25 jobs found in woburn

Beacon Health Options Job Category: Operations - Customer Service General Req #: CUSTO02317 Schedule: Full Time Location: MA - Woburn We help people live their lives to the fullest potential! You can too! Beacon Heath Options is currently seeking a Customer Support Representative I to join our team in Woburn, MA! The Customer Support Representative (CSR) is responsible for answering and responding to a high volume of telephone inquiries from members and providers. The incumbent's responsibilities include providing accurate and thorough interpretation of benefits, eligibility, provider participation, claims payment and interpretation inquiries, resolving customer inquiries, facilitating problem resolution, and acting as a member/provider advocate by meeting or exceeding customers' expectations. The CSR is expected to take complete responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention and satisfy corporate customer service goals and objectives. Provide timely, accurate, and courteous responses to a high volume of telephone inquiries from both members and providers. Meet daily production standards as indicated by management to meet overall ASA/ABA and client PG's: includes attendance, adherence to schedules, ACW, calls per day, turnaround times. Maintain adherence to schedule enabling the team to meet client satisfaction levels. Adherence to work schedule including time spent on break/lunch. Achieve and maintain productivity and quality performance expectations; minimum 95% Interpret and effectively communicate benefits and eligibility and claims payment information to our customers. Document all critical information related to contacts responded to in the appropriate in house healthcare systems Demonstrate professionalism, empathy and a sense of urgency on each and every member and provider call/transaction Effectively navigate through multiple complex systems/screens. Have the knowledge around handling escalated calls Provide timely follow-up with other internal departments to expedite resolution of difficult/aging inquiries, and when necessary escalate those issues to management for further handling. Keep abreast of all system, contractual, compliance standard changes and policy updates, and attend additional training sessions and department meetings as necessary. Complete daily assigned tasks by management such as website inquiries, COB coordination of benefit updates, and authorization for disclosure forms, authorization updates, and correspondence. Perform additional duties and/or work additional hours as needed. Overtime and working holidays may be required based on business needs. Comply with all the HIPAA Compliance regulations. What You Contribute! Education: High school/GED diploma required, Associate's Degree or equivalent related experience preferred Relevant Work Experience: 6 months - 1 year experience in customer service, health care or health insurance required Knowledge, Skills, & Abilities: Experience in an ACD call center environment is preferred What We Have to Offer! Healthcare benefits available starting day 1! Health & wellbeing incentives, such as gym membership reimbursement 401K with company match to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. PM16 #GD #CB PI118310546

Beacon Health Options Job Category: Operations - Customer Service General Req #: CUSTO02317 Schedule: Full Time Location: MA - Woburn We help people live their lives to the fullest potential! You can too! Beacon Heath Options is currently seeking a Customer Support Representative I to join our team in Woburn, MA! The Customer Support Representative (CSR) is responsible for answering and responding to a high volume of telephone inquiries from members and providers. The incumbent's responsibilities include providing accurate and thorough interpretation of benefits, eligibility, provider participation, claims payment and interpretation inquiries, resolving customer inquiries, facilitating problem resolution, and acting as a member/provider advocate by meeting or exceeding customers' expectations. The CSR is expected to take complete responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention and satisfy corporate customer service goals and objectives. Provide timely, accurate, and courteous responses to a high volume of telephone inquiries from both members and providers. Meet daily production standards as indicated by management to meet overall ASA/ABA and client PG's: includes attendance, adherence to schedules, ACW, calls per day, turnaround times. Maintain adherence to schedule enabling the team to meet client satisfaction levels. Adherence to work schedule including time spent on break/lunch. Achieve and maintain productivity and quality performance expectations; minimum 95% Interpret and effectively communicate benefits and eligibility and claims payment information to our customers. Document all critical information related to contacts responded to in the appropriate in house healthcare systems Demonstrate professionalism, empathy and a sense of urgency on each and every member and provider call/transaction Effectively navigate through multiple complex systems/screens. Have the knowledge around handling escalated calls Provide timely follow-up with other internal departments to expedite resolution of difficult/aging inquiries, and when necessary escalate those issues to management for further handling. Keep abreast of all system, contractual, compliance standard changes and policy updates, and attend additional training sessions and department meetings as necessary. Complete daily assigned tasks by management such as website inquiries, COB coordination of benefit updates, and authorization for disclosure forms, authorization updates, and correspondence. Perform additional duties and/or work additional hours as needed. Overtime and working holidays may be required based on business needs. Comply with all the HIPAA Compliance regulations. What You Contribute! Education: High school/GED diploma required, Associate's Degree or equivalent related experience preferred Relevant Work Experience: 6 months - 1 year experience in customer service, health care or health insurance required Knowledge, Skills, & Abilities: Experience in an ACD call center environment is preferred What We Have to Offer! Healthcare benefits available starting day 1! Health & wellbeing incentives, such as gym membership reimbursement 401K with company match to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. PM16 #GD #CB PI118306763

Beacon Health Options Job Category: Operations - Customer Service General Req #: SUPER02316 Schedule: Full Time Location: MA - Woburn We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Customer Service Supervisor to join our team at our Woburn, MA office. The Call Center Supervisor is responsible for the daily activities and supervision of a team of customer service employees. The Supervisor is responsible for the quality, efficiency, and effectiveness of the team, identifying and resolving issues, and partnering with call center leadership team to ensure overall objectives are being met. The Supervisor is responsible for staffing, training, managing resource allocations, resolving escalated issues, counseling/disciplining, providing coaching and feedback, managing daily workload, gathering data and reporting results to management. Oversee a team and daily operations in the Call Center, managing real time work volumes and providing assistance to customers/members, clients and staff. Create a positive work environment that fosters strong employee performance and satisfaction by providing regular feedback, coaching, mentoring, and motivation as well as employee development. Manage all aspects of performance management cycle including but not limited to; establishing goals, providing performance feedback & conducting formal reviews, collaborating on professional development goals and initiating corrective action as needed Motivate and encourage staff through open communication, establish channels to facilitate feedback, build loyalty and increase focus by implementing employee recognition programs Assist with all HR related activities including but not limited to; interviewing, onboarding training, coaching, counseling & discipline, compensation actions, and enforcing policies and procedures. Train and assist staff to handle work volume and issues in accordance with company policies Assist with daily scheduling for call volumes and adherence to overall service level agreements Monitor and evaluate staff call performance to assure quality service and customer satisfaction Identify trends and escalate issues in a timely manner Maintain attendance records, prepare payroll input and monitor staff's adherence to schedule Oversee and respond to customer issues/incidents that impact company initiatives Participate in handling incoming and outbound call needs to meet department/client goals Act as a liaison between staff, management and other functional departments for consistent improvement of functions Develop training documents that support call center operations and foster growth, administer appropriate training programs for new hires and existing staff Measure work performed according to service level standards for employees and team Perform call monitoring to ensure quality assurance and productivity standards are maintained Represent the department internally and externally when appropriate Handle escalated calls, complaints, and questions Maintain, update, and communicate changes to the plan documents Work across departments to improve and streamline service What you contribute? Education: B.S. degree required Years and Type of Relevant Work Experience: 2-4 years supervisory/lead experience required; or equivalent experience Knowledge, Skills, Abilities: Proficient in Microsoft office products, Word, Excel, PowerPoint, Outlook Strong written and verbal communication skills Strong analytical and organizational skills Ability to work in a team environment, presenting a professional image Ability to multi-task and be flexible Excellent Interpersonal skills What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare benefits available starting day 1! Health & wellbeing incentives, such as gym membership reimbursement 401K with company match to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #GD #CB PI118306824

Beacon Health Options Job Category: Clinical - Care Mgmt Req #: CLINI02269 Schedule: Full Time Location: MA - Woburn About the Position: Beacon Health Options is seeking a Clinical Care Coordinator to join our Outpatient Clinical Support team in Woburn, MA! The Clinical Care Coordinator is the front line interface to Members and Providers who seek information about behavioral health benefits. The Clinical Care Coordinator assist callers by providing benefit and eligibility information and referrals to network providers, transfers clinical calls to clinicians, and completing specified assignments that assist the department in meeting contractual and or performance goals. Position Responsibilities: Responds to questions about eligibility, benefits and procedures for accessing behavioral health services. Verifies member benefits and eligibility through health plan computer access, phone, and e-mail. Educates callers about Beacon/BCBHM services and their mental health benefits. Obtains urgent, routine with assistance appointments within established time frame guidelines. Verifies that member attends urgent scheduled appointment and reports outcome back to Case Manager. Requests for Single Case Agreement for non-contracted providers per established guidelines. Follows health plan specific contract guidelines. Processes and completes Pre-Review Screenings per guidelines. Coordinates with Case Manager when appropriate in understanding members' needs. Checks voice mail and return calls within 1 business day. Checks e-mail to stay informed of procedures and communicate with team members. Works with health plan, County entities, community agencies and providers to effectively coordinates member care. Provides resources and referrals to members. Consistently provides members, providers, and internal staff with exceptional customer service. Utilizes Pre-Review Screening tool, makes appropriate provider referrals and/or refers to licensed clinician for clinical evaluation. Identifies complaints and assist patients to exercise grievance rights. Identifies calls requiring clinical evaluation or interpretation and refer to licensed clinician. Accesses to Protected Health Information, Beacon/BCBHM and Health Plan Patient Files (ledger, authorizations, and administrative, claims, and clinical notes) as needed for Referral and Authorization; Provider files as needed for Referral and Authorization. Interacts with providers and payers to coordinate patient care and resolve authorization issues. Interacts with clinical CM's, claims, IP and provider relations departments in order to service callers appropriately and process reports. Adheres to all Beacon policies and procedures and standards of operations. Completes all required and assigned trainings. Attend all mandatory company or department meetings. Report to each scheduled shift and commence work and perform essential job function at the start of each schedule shift. Displays a positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment. Performs special projects and other duties as assigned and required. Position Requirements: Education: High School diploma or GED required, Bachelor's degree preferred Relevant Work Experience: 2-3 years' experience in an administrative support, customer service or similar position required Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #CB #GD PM16 PI118188147

Be part of our mission at Ethos to provide unsurpassed veterinary health care for our patients and their human companions. The Service Center is the gateway to our hospitals, and you will be at the front line delivering superior care to our clients and referring veterinarians. While we dont actually handle the animals our love for them is apparent in everything we do. Every day is different in our 24/7-365 Service Center and you could be booking appointments one minute then taking an emergency call from a client the next. We are a close-knit team in the Service Center and would love to talk to you about joining us. We have immediate full-time openings for a highly-motivated, Customer Service Professionals to join our Call Center team in our Woburn, MA location. Summary: The Customer Service Representative is tasked with delivering superior care for our clients and referring veterinarians while developing relationships with the hospital teams. In joining this team you will be part of Ethos mission to provide unsurpassed veterinary health care to patients. Customer Service Responsibilities: Provides superior service to clients and referring veterinarians through inbound and outbound calls Acts as the primary point of contact for the hospitals and ensures all client and referring veterinarians needs are met in a professional and empathetic manner Acts as frontline for all emergency calls exercising a calm and compassionate demeanor Books client appointments with accuracy and efficiency Accurately interprets Ethos protocols to provide solutions to resolve all client and referring veterinarians inquiries Processes emails, transfers medical records and other administrative tasks Customer Service Education, License and Job Requirements: High School Diploma or equivalent 1-2 or more years of customer service Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation. Flexibility to work a rotating shift within a 24/7-365 a year service center Customer Service Skills and Experience: A team player with proven experience to deliver outstanding service within a high-volume environment (up to 80 calls per shift) Excellent interpersonal skills and an ability to deal with emotionally charged client scenarios, sometimes in critical patient situations A solid track record of exceeding productivity and quality goals Strong communication skills, both written and oral Good judgement and problem-solving skills Thank you for reading our job posting! Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, competence, merit, and business need. PM19 PI118242241

Be part of our mission at Ethos to provide unsurpassed veterinary health care for our patients and their human companions. The Service Center is the gateway to our hospitals, and you will be at the front line delivering superior care to our clients and referring veterinarians. While we dont actually handle the animals our love for them is apparent in everything we do. Every day is different in our 24/7-365 Service Center and you could be booking appointments one minute then taking an emergency call from a client the next. We are a close-knit team in the Service Center and would love to talk to you about joining us. We have immediate full-time openings for a highly-motivated, Call Center Representatives for our Woburn, MA location. Summary: The Call Center Representative is tasked with delivering superior care for our clients and referring veterinarians while developing relationships with the hospital teams. In joining this team you will be part of Ethos mission to provide unsurpassed veterinary health care to patients. Call Center Representative Responsibilities: Provides superior service to clients and referring veterinarians through inbound and outbound calls Acts as the primary point of contact for the hospitals and ensures all client and referring veterinarians needs are met in a professional and empathetic manner Acts as frontline for all emergency calls exercising a calm and compassionate demeanor Books client appointments with accuracy and efficiency Accurately interprets Ethos protocols to provide solutions to resolve all client and referring veterinarians inquiries Processes emails, transfers medical records and other administrative tasks Call Center Representative Education, License and Job Requirements: High School Diploma or equivalent 1-2 or more years of customer service Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation. Flexibility to work a rotating shift within a 24/7-365 a year service center Call Center Representative Skills and Experience: A team player with proven experience to deliver outstanding service within a high-volume environment (up to 80 calls per shift) Excellent interpersonal skills and an ability to deal with emotionally charged client scenarios, sometimes in critical patient situations A solid track record of exceeding productivity and quality goals Strong communication skills, both written and oral Good judgement and problem-solving skills Background in hospitality or experience with dispatch work is a plus Thank you for reading our job posting, Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, competence, merit, and business need. PM19 PI118242239

Be part of our mission at Ethos to provide unsurpassed veterinary health care for our patients and their human companions. The Service Center is the gateway to our hospitals, and you will be at the front line delivering superior care to our clients and referring veterinarians. While we dont actually handle the animals our love for them is apparent in everything we do. Every day is different in our 24/7-365 Service Center and you could be booking appointments one minute then taking an emergency call from a client the next. We are a close-knit team in the Service Center and would love to talk to you about joining us. We have immediate full-time openings for a highly-motivated, Call Center Representatives for our Woburn, MA location. Summary: The Call Center Representative is tasked with delivering superior care for our clients and referring veterinarians while developing relationships with the hospital teams. In joining this team you will be part of Ethos mission to provide unsurpassed veterinary health care to patients. Call Center Representative Responsibilities: Provides superior service to clients and referring veterinarians through inbound and outbound calls Acts as the primary point of contact for the hospitals and ensures all client and referring veterinarians needs are met in a professional and empathetic manner Acts as frontline for all emergency calls exercising a calm and compassionate demeanor Books client appointments with accuracy and efficiency Accurately interprets Ethos protocols to provide solutions to resolve all client and referring veterinarians inquiries Processes emails, transfers medical records and other administrative tasks Call Center Representative Education, License and Job Requirements: High School Diploma or equivalent 1-2 or more years of customer service Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation. Flexibility to work a rotating shift within a 24/7-365 a year service center Call Center Representative Skills and Experience: A team player with proven experience to deliver outstanding service within a high-volume environment (up to 80 calls per shift) Excellent interpersonal skills and an ability to deal with emotionally charged client scenarios, sometimes in critical patient situations A solid track record of exceeding productivity and quality goals Strong communication skills, both written and oral Good judgement and problem-solving skills Background in hospitality or experience with dispatch work is a plus Thank you for reading our job posting, Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, competence, merit, and business need. PM19 PI118242237

Be part of our mission at Ethos to provide unsurpassed veterinary health care for our patients and their human companions. The Service Center is the gateway to our hospitals, and you will be at the front line delivering superior care to our clients and referring veterinarians. While we dont actually handle the animals our love for them is apparent in everything we do. Every day is different in our 24/7-365 Service Center and you could be booking appointments one minute then taking an emergency call from a client the next. We are a close-knit team in the Service Center and would love to talk to you about joining us. We have immediate full-time openings for a highly-motivated, Call Center Representatives for our Woburn, MA location. Summary: The Call Center Representative is tasked with delivering superior care for our clients and referring veterinarians while developing relationships with the hospital teams. In joining this team you will be part of Ethos mission to provide unsurpassed veterinary health care to patients. Call Center Representative Responsibilities: Provides superior service to clients and referring veterinarians through inbound and outbound calls Acts as the primary point of contact for the hospitals and ensures all client and referring veterinarians needs are met in a professional and empathetic manner Acts as frontline for all emergency calls exercising a calm and compassionate demeanor Books client appointments with accuracy and efficiency Accurately interprets Ethos protocols to provide solutions to resolve all client and referring veterinarians inquiries Processes emails, transfers medical records and other administrative tasks Call Center Representative Education, License and Job Requirements: High School Diploma or equivalent 1-2 or more years of customer service Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation. Flexibility to work a rotating shift within a 24/7-365 a year service center Call Center Representative Skills and Experience: A team player with proven experience to deliver outstanding service within a high-volume environment (up to 80 calls per shift) Excellent interpersonal skills and an ability to deal with emotionally charged client scenarios, sometimes in critical patient situations A solid track record of exceeding productivity and quality goals Strong communication skills, both written and oral Good judgement and problem-solving skills Background in hospitality or experience with dispatch work is a plus Thank you for reading our job posting, Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, competence, merit, and business need. PM19 PI118242235

Be part of our mission at Ethos to provide unsurpassed veterinary health care for our patients and their human companions. The Service Center is the gateway to our hospitals, and you will be at the front line delivering superior care to our clients and referring veterinarians. While we dont actually handle the animals our love for them is apparent in everything we do. Every day is different in our 24/7-365 Service Center and you could be booking appointments one minute then taking an emergency call from a client the next. We are a close-knit team in the Service Center and would love to talk to you about joining us. We have immediate full-time openings for a highly-motivated, Customer Service Professionals to join our Call Center team in our Woburn, MA location. Summary: The Customer Service Representative is tasked with delivering superior care for our clients and referring veterinarians while developing relationships with the hospital teams. In joining this team you will be part of Ethos mission to provide unsurpassed veterinary health care to patients. Customer Service Responsibilities: Provides superior service to clients and referring veterinarians through inbound and outbound calls Acts as the primary point of contact for the hospitals and ensures all client and referring veterinarians needs are met in a professional and empathetic manner Acts as frontline for all emergency calls exercising a calm and compassionate demeanor Books client appointments with accuracy and efficiency Accurately interprets Ethos protocols to provide solutions to resolve all client and referring veterinarians inquiries Processes emails, transfers medical records and other administrative tasks Customer Service Education, License and Job Requirements: High School Diploma or equivalent 1-2 or more years of customer service Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation. Flexibility to work a rotating shift within a 24/7-365 a year service center Customer Service Skills and Experience: A team player with proven experience to deliver outstanding service within a high-volume environment (up to 80 calls per shift) Excellent interpersonal skills and an ability to deal with emotionally charged client scenarios, sometimes in critical patient situations A solid track record of exceeding productivity and quality goals Strong communication skills, both written and oral Good judgement and problem-solving skills Thank you for reading our job posting! Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, competence, merit, and business need. PM19 PI118242231

Be part of our mission at Ethos to provide unsurpassed veterinary health care for our patients and their human companions. The Service Center is the gateway to our hospitals, and you will be at the front line delivering superior care to our clients and referring veterinarians. While we dont actually handle the animals our love for them is apparent in everything we do. Every day is different in our 24/7-365 Service Center and you could be booking appointments one minute then taking an emergency call from a client the next. We are a close-knit team in the Service Center and would love to talk to you about joining us. We have immediate full-time openings for a highly-motivated, Customer Service Representatives for our Woburn, MA location. Summary: The Call Center Representative is tasked with delivering superior care for our clients and referring veterinarians while developing relationships with the hospital teams. In joining this team you will be part of Ethos mission to provide unsurpassed veterinary health care to patients. Customer Service Representative Responsibilities: Provides superior service to clients and referring veterinarians through inbound and outbound calls Acts as the primary point of contact for the hospitals and ensures all client and referring veterinarians needs are met in a professional and empathetic manner Acts as frontline for all emergency calls exercising a calm and compassionate demeanor Books client appointments with accuracy and efficiency Accurately interprets Ethos protocols to provide solutions to resolve all client and referring veterinarians inquiries Processes emails, transfers medical records and other administrative tasks Customer Service Representative Education, License and Job Requirements: High School Diploma or equivalent 1-2 or more years of customer service Knowledge of Word, Excel, and Outlook sufficient to perform all routine tasks including email, document preparation and worksheet preparation. Flexibility to work a rotating shift within a 24/7-365 a year service center Customer Service Representative Skills and Experience: A team player with proven experience to deliver outstanding service within a high-volume environment (up to 80 calls per shift) Excellent interpersonal skills and an ability to deal with emotionally charged client scenarios, sometimes in critical patient situations A solid track record of exceeding productivity and quality goals Strong communication skills, both written and oral Good judgement and problem-solving skills Background in hospitality or dispatch work is a plus Thank you for reading our job posting! Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, competence, merit, and business need. PM19 PI118242234

Beacon Health Options Job Category: Provider & Network - Contracting Req #: CONTR02267 Schedule: Full Time Location: MA - Woburn We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Contract Development Manager II a highly organized and compassionate professional to join our team at our office in Woburn, MA. The Contract Development Manager II leads all territory network development and contract management activities for a growing and complex managed behavioral health care organization. The position is responsible for network development, recruiting for new business, contracting, and rate negotiations for their assigned territory and or state. Duties include identifying and contracting new/ re-contracting existing providers around Beacon's need for services, negotiating rates, drafting provider services and facility agreements, sending and receiving credentialing applications, overseeing the resolution of language changes and securing executed contracts with providers, developing recruitment plans and reports and ensuring rates negotiated are within established guidelines. What does a typical day look like? Negotiate rates and contract terms with currently contracted providers and facilities.In conjunction with internal and external stakeholders, secure executed agreements with identified out of network providers for inclusion in the Beacon Health network.Perform reimbursement analysis on providers/facilities that are outside of the targeted rate schedule or performance standards and develop strategies for cost reductions, member needs and increasing quality.Identify opportunities for cost savings and process improvements related to the contracting process.Review, draft and document suggested language changes, and oversee resolution of all proposed changes to the provider services agreement.Ensures that Contract Language is in compliance with plan agreements and within all state and federal regulatory and NCQA standards.Gather, review and submit credentialing applications, as required, for network development and management.Provides general support to all network development activities and support Director with implementation requirements.Strategizes with other members of the management team and client/plan to ensure access and availability of providers meets current standards.Collaborates with other departments to address and resolve operational issues as related to negotiated contract language.Prepares reports and analyze data as directed by the Director of Provider Relations or other members of the management team.Adheres to all Beacon policies and procedures and standards of operations.Completes all required and assigned trainings.Attends all mandatory company or department meetings.Performs special projects and other duties as assigned and required.Proactively seek and recruit providers to build provider network through field work recruitment and developing and maintain relationships with providers and facility staff.Interact and recruit providers by conducting periodic in-person visits, calls, and follow up meetings.Has a keen understanding of Quest or other Geo Access information to ensure that we are targeting the right areas of need and addressing any gap areas quickly and efficiently.Acts as a mentor to junior team members by leading by example and guiding with a sense of integrity and team work. What you Contribute? Education : High School diploma or GED required. Bachelor's degree preferred or equivalent experience in health care field. Licensure : N/A Knowledge, Skills & Abilities: At least 3 years' experience rate & contract language negotiation to include facility and higher level of care experience; In-depth knowledge of all facility, and some provider reimbursement methodologies- behavioral health experience a plus. Knowledge of managed care contract requirements to include state and federal regulatory requirements for Medicare and Medicaid plans and CMS guidelines. 2 (two) years of provider contracting, provider relations or similar experience. Travel required: 25% Varies by location What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original thinkers. Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare benefits available starting day 1! Health & wellbeing incentives, such as gym membership reimbursement 401K with company match to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #LI-7CF1 #GD $NFD #CB PI118184054

Beacon Health Options Job Category: Clinical - Care Mgmt Req #: CLINI02269 Schedule: Full Time Location: MA - Woburn About the Position: Beacon Health Options is seeking a Clinical Care Coordinator to join our Outpatient Clinical Support team in Woburn, MA! The Clinical Care Coordinator is the front line interface to Members and Providers who seek information about behavioral health benefits. The Clinical Care Coordinator assist callers by providing benefit and eligibility information and referrals to network providers, transfers clinical calls to clinicians, and completing specified assignments that assist the department in meeting contractual and or performance goals. Position Responsibilities: Responds to questions about eligibility, benefits and procedures for accessing behavioral health services. Verifies member benefits and eligibility through health plan computer access, phone, and e-mail. Educates callers about Beacon/BCBHM services and their mental health benefits. Obtains urgent, routine with assistance appointments within established time frame guidelines. Verifies that member attends urgent scheduled appointment and reports outcome back to Case Manager. Requests for Single Case Agreement for non-contracted providers per established guidelines. Follows health plan specific contract guidelines. Processes and completes Pre-Review Screenings per guidelines. Coordinates with Case Manager when appropriate in understanding members' needs. Checks voice mail and return calls within 1 business day. Checks e-mail to stay informed of procedures and communicate with team members. Works with health plan, County entities, community agencies and providers to effectively coordinates member care. Provides resources and referrals to members. Consistently provides members, providers, and internal staff with exceptional customer service. Utilizes Pre-Review Screening tool, makes appropriate provider referrals and/or refers to licensed clinician for clinical evaluation. Identifies complaints and assist patients to exercise grievance rights. Identifies calls requiring clinical evaluation or interpretation and refer to licensed clinician. Accesses to Protected Health Information, Beacon/BCBHM and Health Plan Patient Files (ledger, authorizations, and administrative, claims, and clinical notes) as needed for Referral and Authorization; Provider files as needed for Referral and Authorization. Interacts with providers and payers to coordinate patient care and resolve authorization issues. Interacts with clinical CM's, claims, IP and provider relations departments in order to service callers appropriately and process reports. Adheres to all Beacon policies and procedures and standards of operations. Completes all required and assigned trainings. Attend all mandatory company or department meetings. Report to each scheduled shift and commence work and perform essential job function at the start of each schedule shift. Displays a positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment. Performs special projects and other duties as assigned and required. Position Requirements: Education: High School diploma or GED required, Bachelor's degree preferred Relevant Work Experience: 2-3 years' experience in an administrative support, customer service or similar position required Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #CB #GD PM16 PI118184103

Motion Industries We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Category: Warehouse Job Id: 274564 Brand: Motion Industries Location: Woburn, MA Major Market: MA - Boston Date Posted: February 12, 2020 Warehouse At Motion Industries, our Warehouse personnel provide the highest level of customer service by performing all shipping and receiving activity for the Branch, ensuring the customer receives the correct products in a timely manner. They are also responsible for stocking and properly maintaining merchandise - an important role in our process of keeping industry in motion. Motion Industries offers an excellent benefits package which includes options for healthcare coverage, 401(k) plan, tuition reimbursement, vacation, sick, and holiday pay. Responsibilities Provide excellent customer service that will enhance relationships and lead to ongoing sales Match packing slips to inventory items received Record items in computer system Prepare items for delivery to customer May process counter sales Maintain a clean warehouse Restock shelves when new inventory arrives Prepare customer returns for shipment May deliver items to customers Interact with customers while delivering items Share information with Motion Industries' associates Qualifications Good customer service and communication skills Reliable, organized, detailed, and focused Ability to multitask and manage time well Ability to move up to 100 lbs. and lift up to 50 lbs. High School Diploma or GED Valid driver's license May need to be certified to operate a forklift GPC believes the fair and equitable treatment of employees, customers, suppliers and other persons is critical to fulfilling its vision and goals. GPC conducts its business without regard to sex, race, creed, color, religion, marital status, national origin, age, pregnancy, sexual orientation, gender identity, genetic information, disability, military status, status as a veteran, or any other protected characteristic. GPC's policy is to recruit, hire, train, promote, assign, transfer and terminate employees based on their own ability, achievement, experience and conduct and other legitimate business reasons. PI118012792

Weston & Sampson Weston & Sampson is an equal opportunity employer ID 2020-1595 # of Openings 1 Job Locations US-MA-Woburn Posted Date 9 hours ago Category Engineering Overview Your world is always changing, and so are we. Weston & Sampson offers interdisciplinary design, engineering, and environmental services that make the world a better place. Innovative and reliable, we've worked to improve the communities where you live, work, and play for more than a century. Join our rapidly growing team. About Us: Weston & Sampson is an employee-owned company serving public and private clients throughout the eastern United States. Our staff comprises nearly 700 professionals in offices along the East Coast, including our new location in Reading, Massachusetts. What We Offer: Weston & Sampson offers competitive salaries and a generous benefits package, including health/dental/vision, paid holidays and vacation, 401K plan with employer match, and an Employee Stock Ownership Program (ESOP). We provide a collaborative working environment along with training, resources, and state-of-the-art tools/equipment to promote success; and a welcoming, inclusive corporate culture where individuals are recognized for their contributions. Weston & Sampson is an Equal Opportunity Employer. If interested, please submit your resume through our career portal: https://www.westonandsampson.com/join-our-team/ Responsibilities Weston & Sampson is looking for an individual to perform work involving multiple skills including, but not limited to, plumbing work in new construction, repair of plumbing in water/wastewater pump stations, treatment plants and aquatic facilities, natural gas piping as fuel supplies to standby generators, as well as installing new piping on existing equipment. What you'll do: Service, repair and maintain piping on Commercial and Municipal wastewater/water pump stations and treatment facility equipment, aquatic facilities, and standby generators. Assist in house mechanics and electricians with repairs to Commercial and Municipal to water/wastewater pumping equipment, aquatic facilities and standby generators. Be knowledgeable of proper use and care for equipment and supplies; Maintain equipment and supplies and keep in good working order Be an active participant in the installation and construction of new equipment and pump stations Perform maintenance, repair and new installation of PVC, and ductile iron piping and valves. Provide customer service in a professional and courteous manner. Prepared for on call service work as we are a 24/7 emergency contractor. Administers and delegates to the driving safety protocols and participates in the defensive driving training; maintains recordkeeping associated with the use of a company vehicle and other company driving policies Is knowledgeable of, and works to be in compliance with, the policies and procedures of the company Complete weekly technical safety meetings Qualifications What you will bring: High school diploma or equivalent. Master Plumbing license in the state of Massachusetts (ability to get license reciprocity to other New England States preferred). 5 years of plumbing experience (wastewater/water/aquatics facilities experience preferred). Valid Drivers' License Strong interpersonal skills, including the ability to work in a team environment and get along with others Proven ability to communicate effectively, with strong writing, verbal and mechanical skills Ability to organize, manage, and coordinate multiple assignments The ability to meet deadlines, to work cooperatively with others and when necessary, work overtime and weekends Must have strong computer skills including a working knowledge of Microsoft Office software, including Word, Excel, PowerPoint, and other database software Must be able to communicate through email & complete reports in a timely and complete manner Self-motivated and the ability to work independently Ability to lift a minimum of 50 pounds and must be able to climb a ladder, minimum of 15 feet Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion. Balancing: Maintaining body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery or erratically moving surfaces. This factor is important if the amount and kind of balancing the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium. Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. Kneeling: Bending legs at knee to come to a rest on knee or knees. Crouching: Bending the body downward and forward by bending leg and spine. PI117986208

Beacon Health Options Job Category: Operations - Customer Service General Req #: CUSTO02204 Schedule: Full Time Location: MA - Woburn Under the direction ofthe Customer Service Management Team, the Customer Service Representative I (CSR) is responsible for answering and responding to a high volume of telephone inquiries from members and providers. The incumbent's responsibilities include providing accurate and thorough interpretation of benefits, eligibility, provider participation, claims payment and interpretation inquiries, resolving customer inquiries, facilitating problem resolution, and acting as a member/provider advocate by meeting or exceeding customers' expectations. The CSR is expected to take complete responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention and satisfy corporate customer service goals and objectives. Position Responsibilities: Provide timely, accurate, and courteous responses to a high volume of telephone inquiries from both members and providers. Achieve and maintain productivity and quality performance expectations. Interpret and effectively communicate benefits and eligibility and claims payment information to our customers. Facilitate resolution of complex claim issues Document all critical information related to contacts responded to in the appropriate FlexCare or CONNECTS screen/system. Manage pending inventory in a timely and accurate manner in order to meet or exceed quality and productivity standards. Provide timely follow-up with other internal departments to expedite resolution of difficult/aging inquiries, and when necessary escalate those issues to management for further handling. Keep abreast of all system, contractual, compliance standard changes and policy updates, and attend additional training sessions as necessary. Complete daily assigned tasks by management such as website inquiries, performance guarantee reports, negative coordination of benefit updates, authorization for disclosure forms, authorization updates, and correspondence. Perform additional duties and/or work additional hours as needed. Mandatory overtime and working holidays may apply based on business needs. Comply with all the HIPAA Compliance regulations. Knowledge, Skills & Abilities: Strong verbal communications skills Written communication skills Problem solving skills Microsoft Office Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. PI117947264

ACT Leasing, Inc., is growing and needs to fill this position immediately! We are looking for a strong and exceptional administrative assistant that is at the top of their game. If you thrive in a fast-paced, always changing, environment, then read on! Description: We are looking for a person who is highly organized, detail-oriented, and committed to getting tasks done well and on-time while working with team members. If you can juggle multiple tasks while handling daily operations, see if you qualify for this opportunity. A friendly personality is a must. About Us: Founded in 2002, ACT Leasing, Inc. is an independent, commercial fleet leasing business. Our goal is to be a trusted and valued partner to our clients by helping them professionally manage every aspect of their fleet. We provide superior advice, guidance, and customer service. Act Leasing provides fleet leasing and management services that aims to save our clients time so that they can focus on their core business. Responsibilities: Prepare communications, such as email, invoices, reports and other correspondence Maintain filing systems, both electronic and physical Handle customer mailings Prepares monthly billing Provides polite and professional interface with clients, vendors and guests Ability to perform QuickBook entries Assists with accounts payable and accounts receivables Perform various administrative functions Handles mail, UPS and FedEx Maintains electronic and physical filing systems Reliably work from 9am to 5pm Monday through Friday Requirements: Associates Degree. 3+ years' experience in an administrative role. Experience using Word, Excel and database or CRM software Experience using QuickBooks Superior organizational and time-management skills. Strong attention to detail Excellent problem-solving, decision-making skills and resourceful. Ability to take direction and be able to collaborate and work well with a team Ability to handle high demand situations. Stable work history Like working in a small rapidly growing company with a lot of happy clients Resiliency and self-confidence We offer: Competitive pay based on experience Medical, vision and dental insurance 401k w/ company match Paid vacation, holiday and sick time. If you are the strong and exceptional candidate we are looking for, please apply via the confidential application below. No phone calls or emails will be accepted. PM20 PI117937461

ACT Leasing, Inc. , is growing and needs to fill this position immediately! We are looking for a strong and exceptional office administrator that is at the top of their game. If you thrive in a fast-paced, always changing, environment, then read on! Description: We are looking for a person who is highly organized, detail-oriented, and committed to getting tasks done well and on-time while working with team members. If you can juggle multiple tasks while handling daily operations, see if you qualify for this opportunity. A friendly personality is a must. About Us: Founded in 2002, ACT Leasing, Inc. is an independent, commercial fleet leasing business. Our goal is to be a trusted and valued partner to our clients by helping them professionally manage every aspect of their fleet. We provide superior advice, guidance, and customer service. Act Leasing provides fleet leasing and management services that aims to save our clients time so that they can focus on their core business. Responsibilities: Answer phones, greet guests and direct them to the appropriate people Provides polite and professional interface with clients, vendors and guests Answer routine questions, furnish information and route calls to appropriate individuals Assist clients with account inquiries Create and maintain company records and reports. Work closely with senior management team Perform various administrative functions Handles mail, UPS and FedEx Maintains electronic and physical filing systems Coordinate events Reliably work from 9am to 5pm Monday through Friday Requirements: Associates Degree 3+ years' experience in an administrative role Experience using Word, Excel and database or CRM software Proficient with QuickBooks Superior organizational and time-management skills Strong attention to detail Excellent problem-solving, decision-making skills and resourceful Ability to take direction and be able to collaborate and work well with a team Ability to handle high demand situations. Stable work history Like working in a small rapidly growing company with a lot of happy clients Resiliency and self-confidence We offer: Competitive pay based on experience Medical, vision and dental insurance 401k w/ company match Paid vacation, holiday and sick time If you are the strong and exceptional candidate we are looking for, please apply via the confidential application below. No phone calls or emails will be accepted. PM20 PI117937462

Beacon Health Options Job Category: Provider & Network - Contracting Req #: DIREC02191 Schedule: Full Time Location: MA - Woburn We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Director, Contracting Development a highly organized and compassionate professional to join our team at our Woburn, MA offices. The Director, Contracting Development is a highly visible both internally and externally, leader of their assigned market. This person leads a team that is accountable for the network development and contract management activities for a growing and complex managed behavioral health care organization. This role is regionally focused with oversight of network for existing clients as well as recruiting for new business - including contracting and rate negotiations for their assigned territory. The Director, Contract Development supports and executes provider strategy as set forth by Market and Regional leadership, leveraging the organization's matrix structure to engage and coordinate support cross-functionally among key stakeholders. This person is an SME and thought leader in network operations, fee schedules and reimbursement methodologies. What does a typical day look like? Manage a regional contracting team, ensuring day-to-day work is performed effectively and aligns with larger strategic objectives within the department and across the region, including financial targets.Lead regional contracting team in support of internal and external stakeholders, to successfully secure executed agreements that enhance access for Beacon Members, improves quality care and is in-line with the overall success of Beacon for all assigned books of business in assigned market (Medicaid, Commercial, and Medicare).Serve as escalation contact for Regional Leadership on provider contracting issues.Validate accuracy reimbursement analysis on providers/facilities as required for contract negotiations, performance and departmental reports as they impact their assigned market/region.Be the SME in reimbursement methodologies and thought leader within Beacon for DRGs, FFS, RVRBS, APCs, Per Diem, Case Rate and VBP, CPT and HCPC codes as they relate to contracting system payment configuration and claims payment.Identify opportunities for cost savings and process improvements related to the contracting process.Ensure compliance with Beacon standards and best practices throughout contracting process, and oversee resolution of all proposed changes to provider services agreements.Monitor Contract Language on all regional/market products, ensuring compliance with plan agreements and that Contracts are kept current within all state, federal and NCQA standards.Prepare reports and analyze data as requested by the Regional VP and other company or departmental leaders.Collaborate with Network Strategy leadership to execute on process improvement initiatives related to provider satisfaction impacts and root cause of issues, to achieve shorter provider inquiry response times and increase provider satisfaction.Develop strong provider relationships built on trust and collaboration. Manage and balance Beacon stakeholder and provider expectations.Oversee coordination of practitioner and facility orientation and training.Support transition of new business to ongoing operations in collaboration with other Beacon teams and departments.Collaborate with the Quality and Legal Departments to perform complaint and grievance resolution and communication. What you Contribute? Education : Bachelor's Degree required; Master's Degree preferred. Licensure : N/A Knowledge, Skills & Abilities: Minimum 5-8 Years of work experience with direct experience in Contracting or similar managed care roles that includes rate & contract language negotiation and network operations. In-depth knowledge and experience in provider reimbursement methodologies. Well versed in Medicaid and Medicare program managed regulations for assigned market. What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original thinkers. Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare benefits available starting day 1! Health & wellbeing incentives, such as gym membership reimbursement 401K with company match to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #LI-7CF1 #GD $NFD #CB PM16 PI117675834

Beacon Health Options Job Category: Operations - Customer Service General Req #: CUSTO02154 Schedule: Full Time Location: MA - Woburn About the Position: Under the direction of the Customer Service Management Team, the Customer Service Representative is responsible for answering and responding to a high volume of telephone inquiries from members and providers. The incumbent's responsibilities include providing accurate and thorough interpretation of benefits, eligibility, provider participation, claims payment and interpretation inquiries, resolving customer inquiries, facilitating problem resolution, and acting as a member/provider advocate by meeting or exceeding customers' expectations. The CSR is expected to take complete responsibility for every interaction with a customer by providing outstanding service as a means to build customer loyalty, improve customer retention and satisfy corporate customer service goals and objectives. Position Responsibilities: Provide timely, accurate, and courteous responses to a high volume of telephone inquiries from both members and providers. Achieve and maintain productivity and quality performance expectations. Interpret and effectively communicate benefits and eligibility and claims payment information to our customers. Facilitate resolution of complex claim issues Document all critical information related to contacts responded to in the appropriate FlexCare or CONNECTS screen/system. Manage pending inventory in a timely and accurate manner in order to meet or exceed quality and productivity standards. Provide timely follow-up with other internal departments to expedite resolution of difficult/aging inquiries, and when necessary escalate those issues to management for further handling. Keep abreast of all system, contractual, compliance standard changes and policy updates, and attend additional training sessions as necessary. Complete daily assigned tasks by management such as website inquiries, performance guarantee reports, negative coordination of benefit updates, authorization for disclosure forms, authorization updates, and correspondence. Perform additional duties and/or work additional hours as needed. Mandatory overtime and working holidays may apply based on business needs. Comply with all the HIPAA Compliance regulations. Position Requirements: Education: A high school/GED diploma is required. An Associate's Degree or equivalent related experience is preferred. Relevant Work Experience: 6 months - 1 year experience in Customer Service, Health Care or Health Insurance is required. Previous experience in an ACD call center environment is preferred. Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #CB #GD PM16 PI117675843

Beacon Health Options Job Category: Clinical - Quality Mgmt Req #: AVPRE01265 Schedule: Full Time Location: MA - Woburn ABOUT THE POSITION The AVP Regional Quality is responsible for managing the development and execution of quality activities and processes in the NortheastRegion. POSITION RESPONSIBILITIES Own delivery of exceptional quality operations Primary interface with client in Quality related committees including Delegation Oversight meetings and audits Produce annual Regional QM Trilogy Documents, including tracking and updating Work Plan activity progress Implement corporate policies and create local quality addenda and SOPs when needed Produce and oversee production of client and contractual reports and reports required for meeting accreditation standards Provide Quality thought leadership to Sales teams/RFPs, and author quality-related articles for members and providers In collaboration with the Vice President, Regional Clinical and Quality Operations and corporate quality accreditation ensure ongoing compliance with accreditation (NCQA and URAC) standards. Assist Corporate Quality in preparation for NCQA or URAC accreditation survey Train/coach team members on corporate, market, and regulatory developments that impact their roles and functions Lead for Regional Quality Committee structure, Chair Regional QMUMCM Committee, Co-chair Regional Quality of Care Committee Report monthly to Corporate Quality Committee (CQC) on regional quality, UM and clinical activities as well as metrics and outcomes Regional lead on Member Satisfaction survey administration and analysis in collaboration with Corporate Quality Conduct specific quality trainings as requested by Corporate Quality for monthly quality training series Oversee and manage the complaints and grievances process for the region Oversee & manage Quality staff in the region Lead quality performance improvement, implementation, and program development Collaborate with the Vice President, Regional Clinical and Quality Operations to charter improvement activities to support accreditation and performance improvement including developing, implementing, monitoring and tracking performance of Regional quality programs Participate with Corporate Quality and other Regional Quality leads in the charter of Quality Improvement Activities (QIA) to support both Beacon Health Options and Beacon Health Strategies accreditation. Oversee QIA program development ensuring fidelity to the CQI model Lead EQRO projects in collaboration with clients Collaborate with Regional Clinical Managers and the Vice President, Regional Clinical and Quality Operations to track performance of Core Performance Indicators (CPIs) Collaborate with health plan clients on HEDIS BH measures measurement and improvement opportunities Collaborate with Corporate Quality on HEDIS rate production and client deliverables Monitor PGs and SLAs relating to quality, and implement and monitor CAPs in collaboration with internal stakeholders, clients, and providers Implement and monitor CAPs related to Corporate Quality as well as external client delegation and regulatory audits for accreditation readiness Coordinate with Compliance on program integrity issues Coordinate with Ops Pod to resolve quality issues Collaborate with the Vice President, Regional Clinical and Quality Operations and Ops Pod Leaders to develop effective and efficient processes for Quality to interface with Pods to solution a range of client and provider quality issues Demonstrate nimbleness and creativity in rapid prototyping of different Ops Pod collaboration models Key Performance Indicators Quantitative Client satisfaction with clinical quality performance (e.g. HEDIS) Improvement in HEDIS BH measures 100% pass rate of all internal and external quality audits Qualitative Effective partnering with UM Shared Services, Care Management, MPPs, Aftercare, Network, Analytics Innovation Center, Knowledge Management and Reporting, Ops Pods, etc. Talent development and coaching POSITION REQUIREMENTS Education/Licensure: Master's degree in Behavioral Health field required Preferred but not required: Current, valid and unrestricted licensure for independent practice required with proof on date of hire. Re-verification will take place no less than every 3 years. A minimum of 3-5 years combined direct behavioral health, supervisory and/or managed care experience required. Knowledge/Skills/Abilities: Leadership skills and supervisory experience, including the ability to develop team performance Excellent written and oral communication skills Self-motivated, able to prioritize multiple issues, excellent organizational skills, ability to track multiple projects/tasks and follow through as needed. Ability to manage and coordinate with internal and external departments Ability to manage staff in operations environment Demonstrated leadership skills and experience, including the ability to work cross-functionally, build consensus and develop staff Ability to manage time-sensitive projects and meet deadlines Ability to identify opportunities for improvements, recommend, and implement innovative solutions. Must be detail oriented; able to work independently in an ever changing environment Beacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you #GD #CB PM16 PI117675715