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Medicaid Call Center Jobs in Puerto Rico (NOW HIRING)

PR · On-site

Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes ... Conocimiento básico de beneficios de seguros médicos (Medicare, Medicaid, planes comerciales)

PR · On-site

Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes ... Conocimiento básico de beneficios de seguros médicos (Medicare, Medicaid, planes comerciales)

PR · On-site

GENERAL DESCRIPTION The Call Center Pharmacy Technician provides telephone support to patients ... Basic knowledge of health insurance benefits (Medicare, Medicaid, commercial plans)

PR · On-site

$16.75 - $20.25/hr

The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from ... Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. 8. In ...

PR · On-site

$14.75 - $18.25/hr

GENERAL DESCRIPTION The Call Center Pharmacy Technician provides telephone support to patients ... Basic knowledge of health insurance benefits (Medicare, Medicaid, commercial plans). * Proficiency ...

Medicaid Call Center information

What are some common challenges faced by employees in a Medicaid Call Center, and how can they be managed effectively?

Employees in a Medicaid Call Center often encounter high call volumes, complex policy questions, and callers who may be stressed or confused about their benefits. Managing these challenges requires strong communication skills, patience, and the ability to quickly learn and reference Medicaid regulations. Many centers provide ongoing training, knowledge bases, and team support to help staff handle difficult calls and stay updated on policy changes. Building rapport with callers and collaborating with colleagues or supervisors can also help resolve issues efficiently and reduce workplace stress.

What are the key skills and qualifications needed to thrive as a Medicaid Call Center Representative, and why are they important?

To thrive as a Medicaid Call Center Representative, you need a solid understanding of Medicaid policies, strong customer service skills, and typically a high school diploma or equivalent. Familiarity with call center software, CRM systems, and Medicaid eligibility databases is often required. Excellent communication, patience, and problem-solving abilities help you connect with callers and resolve their issues efficiently. These skills are crucial for providing accurate information, ensuring client satisfaction, and maintaining compliance with healthcare regulations.

What is a Medicaid call center?

A Medicaid call center is a specialized customer service center where representatives assist individuals with questions and issues related to Medicaid, the government health insurance program for low-income individuals and families. Staff at these centers help callers with eligibility, enrollment, benefits, claims, and other Medicaid-related concerns. They serve as a primary point of contact for members seeking information or help with their Medicaid coverage.
What are popular job titles related to Medicaid Call Center jobs in Puerto Rico? For Medicaid Call Center jobs in Puerto Rico, the most frequently searched job titles are:
Infographic showing various Medicaid Call Center job openings in Puerto Rico as of July 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 80% Full Time, 13% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.
Call Center Representative (House Calls) - Hybrid in San Juan, PR

Call Center Representative (House Calls) - Hybrid in San Juan, PR

UnitedHealth Group

San Juan, PR • Hybrid

$15.75 - $19.50/hr

Full-time

Posted 25 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

188th of 890 rated healthcare providers


Job description

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

If putting a smile on someone's face puts one on yours, you belong on our team. Here at Optum Puerto Rico Operations, we've brought together teams of incredibly compassionate and absolutely positive people to help serve our members or providers when they reach out to us with questions. Your helpful personality combined with our support, training and development will ensure your success. This is no small opportunity. This is a chance to leverage your compassion for others and build a rewarding career.

Upon completing the 8-week training program, you will transition into a hybrid work arrangement, offering the flexibility to work both remotely and on-site*

Primary Responsibilities:

  • Call members to schedule in home visits with a Physician or Nurse Practitioner
  • Answer inbound calls from members and assist them with inquiries
  • Ensure that the appointments are scheduled accurately and resolve any scheduling issues or concern
  • This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours

**ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION**

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:

  • 1 years of call center or customer service experience
  • Ability to maintain confidentiality and adhere to HIPAA requirements
  • Proficiency with computer, Windows PC and web applications including ability to navigate and learn new and complex computer system application
  • Ability to work 40 hours/assigned 8-hour shifts between our normal business hours of Monday - Friday from 8:30am - 8:30pm. It may be necessary, given the business need, to work occasional overtime or weekends
  • Bilingual Spanish/English proficiency

Preferred Qualifications:

  • Sales experience
  • Experience using an auto dialer system
  • Experience working in the health care industry
  • Experience working with Medicaid or Medicare
  • Experience working in a customer retention focused role, retail, or upselling
  • Data entry experience
  • Proven medical terminology knowledge

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.


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