Clinical Research Associate (Contractor)

Customer Service Representative - Inbound Calls

Talkdesk · Centralia, WA

Company Description Genesis Call Center recruits, trains, and manages U.S.-based Customer Service Representatives (CSRs) who support national brands across customer service, roadside assistance, healthcare logistics, retail support, and more. Our secure cloud-based systems allow team members to perform their duties from their designated workspace while contributing to a modern, environmentally conscious support model. As a W2 employer, we provide structured onboarding, real support, and real opportunities for advancement. Job Description We are hiring service-focused individuals to join our team as Customer Service Agents. In this role, you will handle inbound interactions for major brands, assisting customers with questions, service requests, account needs, and product support. You will use our guided systems and resources to deliver high-quality customer care while maintaining professionalism, accuracy, and brand alignment. This role offers schedule flexibility once certified and is ideal for individuals seeking a stable, structured support role with growth potential. Qualifications • High school diploma or GED • Must be at least 18 years of age • Authorized to work in the United States • U.S. resident (excluding CA, CO, CT, MA, MD, NY, OR, WA, WI) • Ability to follow detailed processes and meet performance expectations • Strong communication and active listening skills • Comfortable navigating computer applications and web-based tools • Ability to work independently and remain accountable to schedules Preferred: • Prior call center or customer service experience • Bilingual (Spanish/English) preferred but not required • Familiarity with phone-based or computer-based support environments Additional Information • Flexible scheduling options after certification • Paid training following successful client certification • W2 employment structure with payroll, protections, and stability • Paid time off and optional supplemental insurance (Aflac) • Household telehealth access through MDLive • Access to performance-based incentives • Career advancement pathways into support, QA, and leadership roles • All applicant information is kept confidential under EEO guidelines Please Note: This role requires completion of a multi-step onboarding process, including client-specific assessments, a basic background check, and participation in a certification course before servicing begins. Follow us on Facebook at: Videos To Watch

Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We serve the Commonwealth of Massachusetts in partnering with onsite audits and projects. We have collaborative team scheduling and there is an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient care. Responsibilities include collaborating with peers and providers to discuss care details, reviewing clinical information for appropriateness, and communicating findings and rationale to medical professionals and the broader community. Additionally, the nurse educates stakeholders about audit results and corrective plans, ensures compliance with HIPAA guidelines, and leverages clinical expertise to guide decisions and optimize patient outcomes. Qualified candidates must live in the Boston MA Regional Area to perform the daily travel responsibilities. For this role, there will be no weekends, no holidays, and no on-call work. If you live in Boston MA, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing facility • Auditing anti-psychotic therapy for quality review • Discuss Patient Care specifics with peers or providers in overall patient care and benefits • Communicate clinical findings and present rationale for decisions to medical professionals and members at the appropriate level for understanding • Review the entire medical record for accuracy, and appropriate clinical treatment • Communicate findings of audits to client, and community as needed • Education of findings with community, identifying plans for correction • Comply with HIPAA guidelines related to Personal Health Information (PHI) when communicating with others • Leverage experience and understanding of disease pathology to review chart/clinical information, ask appropriate questions, and identify appropriate course of care in a given situation • Perform medical chart review that includes a review of current and prior patient conditions, documents, and evaluations, and relevant social and economic situations to identify patients' needs • Research and identify information needed to review assessment for accuracy, respond to questions, or make recommendations • Apply knowledge of pharmacology and clinical treatment protocol to determine appropriateness of care • Work collaboratively with peers/team members and other levels or segments within Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to identify appropriate course of action (e.g. Appropriate care, follow up course of action, make referral) • Required to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Registered Nurse (RN) with a current, active, unrestricted RN License in Massachusetts • Currently have OR be able to obtain an RAC/CT MDS certification (must have completed certification prior to start date) • 4+ years of nursing experience, specifically in long-term care and/or medical record review with knowledge of Medicare and Medicaid • Recent long-term care MMQ, MDS, staff development or management experience (in long-term care) • Experience working within medical insurance and/or healthcare industries • Experience analyzing inventory, researching, identifying, and resolving issues • Experience with defining and managing processes within a team • Experience trouble shooting issues for users within teams, IT, and/or business partners • Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) • Demonstrated knowledge of process flow of UM, including prior authorization, concurrent authorization, and/or clinical appeal and guidance reviews • Must live in the Boston MA Regional Area to conduct daily travel requirements • Ability to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite) • Must have reliable transportation and be able to provide proof of a valid, unrestricted Driver's License and current Auto Insurance Preferred Qualifications: • Proven knowledge of Medicaid and Medicare benefit products including applicable state regulations • Demonstrated knowledge of applicable area of specialization • Demonstrated knowledge of Massachusetts DPH guidelines • Demonstrated knowledge of computer functionality, navigation, and software applications • Proficiency with Microsoft Office Suite • Proficient written and verbal skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Call Center Representative (CCR) We are seeking a highly motivated and skilled Call Center Representative (CCR) to join our team. The Call Center Representative (CCR) is responsible for handling both inbound and outbound phone calls, providing support, documenting information, and resolving issues. This role supports the entire organization as it is the first point of contact for incoming calls from clients, vendors, suppliers, and more. The CCR must be able to manage a high volume of calls in a friendly, professional and efficient manner, while following the call routing and documentation processes and procedures. This role requires effective communication, problem-solving skills, fast-pace, a positive attitude, and multi-tasking. The CCR will interact with clients, technicians, and internal teams, utilizing a variety of TailWind systems, to ensure seamless service delivery. Essential Functions • Answer incoming calls from clients, vendors, suppliers, and more. • Follow protocol for specific call types, including triage and escalation when necessary. • Document required information into the corresponding systems to ensure accurate tracking and resolution. • Efficiently navigate company systems to access client and vendor data, update records, and complete service tasks. • Manage check-in and check-out calls from our vendor technicians and review deliverables provided to ensure that all required job tasks were completed. • Assist with 24-hour and 1-hour scheduling reminder calls to our vendor technicians. • Follow company policies, procedures for call handling & routing, issue resolution, & cross-department collaboration. • Consistently conduct activities in a friendly, professional and courteous manner. • Other Duties as assigned. Required Education and Experience • High School Diploma • Computer Experience • Self-starter and proven ability to work independently and on a team • Proficiency with Microsoft Office suite of PC Tools • Phone skills, including familiarity with complex or multi-line phone system • Ability to work in a fast-paced environment, multi-task, and meet deadlines • High degree of accuracy and attention to detail • Ability to remain calm and composed under pressure or during challenging calls • Previous successful experience in a call center or customer service role is a plus! Why Join Us? Remote Full-Time - This position will be remote full-time in one of the following states only: Florida, Iowa, Minnesota, North Carolina, Ohio, or Wisconsin. Dynamic Environment: Work in a fast-paced, supportive, and collaborative team. Career Growth: Opportunities for career development and advancement within the company. Comprehensive Benefits: 401K Match, Medical, Dental, Vision, HealthiestYou!, Basic Life Insurance, Voluntary Life Insurance, Short Term Disability, Long Term Disability, Hospital Confinement, Accident, Specified Disease, Paid time Off (PTO), Floating Holiday, Birthday PTO. Compensation $17-$21 per hour If you are passionate about delivering outstanding customer service and thrive in a fast-paced, team-oriented environment, we encourage you to apply and become a part of our growing company!

Before you apply to a job, select your language preference from the options available at the top right of this page. Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow-people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level. Job Description: Together, we are Marken, UPS Healthcare Precision Logistics. As the clinical and advanced therapy part of UPS Healthcare, we reach patients faster, with greater scalability and access to new pathways throughout the supply chain. With our One UPS advantage and comprehensive service portfolio, including Polar Speed's in-network pharmacies, we are optimally positioned to keep our clients competitive in an increasingly complex market. Work Location: This position will begin in a temporary remote capacity. We anticipate transitioning the position to an on-site Miami, Florida office. During these periods, all responsibilities, reporting structure, and performance expectations will remain the same. The temporary remote arrangement will be reviewed regularly. Any changes will be communicated in advance to ensure a smooth transition to an on-site role. Candidates must be able to commute when on-site work resumes. What you will do: • Handle incoming customer requests via phone, email and website with a sense of urgency and attention to detail • Using MNX's proprietary logistics management platform, process, monitor, and manage critical customer shipments for the medical, aerospace, telecommunications and high tech industries • Communicate with customers and agents in a professional and courteous manner • Meet required team metrics • Stay current on all required training What you bring: • At least 1 year of customer service experience • Time Management • Must be at least 18 years old and have a high school diploma or GED • Be proficient in: Microsoft-Word, Excel, Outlook & data entry and type 30 WPM • Knowledge of US and world geography and time zones is preferred • Call Center experience is preferred • Must have outstanding communication, customer service, and organizational skills • Be able to operate in a fast-paced and demanding environment • Be flexible - with the ability to work additional hours as business requires Shift / Hours: Tues-Sat 6:00AM- 4:30PM EST Must be able to train Monday - Friday 8:00am - 5:00pm EST for 3-4 weeks. Employee Type: Permanent UPS is committed to providing a workplace free of discrimination, harassment, and retaliation. Other Criteria: UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law. Basic Qualifications: Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.