Role Description The Customer Service Representative II (Phones) provides superior customer service in a contact/call center/help desk environment for a specific contract in support of a customer with high demands for privacy, confidentiality, precision, advanced technology and customer service skills. This is a work from home position. The successful candidate will demonstrate fluency in speaking, reading, writing, and listening in both Haitian Creole and English. - Demonstrates ability to work in accordance with the SaviLinx Guiding Principles. - Coordinates claims electronically and via telephone. - Handles eligibility inquiries and all lines of business in both English and Haitian Creole. - Meets established goals for call center metrics in Service Level Agreement (SLA) goals and Quality. - Ensures first call resolution through problem solving and effective call/email/chat handling. - Meets demands for privacy, confidentiality, precision. - Documents all customer information, communications in Customer Relationship Management (CRM) system. - Maintains a working knowledge of our clients’ requirements using a Knowledge Base. - Provides mentoring, training, and development to other CSRs as needed. Qualifications - 2+ years of college preferred. - 2+ years of contact center experience preferred. - High school diploma or equivalent required. - 18 years of age or older. - Time management skills and the ability to work independently are essential for this role. - Excellent organizational, written and oral communication skills in both Haitian Creole and English. - Computer proficiency with the ability to navigate between multiple computer screens/programs while talking with the customer. - Customer service oriented (empathetic, responsive, patient, and conscientious). - Must have experience with maneuvering electronic data between various environments. - College degree preferred. Requirements - This position has no supervisor responsibility. - This position requires full, flexible availability, although will generally be M-F 8-5. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Equal Employment Opportunity SaviLinx, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Title: Bilingual Case Manager, Reimbursement Regular Client Services Remote, US Job Description: As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! At UBC, the Reimbursement Case Manager serves as a patient advocate, removing barriers for patients accessing specialty pharmaceuticals. As the single point of contact you will provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. In addition to prioritizing and enhancing the patient experience, the reimbursement case manager will coordinate the patient's access to therapies, conduct the appropriate follow ups, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP). Location: Remote, US Hours: 11-8pm EST Specific job duties: - Provide day-to-day oversight and coordination of caseload to ensure all case elements and tasks are completed timely and ensure cases move through the process as required. - Act as single point of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders. - Communicate patient benefits and responsibility timely and accurately. - Assess and refer patients appropriately for special programs/services when appropriate. - Performs quality checks on cases and report trends to leadership. - Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures. - Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy - Report Adverse Drug Events that have been experienced by the patient in accordance pharmaceutical requirements. - Recognize a product quality complaint and forward caller/written information to a manufacturer. - Other duties, as assigned. Desired Skills and Qualifications: - Fluency in English and Spanish is required - Bachelor's degree or six years of relevant working experience - Two (2) or more years of relevant experience in pharmacy benefit management preferred - Medical Assistant, Social Worker or Senior Reimbursement Specialist experience preferred - Proficient in Microsoft Office applications - Knowledge of medical and claims processing terminology - Excellent written/verbal communication to include providing clear instructions Benefits: At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally. Here are some of the exciting perks UBC offers: - Remote opportunities - Competitive salaries - Growth opportunities for promotion - 401k with company match* - Tuition reimbursement - Flexible work environment - 20 Days PTO Annually (accrued) - Paid Holidays - Employee assistance programs - Medical, Dental, and vision coverage - HSA/FSA - Telemedicine (Virtual doctor appointments) - Wellness program - Adoption assistance - Short term disability - Long term disability - Life insurance - Discount programs UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.

Role Description Hi, we're Oscar. We're hiring an Associate, Total Quality Management to join our Total Quality Management team. You will work cross-functionally with business and technical Oscar stakeholders and represent the needs and interests of the department in company-wide strategic initiatives and in solving business problems related to internal processes. Your responsibilities will include: - Leading the design, optimization, and implementation of processes/improvements/platforms to operations in support of achieving organizational goals. - Collecting and documenting business requirements, and building and managing project plans. - Documenting key project decisions, managing project governance, and applying frameworks. - Analyzing data and developing and communicating risk mitigation strategies. - Managing multiple initiatives and stakeholders simultaneously. You will report into the Associate Director, Quality. Work Location: This is a remote position, open to candidates who reside in Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Qualifications - 3+ years of work experience in operations and/or health insurance. - 2+ years of experience using data software such as Excel/Google Sheets, SQL, or other data analytics tools. - 2+ years of experience with end-to-end project management within a cross-functional environment. - 2+ years of experience in administering operational, quality, or analytics platforms, including requirements gathering, workflow documentation, vendor evaluation support, and leading User Acceptance Testing (UAT). - Experience managing, presenting, and owning stakeholder management. - 2+ years of experience with process improvement methodologies such as Lean, Six Sigma, and/or Theory of Constraints. Requirements - A bachelor's degree or 3+ years of commensurate experience (bonus points). Benefits - Medical, dental, and vision benefits. - 11 paid holidays. - Paid sick time. - Paid parental leave. - 401(k) plan participation. - Life and disability insurance. - Paid wellness time and reimbursements.

Role Description Join Belle, a fast-growing healthcare provider bringing innovative in-home and virtual care to seniors. Our mission is simple: improve health outcomes while making care more accessible and joyful. We’re looking for a Board Certified (or Eligible) Primary Care Physician to join our team and deliver high-quality, preventive-focused care through telehealth. Qualifications - MD or DO, Board Certified/Eligible in Family Medicine, Internal Medicine, or Geriatrics - Active medical license — multi-state licensure a plus - Credentialed with major plans: UHC, Aetna, Humana - Strong interest in preventive care, senior health, or chronic condition management - Tech-savvy and comfortable practicing via telehealth - Collaborative, mission-driven mindset with excellent communication skills Requirements - Provide routine telehealth visits with Medicare patients (E/M and Chronic Care Management) - Create and manage personalized care plans for ongoing conditions - Collaborate with our integrated care team (nurse case managers, NPs, CHWs) - Ensure thorough documentation in our EHR and compliance with quality measures - Engage patients in preventive care to reduce avoidable complications Benefits - 100% remote telehealth — no commute, no nights, no weekends, no major holidays - Low-acuity, standardized protocols = predictable caseload and less stress - Comprehensive benefits package (medical, dental, vision, 401k) - Competitive compensation based on experience - PTO, Sick, Wellness leave, and Paid Holidays - Opportunity for significant career growth and expansion of responsibilities - Ability to reshape an industry and protect lives