Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
  • This site is mobile friendly. You do not need a log-in or password to access information.
  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
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Job Information

Prime Therapeutics Customer Care Associate I Remote in California in Providence, Rhode Island

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Customer Care Associate I Remote in California

Job Description Summary

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

Job Description

  • Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

  • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

  • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

  • Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

  • Assists in the mentoring and training of new staff.

  • Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).

  • Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

  • Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.

  • Educates providers on how to submit claims and when/where to submit a treatment plan.

  • Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

  • Informs providers and members on Magellan's appeal process.

  • Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

  • Links or makes routine referrals and triage decisions not requiring clinical judgment.

  • Performs necessary follow-up tasks to ensure member or provider needs are completely met.

  • Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

  • Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

  • Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

  • Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

  • Support team members and participate in team activities to help build a high-performance team.

  • Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

Responsibilities

  • Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.

  • Responsible for meeting call handling requirements and daily telephone standards as set forth by management.

  • Must agree to observing service for the purpose of training and quality control.

  • Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.

  • Must be able to maneuver through various computer platforms while verifying information on all calls.

  • Must be able to talk and type simultaneously.

Work Experience

Work Experience - Required:

Customer Service

Work Experience - Preferred:

Education

Education - Required:

GED, High School

Education - Preferred:

Associates, Bachelors

Certifications

Certifications - Required:

Certifications - Preferred:

Potential pay for this position ranges from $13.90 - $20.85 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

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