmacy Technician - Remote US

CSAA Insurance Group, a AAA Insurer

<div><p>External candidates: In order for your application to be correctly processed please sign-in before you apply</p><p></p><p>
Internal candidates: Please go to Workday and click &quot;Find Jobs&quot; link under Career</p><p></p><p>
Thank you for considering opportunities with us!</p><p><b>
Job Title</b></p>
Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)<p></p><p><b>
Requisition Number</b></p>
R7818 Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local) (Open)<p></p><p><b>
Location</b></p>
Ohio - Home Teleworkers<p></p><p><b>
Additional Locations</b></p><p></p><p><b>
Job Information</b></p><p>
CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and casualty insurance groups in the United States. Here, every employee shapes our mission. We build innovative, human-centered solutions that help AAA members prevent, prepare for, and recover from life's uncertainties. You will join a collaborative, inclusive culture where your strengths have room to grow and your ideas can drive real impact. Step into a role where you can contribute to our shared success through meaningful work.</p><p></p><p>
We are actively hiring for a <b>Sr. Field Adjuster, Homeowner Claims </b>in<b> Columbus, OH!</b></p><p></p><p>
Please note that this is a remote position located in Columbus, OH or surrounding areas. Local travel will be required.</p><p></p><p><b>
Your Role:</b> As a Sr. Field Adjuster, Homeowner Claims, you will obtain and record required loss information from the insured. Under close supervision, you will investigate, evaluate, negotiate, and settle homeowners&rsquo; property/personal property claims, including adjustment to conclusion; involves low- to higher-complexity claims that typically require physical inspection. You will be the owning adjuster for all claims assigned at the Field Adjuster level. In this role, you will be expected to progress to the competency level of a Level 5 Homeowner Adjuster. May be required to assign, coordinate, and oversee independent adjuster assignments.</p><p></p><p><b>
Your Work:
</b></p><ul><li>Investigate and evaluate all elements of property loss claims of moderate-high severity both in the field and virtually.</li><li>
Contacts and meets with the insured or 3rd party virtually or in-person to photograph and inspect all damaged dwellings, other structures, and personal property.</li><li>
Determines scope of repairs. Prepares a repair bid using Xactimate estimating system.</li><li>
Comes to an agreed cost of repair with the insured, and possibly Network Repair Program contractor (NRP) or insured's contractor.</li><li>
Follows the repair process to conclusion.</li><li>
With the assistance of experts where needed, ensures that the cause of the loss is thoroughly investigated and identified.</li><li>
Settles and pays dwelling or other structure damages once the coverage analysis is completed.</li><li>
Handles all correspondence to ensure the file is regulatory compliant.</li></ul><p></p><h2 class="jobSectionHeader"><b>
Required Experience, Education and Skills</b><b>:</b></h2><ul><li>
Requires 6+ years related professional experience with transferrable skills.</li><li>
4+ years claims experience with preferred emphasis on homeowner claims.</li><li>
High school diploma required.</li><li>
Related bachelor&rsquo;s degree or higher may be in lieu of 2 years experience.</li><li>
Knowledge of Xactimate repair estimating system.</li><li>
Knowledge of homeowner policies and procedures.</li><li>
A valid driver&rsquo;s license and insurable driving record or alternative transportation to safely transport large and/or heavy equipment between sites is required.</li></ul><p></p><p><b>
What would make us excited about you:</b></p><ul><li>
Bachelor Degree or combination on education and experience.</li><li>
2+ years field experience.</li><li>
Knowledge of home construction.</li></ul><p></p><p><b>
Why Choose a Career at CSAA IG?</b></p><p></p><p>
At CSAA IG, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive<b>.
</b></p><p></p><p><b>Recognition: </b>We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaainsurance.aaa.com/us/en/benefits.</p><p></p><p><b>
Career Growth: </b>We believe in growth for everyone. Here at CSAA IG, leaders and mentors partner with employees to align interests, unlock development opportunities, and support long‑term success.</p><p></p><p><b>
Flexible Workplace: </b>We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices. Our flexible workplace empowers you to balance remote work with intentional in‑person moments that deepen connection and collaboration.</p><p></p><p><b>
Inclusion and Belonging: </b>An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.</p><p></p><p><b>
Sustainability: </b>As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don&rsquo;t miss important updates from us.</p><p></p><p>
CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact TalentAcquistion@csaa.com</p><p></p><p>
If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.</p><p></p><p>
CSAA does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).</p><p></p><p>
CSAA Insurance Group is an equal opportunity employer.</p><p></p><p>
#LI-CH1</p><p>
#HP_RX</p><p>
.</p><p></p>
The national average hourly rate for this position is $38.88-$43.20. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $38.88-$51.88. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 10% of eligible pay.<p></p>
This job posting will be unposted on Sat, 4 Jul 2026.</div>

Sr. Field Adjuster, Homeowner Claims - Columbus, OH (Local)

CenterWell

<div><h1 class="jobSectionHeader"><b>Become a part of our caring community</b><br>
</h1>
The Certified Pharmacy Technician supports Pharmacists in Specialty Rx medication preparation by dispensing Specialty Rx medications. The Specialty Operations Certified Pharmacy Technician performs varied activities, semi-routine assignments and moderately complex administrative/operational/customer support assignments to include computations.<p></p><p><b>
Certified Pharmacy Technician Main Responsibilities:</b></p><ul><li><p>
Receive in-bound phone calls from patients and providers</p></li><li><p>
Enter prescription orders into the system</p></li><li><p>
Support pharmacists and patients by ensuring adherence to Specialty Rx specific operational processes developed to optimize health outcomes</p></li><li><p>
Interpret area/department policies, practices and methods for completing assignments with some opportunity for interpretation and/or independent discretion</p></li><li><p>
Work within defined parameters to identify work expectations and quality standards</p></li><li><p>
Work under minimal direction</p></li></ul><p></p><p><b>
Position Hours</b>: An 8-hour shift, Monday-Friday within one of the following shifts</p><ul><li><p>
9:30 a.m.-6:00 p.m. EST</p></li><li><p>
10:00 a.m.-6:30 p.m. EST</p></li></ul><p></p><p>
You will report to a Supervisor, Specialty Pharmacy Operations</p><h1 class="jobSectionHeader"><b><br>
Use your skills to make an impact</b><br>
<b>
</b></h1><p><b>Required Qualifications:</b></p><ul><li><p>
Must have an active license with the Board of Pharmacy in the state of residence (Ohio, Florida or Arizona)</p></li><li><p>
Must be nationally certified by the Pharmacy Technician Certification Board (PTCB) or ExCPT</p></li><li><p>
1 or more years of experience as a Pharmacy Technician OR call center experience in a pharmacy or any related call center setting</p></li><li><p>
Critical thinker who can anticipate member/customer needs and take initiative, ask the right questions and deliver the highest quality customer experience</p></li><li><p>
Problem solver who can find viable solutions that meets member/customer needs, absent from all ideal tools and resources</p></li><li><p>
Excellent communication skills (verbal and written)</p></li><li><p>
Moderate working knowledge of Excel</p></li></ul><p></p><p><b>
Preferred Qualifications:</b></p><ul><li><p>
Working knowledge of RxNova, CRM and/or ScriptMed</p></li><li><p>
Experience using multiple computer applications simultaneously and strong data entry skills</p></li></ul><p></p><p><b>
Additional Information</b></p><p><b>
Work Hours: </b>An 8-hour shift, Monday-Friday within one of the following shifts</p><ul><li><p>
9:30 a.m.-6:00 p.m. EST</p></li><li><p>
10:00 a.m.-6:30 p.m. EST</p></li></ul><p></p><p><b>
Work Style</b>: Remote</p><p><b>
Compensation</b>: Hourly pay typically ranges between $21.50-$22.50/hr</p><p></p><p><b>
Work at Home/Remote Requirements</b></p><p>
To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria:</p><ul><li><p>
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested</p></li><li><p>
Satellite, cellular and microwave connection can be used only if approved by leadership</p></li><li><p>
Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense</p></li><li><p>
Humana will provide Home or Hybrid Home/Office associates with telephone and computer equipment appropriate to meet the business requirements for their position/job</p></li><li><p>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</p></li></ul><p></p><p><b>
HireVue Statement</b>: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.</p><p></p>
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.<p></p><p><b>
Scheduled Weekly Hours</b></p><p></p>
40<p></p><p><b>
Pay Range</b></p>
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.<br>
<p></p>
$40,000 - $52,300 per year<p></p><p><b><br>
Description of Benefits</b></p>
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<p></p><h1 class="jobSectionHeader"><b><br>
About us</b><br>
</h1>
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.<p></p>
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.<p><br>
<br>
<b>Equal Opportunity Employer</b></p><p></p><p>
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</p></div>

Certified Pharmacy Technician

Morley Companies

<div>About the Role:
<div><b><i>
Role: Remote &ndash; Ohio residents | Full-time early career role</i></b></div><div></div><div><br>
This is a work-from-home customer service role in a structured contact center environment.</div><div></div><div><br>
You&rsquo;ll spend most of your day handling health insurance questions from customers, health care providers and beneficiaries via phone and email, including benefits, eligibility and payments.</div><div></div><div><br>
You&rsquo;ll need to listen carefully, empathize and evaluate each situation to determine next steps &ndash; while staying calm and focused across interactions.</div><div></div><div><br>
During calls, you&rsquo;ll navigate multiple computer systems and resources to resolve questions, communicating in a courteous, personable and professional way.</div><div></div><div><b><i><br>
Pay Transparency</i></b></div><div>
This position starts at $14 per hour.</div><div></div><div><b><i><br>
Why Apply</i></b></div><ul><li>
Full-time role with benefits</li><li>
Paid time off</li><li>
Training provided</li><li>
Leadership development program available</li><li>
Team environment with access to experienced coworkers</li></ul><div></div><div><b><i><br>
What to Expect Day-to-Day</i></b></div><ul><li><b>
Steady call volume:</b> Calls come in consistently throughout your shift with limited downtime.</li><li><b>
Emotionally demanding moments:</b> You&rsquo;ll support customers through a range of feelings and situations with patience, empathy and professionalism.</li><li><b>
Monitored environment:</b> Calls may be recorded and reviewed for quality and compliance.</li><li><b>
Repetitive work:</b> You&rsquo;ll follow the same processes and have similar conversations throughout the day.</li><li><b>
Set schedules:</b> Schedules are assigned and flexibility is limited &ndash; best for someone who values consistency and reliability.</li><li><b>
Documentation required:</b> You&rsquo;ll record details during and after each interaction.</li><li><b>
Multiple channels:</b> Phone is primary, with email support as needed.</li></ul><div></div><div><br>
People who tend to do well in this role stay patient and emotionally steady over time, even when the work is repetitive and the pace is consistent.</div><div></div><div><b><i><br>
What You&rsquo;ll Do</i></b></div><ul><li>
Research and handle questions about benefits, eligibility, payments, quality-of-care concerns and other issues</li><li>
Provide accurate information to customers, managers and clients</li><li>
Create and send status updates or service recovery communications</li><li>
Route or escalate inquiries when needed</li><li>
Explain policies, procedures and benefit details</li><li>
Document each interaction clearly in the tracking system</li><li>
Offer timely and accurate solutions through inbound and outbound conversations (e.g., phone calls, chats, emails) while keeping a positive and upbeat attitude</li></ul><div></div><div><b><i><br>
Questions Before You Apply?</i></b></div><div><ul><li>
Live chat with a Morley Talent Acquisition (TA) Specialist: careers.morleycompanies.com</li><li>
Chat hours:<ul><li>
M-F 8 a.m. - 5 p.m. Eastern / 7 a.m. - 4 p.m. Central / 6 a.m. - 3 p.m. Mountain / 5 a.m. - 2 p.m. Pacific time</li><li>
Closed on some holidays. TA will respond to after-hours questions the next business day.</li></ul></li></ul></div><br>
<div></div>
Skills for Success:
<div><b><i>
Required Skills</i></b></div><ul><li>
Clear written and verbal communication</li><li>
Able to review in-depth info and reach logical conclusions</li><li>
Basic math skills (for payment-related questions)</li><li>
Empathy and dependability</li><li>
Strong listening, organization, multitasking and time management</li><li>
Ability to work in a changing environment</li><li>
Basic computer skills, including Microsoft Office</li><li>
Typing speed of 30+ words per minute (Take a free typing test here: www.typingtest.com)</li></ul><div></div><div><b><i><br>
Eligibility Requirements</i></b></div><ul><li>
Must have the ability to pass a pre-employment background check and drug screen</li><li>
High school diploma or equivalent</li><li>
2+ years of customer service experience (call center, retail, restaurant/fast food, hotel, or any role where you regularly worked with customers)</li><li>
Availability within operating hours:<ul><li>
Monday - Friday | 8 a.m. - 9 p.m. Eastern time (7 a.m. - 8 p.m. Central / 6 a.m. - 7 p.m. Mountain / 5 a.m. - 6 p.m. Pacific)</li><li>
Possible weekends (from October through March)</li><li><i>
(shifts are assigned based on schedule bid using performance metrics)</i></li></ul></li><li>
Reliable attendance and ability to follow a set schedule (queues are time-sensitive)</li></ul><div></div><div><b><i><br>
Nice to Have</i></b></div><ul><li>
Experience with medical claims reimbursements or billing</li><li>
Familiarity with health insurance terminology</li><li>
Understanding of health care policies, procedures, applicable certificates and riders, and benefits as related to inquiry processing</li><li>
Knowledge of customer service practices</li></ul><div></div><div><b><i><br>
Remote Work Requirements</i></b></div><ul><li>
Ohio resident</li><li>
Secluded, distraction-free workspace</li><li>
Internet requirements:<ul><li>
High-speed internet from a wired provider (cable or fiber)</li><li>
Your computer must be connected to your modem/router using an Ethernet cable*</li><li>
Wireless, 5G and satellite internet aren&rsquo;t supported</li></ul></li></ul><div></div><ul><li><br>
<i>Morley provides a six-foot Ethernet cable with the equipment for this role. If you need a longer cable for your setup, you will need to supply it.</i></li></ul><div></div><div><b><i><br>
The Remote Experience</i></b></div><div>
Wondering what it's like to work for Morley from home? Check out this video to get a glimpse of a remote associate's typical day and how their home office setup helps them stay focused.</div><div></div><div><div><div><br>
(direct link to video: https://mrly.info/h4b)</div></div></div><br>
<div></div>
Why Morley?:
<div>
At Morley, your paycheck is just the start &ndash; add in health coverage, wellness resources and financial benefits, and you get a total compensation package designed to support you in work and in life.</div><div></div><div><b><i><br>
Health &amp; Wellness Benefits</i></b></div><ul><li>
Medical and prescription coverage</li><li>
Dental and vision insurance</li><li>
Paid time off</li><li>
Associate wellness program with rewards for annual checkups</li><li>
Programs to quit tobacco use and manage chronic conditions (e.g., diabetes, asthma)</li></ul><div></div><div><b><i><br>
Financial Benefits</i></b></div><ul><li>
401(k) with match</li><li>
Flexible spending account (FSA)</li><li>
Life insurance</li><li>
Company-paid short- and long-term disability insurance</li></ul><div></div><div><b><i><br>
Benefits to Make Your Life Easier</i></b></div><ul><li>
24/7 online access to doctors through Teladoc</li><li>
24/7 nurse help desk</li><li>
Patient advocacy with free 24/7 support for benefit questions and claims</li><li>
Guidance for family, financial and estate planning (including wills)</li></ul><div></div><div><b><i><br>
About Morley</i></b></div><div>
Our mission is to deliver extraordinary experiences.</div><div></div><div><br>
We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible possible) &ndash; for our associates and for the world-leading companies that partner with us.</div><div></div><div><br>
We are an Equal Opportunity Employer and promote a caring and respectful work environment. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.</div><div></div><div><br>
As part of this commitment, we provide reasonable accommodations for those with disabilities. If you need reasonable accommodation to participate in the application or interview process, please contact talentacquisition@morleynet.com.</div><div></div><div><br>
Thank you for your interest in Morley.</div><div></div><div><b><i><br>
Notices</i></b></div><ul><li>
Morley utilizes E-Verify during onboarding for all hires. Click here to learn more about E-Verify: https://mrly.info/bau and your right to work: https://mrly.info/7wo</li><li>
Click here to view Morley&rsquo;s CCPA Notice for applicants in California: https://info.morleynet.com/ccpa</li><li>
Click here to view Morley's privacy policy: https://info.morleynet.com/morley-privacy-policy</li></ul></div><div></div>

Work at Home Customer Service Advisor (Ohio residents)

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