Role Description This role serves as the first point of contact for participants accessing vital services, providing timely and accurate guidance through calls and live chats. You will assess needs, offer referrals, and ensure smooth hand-offs while maintaining strict confidentiality and compliance with privacy requirements. Operating in a fast-paced contact center environment, you will navigate multiple systems simultaneously, respond to sensitive situations, and support participants with empathy and cultural competence. This position is essential in delivering quality service to service members, their families, and other program participants, making a tangible impact on health, readiness, and well-being. It is a dynamic role that combines customer service, technical skills, and behavioral health knowledge. - Serve as the primary point of contact via inbound calls and live chats, providing guidance, resources, and warm hand-offs - Identify, assess, and clarify participant needs in a professional, timely, and empathetic manner - Navigate multiple web-based systems simultaneously to accurately document interactions and manage inquiries - Deliver government-approved privacy advisories and ensure confidentiality while complying with mandated reporting requirements - Recognize and respond to situations involving self-harm, violence, or abuse, and escalate appropriately - Maintain up-to-date knowledge of programs, services, and resources to provide accurate referrals and support Qualifications - Master’s degree in a mental health–related field (Social Work, Psychology, Marriage and Family Therapy, Counseling) required; candidates with a Bachelor’s degree must be actively pursuing a Master’s or have equivalent experience - Strong customer service experience in a contact center or similar high-volume environment - Knowledge of military life, culture, and challenges faced by service members and their families - Proficiency in navigating multiple computer systems, including Microsoft Teams - Ability to pass NACI and/or CNACI or higher security clearance and employment background checks - Familiarity with crisis intervention principles, triage, intake, or referral services preferred - Experience supporting military, veteran, or government-sponsored programs is a plus Benefits - Competitive annual salary range of $60,000 – $80,000, based on experience and field expertise - Comprehensive medical, dental, and vision insurance - 401(k) retirement plan with company matching and tax-deferred savings options - Paid time off and leave benefits - Professional development and continuing education opportunities - Supportive work environment with emphasis on employee well-being and growth

Job DetailsJob Location: Nevada - Nevada, NVPosition Type: Full TimeEducation Level: High SchoolSalary Range: $17.00 - $18.50 HourlyJob Category: Customer ServiceIt's truly an exciting time to be a part of GetInsured. Despite everything we are facing in our communities and our country right now, GetInsured is coming together as a team, adapting, growing, and hiring. We are committed to helping each other and our clients. Our vision has always been to make finding and enrolling in health insurance simple this is more important now than ever before. It's truly an exciting time to be a part of GetInsured! We are hiring Remote Customer Service Representatives to join our elite teams. Despite everything we are facing in our communities and our country right now, GetInsured is coming together as a team, adapting, growing, and hiring. At GetInsured, there are many opportunities to grow, and we hope to appeal to reliable, dedicated, and self-driven individuals to join us. We are committed to building each other up and infusing a motivating and positive work environment despite working remotely. Our vision has always been to make finding and enrolling in health insurance simple, this is more important now than ever before. As a Remote Customer Service Representative, you'll be a part of delivering an amazing customer experience and help unveil the mystery of finding and enrolling in health insurance. GetInsured currently has the largest state-based marketplace footprint, and our consumer-friendly interface and decision support tools empower millions of consumers across the country to make better health plan decisions. GetInsured builds and operates award-winning cloud-based enrollment tools that serve state-based exchanges, brokers, insurers, and consumers. In addition to eligibility determination, plan selection, and enrollment technology for state agencies, the company delivers innovative agent marketing and call center tools and services. Full-time/Seasonal · $17.00/hr. plus performance incentives Requirements 18 years of age or older Complete Background check and drug test within 3 days Dedicated, private, and secure workspace Personal device with functioning camera required for the Training Period Committed to full attendance for paid 3-week Training period Minimum Internet Speed of 35 mb/s with ethernet Cable/Fiber Broadband Internet with a hard-wired ethernet connection is required NOT compatible with mobile internet service providers and/or satellites. NOT compatible with Wi-Fi internet access or Wi-Fi adapters/extenders (For example, T-Mobile is not compatible with our internal systems) QualificationsEssential Responsibilities Inbound/Outbound Calls Deliver the highest level of customer service experience consistently Manage customer accounts and provide technical support Application Data Entry Online chat inquiries as assigned Interpret and follow defined procedures and policies Creative problem-solving skills Flexibility and adaptability to changing projects and updates Time and task management (multitasking and task prioritization) Extensive self-study, training, and testing are required; eligibility to proceed through training and certifications is dependent upon passing required exams Adhere to regulated guidelines for communications via all channels Qualifications Moderate to Advanced computer skills High level of comfort learning new technology High level of professionalism Excellent verbal and written communication skills Comfortable working from home Self-motivated and success-driven What We Offer Paid Training Full-Time, Seasonal role Performance and attendance-based incentives, in addition to the base pay The convenience of working from home Collaborative and supportive team environment 401K Match Individual Coverage HRA (ICHRA) Paid time off (PTO) Preferred Experience (not required) Previous experience in customer support or technical support role Previous experience with Group and/or Individual health insurance, or the Affordable Care Act Previous experience in a Call Center Familiarity with CRM systems and practices Spanish Bilingual, a plus

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: - We serve faithfully by doing what's right with a joyful heart. - We never settle by constantly striving for better. - We are in it together by supporting one another and those we serve. - We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The Scheduling Specialist schedules outpatient diagnostic procedures like radiology and imaging. They validate outpatient orders and capture patient demographic and insurance information. Essential Functions of the Role - Contacts patients or providers for outpatient diagnostic procedures. - Contacts patients to schedule outpatient diagnostic procedures. - Collects patient demographic and insurance information during scheduling phone call with provider or patient. - Validates insurance is in network with the provider. - Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure. - Monitors inbound orders to ensure validation and proper routing. This ensures patients are contacted promptly to schedule procedures. - Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available. - Meet telephone system metrics and department productivity standards. This includes call length, answer time, and number of calls taken in a specific period. Key Success Factors - Must consistently meet performance standards of production, accuracy, completeness and quality. - Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. - Maintain a professional demeanor in a stressful, emotional environment with behavioral health and suffering patients, including life/death situations. - Must exhibit high empathy and communicate well with patients and families during trauma. Demonstrate exceptional customer service skills. - Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. - Excellent data entry, numeric, typing and computer navigational skills. - Basic computer skills and Microsoft Office. Belonging Statement We believe that all people should feel welcomed, valued and supported. QUALIFICATIONS - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. *Qualified candidates for this role must be available to work 9:30AM-6:00PM EST. Estimated start date for this role is 5/18/26 * Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's offices, and pharmacies. This role makes outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists. - Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests - Offers options including submission of a prior authorization request - Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards - Logs, tracks, resolves, and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and Centene Corporate guidelines in which special care is required to enhance Centene relationships, while meeting and exceeding all performance standards - Maintains expert knowledge on all pharmacy benefits and formularies, including CMS regulations as they pertain to this position - Responsible for knowing and interpreting pharmacy and medical benefits - Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates) - Actively involved in the initiation and providing status for prior authorization/coverage determination, appeal / redetermination phone calls - Responsible for ensuring outstanding attention to detail - Identify root cause issues to ensure enterprise solutions and communicate findings as needed to ensure first call resolution - Assists with special projects as assigned - Performs other duties as assigned - Complies with all policies and standards Education/Experience: High School Diploma / GED and 1 year of Job Specific call center/customer service. Pay Range: $15.87 - $27.25 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act