58 Healthcare Positions jobs in Hoyt

**Position Summary:**
This will be a full-time telework role in Kansas, however, will require 50-75% travel for face-to-face visits in assigned area once COVID restrictions are lifted. Schedule is Monday-Friday, standard business hours. Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and
education for members through the use of care management tools and resources.
**Responsibilities:**
- Through the use of care management tools and information/data review, conducts comprehensive
evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or
meeting needs by evaluating member's benefit plan and available internal and external programs/services.
- Identifies high risk factors and service needs that may impact member outcomes and care planning
components with appropriate referral to clinical case management or crisis intervention as appropriate
- Coordinates and implements assigned care plan activities and monitors care plan progress.
Enhancement of Medical Appropriateness and Quality of Care:
- Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health
programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to
obtain multidisciplinary review in order to achieve optimal outcomes.
- Identifies and escalates quality of care issues through established channels.
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
**Experience:**
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and
promote lifestyle/behavior changes to achieve optimum level of health.
- Provides coaching, information and support to empower the member to make ongoing independent
medical and/or healthy lifestyle choices.
- Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Monitoring, Evaluation and Documentation of Care:
- Utilizes case management and quality management processes in compliance with regulatory and
accreditation guidelines and company policies and procedures
**Education:**
behavioral health, social services, or human services field.
Case Management
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ( .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. Our employees have spoken. Our purpose, team, and company culture are amazing and our Great Place to Work® certification in the United States says it all!
What You'll be Doing
Do you have a passion to train and guide others towards best practices? Do you love helping set someone up for success? In this role, you'll support and actively engage new hires in a training environment to develop their knowledge of our values, employee workspaces, time keeping apps, and training on client products and procedures. You'll work to make sure each employee is set up for success as they start their new role by teaching, testing, and monitoring absence and attendance throughout the training process.
You'll report to the Training Manager. We're looking for a Trainer to welcome and excite new hires as they start their new careers.
**During a Typical Day, You'll**
+ Inspire and motivate learners to reach for amazing
+ Mentor and coach new hires within client training goals and time frames
+ Bring your interest in helping others to start their career journeys successfully
+ Deliver high-quality client product training
**What You Bring to the Role**
+ High school diploma or equivalent
+ 6 months or more in training and adult learning or call center experience
+ Team building and nurturing an inclusive learning environment
+ Engage and support your trainees in making sure they have the proper tools and systems knowledge to accomplish day-to-day tasks
+ Computer experience with MS Office, customer relationship management applications, and learning management systems.
**Compensation and Benefits**
+ The anticipated range for individuals expressing interest in this position is $19-$21/hr.
+ Visit for more information.
**What You Can Expect**
+ Supportive of your career and professional development
+ An inclusive culture and community-minded organization where giving back is encouraged
+ A global team of curious lifelong learners guided by our company values
+ Ask us about our paid time off (PTO) and wellness and healthcare benefits
+ And yes. a great compensation package and performance bonus opportunities, benefits you'd expect and maybe a few that would pleasantly surprise you (like tuition reimbursement)
About TTEC
Our business is about making customers happy. That's all we do. Since 1982, we've helped companies build engaged, pleased, profitable customer experiences powered by our combination of humanity and technology. On behalf of many of the world's leading iconic and hypergrowth brands, we talk, message, text, and video chat with millions of customers every day. These exceptional customer experiences start with you.
TTEC is proud to be an equal opportunity employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. TTEC embraces and is committed to building a diverse and inclusive workforce that respects and empowers the cultures and perspectives within our global teams. We aim to reflect the communities we serve, by not only delivering amazing service and technology, but also humanity. We make it a point to make sure all our employees feel valued, belonging, and comfortable being their authentic selves at work. As a global company, we know diversity is our strength because it enables us to view things from different vantage points and for you to bring value to the table in your own unique way.
#LI-Remote
**Title:** _Seasonal Healthcare Trainer_
**Location:** _TX-Austin_
**Requisition ID:** _045ZT_

General information

Job Posting Title

Customer Service Representative – Healthcare

Date

Wednesday, July 30, 2025

City

Lawrence

State

KS

Country

United States

Working time

Full-time

Description & Requirements

Customer Service Representative - Healthcare  

Location: Lawrence, KS (On-site Position)  
Starting Pay: $1 5.00 / hr plus $,900 + in potential bonuses!  
Schedule: Limited-Service Full-Time positions available  

Site Hours: 24/7 center; the targeted start date, hours, and schedule are discussed with recruiter  

Evening and night shifts are encouraged with a 10% shift differential for hours worked between 7 p.m. and 5 a.m.  

Help People Navigate Healthcare with Confidence , While Building Your Career  

Are you looking to provide outstanding customer service in a rewarding environment? Maximus is seeking Customer Service Representatives (CSRs) to assist individuals navigating healthcare programs and benefits.  

You’ll join a dedicated team that helps vulnerable populations understand complex healthcare information. Maximus provides paid, comprehensive training, so you’ll be ready to succeed from day one.  

Pay & Benefits  

We offer a competitive pay and benefits package designed to support your success both professionally and personally:  

• Competitive Compensation:    

• $1 5.00 / hr ba e pay + 10% shift differential  

• $ ,900 + in bonus opportunities, including training completion and referrals*   

• Comprehensive Insurance Coverage: Company-paid medical coverage   

• Tuition Reimbursement: Invest in your ongoing education and development  

• Future Planning: 401(k) with company match   

• Paid Time Off Package: Paid time off, sick leave & 11 paid holidays   

• Maximus Wellness Support: Employee Assistance Program (EAP), wellness resources, and employee discount programs   

• Work/Life Balance Support: Flexible schedules that meet your lifestyle  

• Career Growth: A supportive environment with career development and promotional opportunities     

• Meaningful Work with Impact: No cold calls, sales, or collections involved!  

*Eligibility requirements apply, ask your recruiter for more details  

Essential Duties and Responsibilities:

- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e.  telephone, emails, web chats, or written letters).

- Calls are basic and routine.

- Uses computerized system for tracking, information gathering, and/or troubleshooting.

- Provides feedback when needed, provide input on call trends, processes, procedures, and training.

- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.

- Provide timely responses to telephone inquiries in a courteous and professional manner, using pre-scripted responses   

- Follow policies and standard operating procedures such as filling out timesheets, adhering to privacy and HIPAA rules   

- Utilize standard technology such as telephone, e-mail, and web browser to perform job duties   

- Assist caller(s) with filling out online applications and submitting electronically to plan provider for processing   

- Complete basic call log related to the phone inquiries such as clicking radio buttons to confirm which scripts were read to the caller   

- Refer calls as required to CSR Lead   

- Maintain up-to-date knowledge of client regulations and policies   

- Report problems that occur via the online system so they can be addressed by the appropriate parties    

Minimum Requirements

- High School diploma or equivalent with 6 months of customer service experience.

- Must be able to speak and read English clearly, professionally and fluently.

- Ability to work within established turnaround times   

- Must have excellent interpersonal skills and the ability to organize simultaneous tasks   

- Ability to work as a member of a team    

- Must participate and certify in internal CCO training to begin this role.    

- Medicare will be expected to participate in and certify in internal Tier I Claims Part A, Claims Part B, and Claims DME training later to complete your Tier I am training for this role.    

- May be required to work overtime and scheduled holidays.    

- Working on-site at our office location is a key requirement for this position. Being physically present at the worksite is essential for effective collaboration, communication, and supervision. '

- Applicants must be able to perform their duties on-site and meet attendance requirements. Remote or at-home work options are not available for this role until completion of at least one year of employment with above-average performance, based on specified program criteria and at the company's discretion .

#CCOLawrence #CSRroles #MaxPriority

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor.  That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.

Minimum Salary

$

15.00

Maximum Salary

15.00

Your potential has a place here with TTEC's award-winning employment experience. As a Seasonal Licensed Healthcare Trainer, working remotely in California, USA, you'll be a part of bringing humanity to business. #experienceTTEC
Our employees have spoken. Our purpose, team, and company culture are amazing and our Great Place to Work® certification in the United States says it all!
**What You'll be Doing**
Do you have a passion to train and guide others towards best practices? Do you love helping set someone up for success? In this role, you'll support and actively engage new hires in a training environment to develop their knowledge of our values, employee workspaces, time keeping apps, and training on client products and procedures. You'll work to make sure each employee is set up for success as they start their new role by teaching, testing, and monitoring absence and attendance throughout the training process.
You'll report to the Training Manager. We're looking for a Trainer to welcome and excite new hires as they start their new careers.
**During a Typical Day, You'll**
+ Inspire and motivate learners to reach for amazing
+ Mentor and coach new hires within client training goals and time frames
+ Bring your interest in helping others to start their career journeys successfully
+ Deliver high-quality client product training
+ Have an active Resident State Health Insurance License
**What You Bring to the Role**
+ High school diploma or equivalent
+ 6 months or more in training and adult learning or call center experience
+ Team building and nurturing an inclusive learning environment
+ Engage and support your trainees in making sure they have the proper tools and systems knowledge to accomplish day-to-day tasks
+ Computer experience with MS Office, customer relationship management applications, and learning management systems.
**Compensation and Benefits**
+ The anticipated range for individuals expressing interest in this position is $19-$21/hr.
+ Visit for more information.
**What You Can Expect**
+ Supportive of your career and professional development
+ An inclusive culture and community-minded organization where giving back is encouraged
+ A global team of curious lifelong learners guided by our company values
+ Ask us about our paid time off (PTO) and wellness and healthcare benefits
+ And yes. a great compensation package and performance bonus opportunities, benefits you'd expect and maybe a few that would pleasantly surprise you (like tuition reimbursement)
**About TTEC**
Our business is about making customers happy. That's all we do. Since 1982, we've helped companies build engaged, pleased, profitable customer experiences powered by our combination of humanity and technology. On behalf of many of the world's leading iconic and hypergrowth brands, we talk, message, text, and video chat with millions of customers every day. These exceptional customer experiences start with you.
TTEC is proud to be an equal opportunity employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. TTEC embraces and is committed to building a diverse and inclusive workforce that respects and empowers the cultures and perspectives within our global teams. We aim to reflect the communities we serve, by not only delivering amazing service and technology, but also humanity. We make it a point to make sure all our employees feel valued, belonging, and comfortable being their authentic selves at work. As a global company, we know diversity is our strength because it enables us to view things from different vantage points and for you to bring value to the table in your own unique way.
#LI-Remote
**Title:** _Seasonal Licensed Healthcare Trainer_
**Location:** _TX-Austin_
**Requisition ID:** _045CA_

Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. Our employees have spoken. Our purpose, team, and company culture are amazing and our Great Place to Work® certification in the United States says it all!
What You'll be Doing
Do you have a passion to train and guide others towards best practices? Do you love helping set someone up for success? In this role, you'll support and actively engage new hires in a training environment to develop their knowledge of our values, employee workspaces, time keeping apps, and training on client products and procedures. You'll work to make sure each employee is set up for success as they start their new role by teaching, testing, and monitoring absence and attendance throughout the training process.
You'll report to the Training Manager. We're looking for a Trainer to welcome and excite new hires as they start their new careers.
During a Typical Day, You'll
+ Inspire and motivate learners to reach for amazing
+ Mentor and coach new hires within client training goals and time frames
+ Bring your interest in helping others to start their career journeys successfully
+ Deliver high-quality client product training
+ Have an active Resident State Health Insurance License
What You Bring to the Role
+ High school diploma or equivalent
+ 6 months or more in training and adult learning or call center experience
+ Team building and nurturing an inclusive learning environment
+ Engage and support your trainees in making sure they have the proper tools and systems knowledge to accomplish day-to-day tasks
+ Computer experience with MS Office, customer relationship management applications, and learning management systems.
Compensation and Benefits
+ The anticipated range for individuals expressing interest in this position is $19-$21/hr.
+ Visit for more information.
What You Can Expect
+ Supportive of your career and professional development
+ An inclusive culture and community-minded organization where giving back is encouraged
+ A global team of curious lifelong learners guided by our company values
+ Ask us about our paid time off (PTO) and wellness and healthcare benefits
+ And yes. a great compensation package and performance bonus opportunities, benefits you'd expect and maybe a few that would pleasantly surprise you (like tuition reimbursement)
About TTEC
Our business is about making customers happy. That's all we do. Since 1982, we've helped companies build engaged, pleased, profitable customer experiences powered by our combination of humanity and technology. On behalf of many of the world's leading iconic and hypergrowth brands, we talk, message, text, and video chat with millions of customers every day. These exceptional customer experiences start with you.
TTEC is proud to be an equal opportunity employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. TTEC embraces and is committed to building a diverse and inclusive workforce that respects and empowers the cultures and perspectives within our global teams. We aim to reflect the communities we serve, by not only delivering amazing service and technology, but also humanity. We make it a point to make sure all our employees feel valued, belonging, and comfortable being their authentic selves at work. As a global company, we know diversity is our strength because it enables us to view things from different vantage points and for you to bring value to the table in your own unique way.
#LI-Remote
**Title:** _Seasonal Licensed Healthcare Trainer_
**Location:** _TX-Austin_
**Requisition ID:** _043US_

Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As a Seasonal Healthcare Trainer working remotely in the USA, you'll be a part of bringing humanity to business. #experienceTTEC
Our employees have spoken. Our purpose, team, and company culture are amazing and our Great Place to Work® certification in the USA says it all!
**What You'll be Doing**
Do you have a passion to train and guide others towards best practices? Do you love helping set someone up for success? In this role, you'll support and actively engage new hires in a training environment to develop their knowledge of our values, employee workspaces, time keeping apps, and training on client products and procedures. You'll work to make sure each employee is set up for success as they start their new role by teaching, testing, and monitoring absence and attendance throughout the training process.
You'll report to the Training Manager. We're looking for a Trainer to welcome and excite new hires as they start their new careers.
**During a Typical Day, You'll**
+ Inspire and motivate learners to reach for amazing
+ Mentor and coach new hires within client training goals and time frames
+ Bring your interest in helping others to start their career journeys successfully
+ Deliver high quality client product training
**What You Bring to the Role**
+ High school diploma or equivalent
+ 6 months or more in training and adult learning or call center experience
+ Team building and nurturing an inclusive learning environment
+ Engage and support your trainees in making sure they have the proper tools and systems knowledge to accomplish day-to-day tasks
+ Computer experience
**What You Can Expect**
+ Supportive of your career and professional development
+ An inclusive culture and community minded organization where giving back is encouraged
+ A global team of curious lifelong learners guided by our company values
+ Ask us about our paid time off (PTO) and wellness and healthcare benefits
+ And yes. a great compensation package and performance bonus opportunities, benefits you'd expect and maybe a few that would pleasantly surprise you (like tuition reimbursement)
Visit for more information.
The anticipated range is $19-$21/hr. Actual compensation offers to a candidate may vary based upon geographic location, work experience, education and/or skill levels.
**About TTEC**
Our business is about making customers happy. That's all we do. Since 1982, we've helped companies build engaged, pleased, profitable customer experiences powered by our combination of humanity and technology. On behalf of many of the world's leading iconic and hypergrowth brands, we talk, message, text, and video chat with millions of customers every day. These exceptional customer experiences start with you.
TTEC is proud to be an equal opportunity employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. TTEC embraces and is committed to building a diverse and inclusive workforce that respects and empowers the cultures and perspectives within our global teams. We aim to reflect the communities we serve, by not only delivering amazing service and technology, but also humanity. We make it a point to make sure all our employees feel valued, belonging, and comfortable being their authentic selves at work. As a global company, we know diversity is our strength because it enables us to view things from different vantage points and for you to bring value to the table in your own unique way.
#LI-Remote
**Title:** _Seasonal Healthcare Trainer-Remote_
**Location:** _TX-Austin_
**Requisition ID:** _044UH_

The Client Partner serves as the primary post-sale point of contact for clients and responsible for their ongoing growth and satisfaction. Uses in-depth knowledge of the client's industry, business operating model, and has deep knowledge of the product(s) being sold and technical expertise to drive and increase adoption and utilization of Acxiom's products. Demonstrates product features beyond central functionality to help clients achieve specific business results and maximum value from their investment in Acxiom product(s). Strong strategic mindset to be able to identify and recommend specific solutions to achieve customer's desired objectives and outcomes.
Holds direct responsibility for identifying growth opportunities and closing revenue from assigned clients, including upselling and cross-selling of related products, including accountability for client renewal and retention results. Ensures best practices are adopted for Acxiom product use and clients are maximizing value from product/service investments. Handles escalations and coordinate across functional areas of the company, including Professional Services, Data Engineering, Finance, Operations, Marketing, Training, and/or Delivery Support.
**COMPETENCIES**
+ **Revenue Driver:** Ability to contribute to the generation of revenue proactively and strategically across client portfolio. Possess the skills and knowledge needed to identify, create, and seize opportunities that lead to increased sales, income, and profitability.
+ **Consultative:** Ability to engage with clients in a collaborative and client-services mindset to understand their needs, provide expert advice, and offer solutions that address those needs effectively. Strongly skilled in active listening, problem-solving, and the ability to build trust-based relationships with clients, and colleagues across all levels.
+ **Client Advocate:** Represent and champion the interests, needs, and concerns of clients. Serve as a dedicated liaison, ensuring that clients' expectations are met, they are achieving benefit realization, their issues are addressed, and their overall experience is positive and satisfactory.
+ **Relationship Builder:** Ability to initiate, develop, nurture, and maintain positive and meaningful connections with others, whether they are colleagues, clients, customers, stakeholders, or external partners. Strong relationship-building skills excel in establishing rapport, trust, and mutual respect, which are essential for effective collaboration and achieving common goals.
+ **Healthcare Industry Expertise:** Comprehensive knowledge and deep understanding of the Healthcare industry including payer, provider and life science. Possess specialized insights, and a nuanced understanding of the market dynamics, trends, challenges, regulations, and competitive landscape.
**DUTIES AND RESPONSIBILITIES:**
+ Achieves and exceeds revenue growth targets, maintains revenue run rate, profitability targets, and other sales related goals within named book of accounts.
+ Proactively identifies new revenue opportunities annually and drives account growth and profitability acceleration including new business, up-sell, and cross-sell opportunities.
+ Develops and improves client relationships by providing consultation, expertise and onsite presence: aligning client business needs to Acxiom products, solutions, and services.
+ Manages client portfolio revenue and bookings forecasts.
+ Creates and maintains appropriate, well-managed pipeline of account growth opportunities.
+ Responsible for managing within Salesforce CRM all records of sales, revenue, and other key account information.
+ Creates value and differentiates Acxiom services and products from competitors.
+ Consults with clients on new use cases and capabilities to enable organic growth (including decision engines, digital enablement, analytics, channel expansion, etc.)
+ Leads or facilitates contract negotiations for new business and renewals.
+ Escalation points for status, issues, problems, and feedback to client/stakeholders and teams
+ Work closely with delivery team managers to help support overall account operations.
+ Work closely with our creative/media agency partners to develop and support overall account relationships.
+ Consistently deliver high quality work on time and against commitments, proactive pitch proposals and business review presentations.
**WHAT WILL SET YOU APART:**
+ Ten (10) + years of relevant experience. In the absence of a bachelor's degree, relevant experience of an equivalent time will be considered.
+ Solution selling experience in Healthcare industry.
+ Multi-functional leadership experience (Consulting, BPO, General Management, etc.)
+ Experience in Marketing and Marketing Technologies, including data insights, analytics, and digital marketing experience.
+ Knowledge of Mar-tech and Ad-tech ecosystem and technology.
+ Deep knowledge of the application of consumer and behavioral data.
+ Proven track record of meeting/exceeding goals and experience with sales targets.
+ Proven success in managing clients with multiple lines of business.
+ Ability to map technology solutions to solve business problems or advance business goals.
+ Demonstrating resilience and creativity to gain commitments over challenging sales cycles.
+ Strong Problem-solving skills
+ Financial and Strategic acumen
+ Experience and temperament working in high-pressure, fast-paced environments.
+ Conversational style and ability to ask relevant questions (Solution Selling).
+ Strong history of successful consultative, relationship-based selling.
+ Strong PowerPoint presentation skills, including visualization abilities.
**Primary Location City/State:**
Homebased - Conway, Arkansas
**Additional Locations (if applicable):**
Acxiom is an equal opportunity employer, including disability and protected veteran status (EOE/Vet/Disabled) and does not discriminate in recruiting, hiring, training, promotion or other employment of associates or the awarding of subcontracts because of a person's race, color, sex, age, religion, national origin, protected veteran, military status, physical or mental disability, sexual orientation, gender identity or expression, genetics or other protected status.
Attention California Applicants: Please see our CCPA/CPRA Privacy Act notice here ( .
Attention Colorado, California, Connecticut, Maryland, Nevada, New Jersey, New York City, Ohio, Rhode Island, and Washington Applicants: This position is not located in the aforementioned locations but applications for remote work may be considered. For information about this role under state or local equal pay or pay transparency laws, please contact .
We are leaders in helping brands achieve the number one mantra for every business - know your customer. For fifty years, we've helped marketers deal with a fast-changing future of growing channels, data and technology. By understanding the customer, marketers can communicate with relevance everywhere and drive better customer experiences that build a better brand and, in turn, better business.
We're one of the marketing industry's most experienced, respected and forward-thinking leaders. For nearly fifty years, we've helped the world's best marketers understand their customers so that they can reach people with relevance rather than randomness. Our products and solutions form the data foundation that make it possible for marketers to drive better customer experiences and meaningful interactions at scale across every channel.
Our job opportunities will give you the opportunity to showcase your talents, grow your skills, and expose you to cutting-edge technologies, whether you're an engineer, developer, products guru, systems and security expert, sales and consulting executive, or an intern looking to gain real experience with a company that will make you stand out.
At Acxiom, our values begin with our associates, who are the single most important driver of our success. We're looking to hire people who share our core values: collaboration, excellence, innovation, a focus on outcomes, and being empowered to make and own decisions that benefit our clients and our company. Our values represent our brand promise - to our clients and to our associates - and define our company culture.
If you are interested in applying for employment with Acxiom and need special assistance or an accommodation to apply for a posted position, contact our recruiting department at 1- .
**We highly recommend you create an account to monitor your resume submissions. Click on the Sign In link above to create an account or sign up at the end of your application.**
Interested in Acxiom? Learn about our Equal Opportunities, job postings, and more:
About Us ( Us on Twitter
Find Us on Facebook ( Page
LinkedIn ( applicants need to apply for open positions through their Workday account. Please log into Workday and use the **Find Jobs** report to search for and apply for positions posted internally. For questions, please contact the recruiter listed on the job posting.
Attention California Applicants: Please see our CCPA/CPRA Privacy Act notice here ( .
Attention Colorado, California, Connecticut, Maryland, Nevada, New Jersey, New York City, Ohio, Rhode Island, and Washington Applicants: This position is not located in the aforementioned locations but applications for remote work may be considered. For information about this role under state or local equal pay or pay transparency laws, please contact .
Attention Mexico Applicants: Please see our Privacy Policy notice here ( .
*Note: Offers for recruitment from any websites featuring the Acxiom name or its variations, other than those listed here: and are fraudulent. Please do not engage with these sites.

Cognizant is one of the world's leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. We are looking to expand our team. Do you thrive in a busy environment and able to multi-task successfully? If so, please apply today!
The Claims Processor, you will ensure accurate and timely adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client issues related to claims adjudication and adjustments. Service Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the employer's plan document. You will be valued member of the Cognizant team and collaborate with stakeholders and other teams.
**Primary Responsibilities** :
+ Review claim system data and verify against UB or HCFA paper or EDI information.
+ Evaluate medical records to determine if the service rendered was medically appropriate and criteria compliance.
+ Analyze claim and line-item edits, including warning messages, to determine payment eligibility.
+ Manage all tasks within designated timeline to meet internal and external SLAs.
+ Other duties as assigned by management.
**Qualifications:**
+ A minimum of 1 year's claims processing experience is required.
+ Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCA, ICD-9
+ Experience with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims.
+ Knowledge of Medicare billing & payment and coverage guidelines and regulations.
+ Must be able to work with minimal supervision.
+ Excellent problem-solving skill in healthcare claims adjudication.
+ Ability to work at a computer for extended periods.
+ High School degree or GED or equivalent experience.
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
**Salary and Other Compensation:**
Applications will be accepted until August 8, 2025
The hourly rate for this position is between $15.25 - $17.75 an hour, depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
**Benefits** : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
+ Medical/Dental/Vision/Life Insurance
+ Paid holidays plus Paid Time Off
+ 401(k) plan and contributions
+ Long-term/Short-term Disability
+ Paid Parental Leave
+ Employee Stock Purchase Plan
**Disclaimer:** The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

**Become a part of our caring community and help us put health first**
As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will:
+ Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
+ Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
+ Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
+ Clear payment variances, resolving differences, and initiating corrective action.
+ Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
+ Prepare input data forms to update computer system.
+ Review and communicate with agencies to educate them about expectations for clean claims.
**Use your skills to make an impact**
**Required Qualifications**
+ High School Diploma or the equivalent
+ Minimum of two years medical claims processing experience preferred
+ Knowledge of healthcare collection procedures and microcomputer software/hardware preferred
+ Effective analytical and communication skills
**Additional Information:**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees 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.
+ Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:
+ Health benefits effective day 1
+ Paid time off, holidays, and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
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.
$43,000 - $56,200 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") 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.
**About us**
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
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**Equal Opportunity Employer**
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.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options