Albuquerque, NM · On-site +1
$84K - $152K/yr
... HMO and Marketplace. This role will be accountable for the overseeing NCQA analytical support and ... Work From Home: This position is fully remote and available in the US only. * Sponsorship
Albuquerque, NM · On-site +1
$84K - $152K/yr
... HMO and Marketplace. This role will be accountable for the overseeing NCQA analytical support and ... Work From Home: This position is fully remote and available in the US only. * Sponsorship
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Hoboken, NJ · On-site +1
Occasional travel for work for in-person conferences. If you are not currently licensed but have a desire to learn this business, we will help guide you in that process. Sales * Call on our lead ...
Hoboken, NJ · On-site +1
Occasional travel for work for in-person conferences. If you are not currently licensed but have a desire to learn this business, we will help guide you in that process. Sales * Call on our lead ...
Richardson, TX · On-site +1
$84K - $152K/yr
... HMO and Marketplace. This role will be accountable for the overseeing NCQA analytical support and ... Work From Home: This position is fully remote and available in the US only. * Sponsorship
Richardson, TX · On-site +1
$84K - $152K/yr
... HMO and Marketplace. This role will be accountable for the overseeing NCQA analytical support and ... Work From Home: This position is fully remote and available in the US only. * Sponsorship
Green Bay, WI · On-site +1
Occasional travel for work for in-person conferences. If you are not currently licensed but have a desire to learn this business, we will help guide you in that process. Sales * Call on our lead ...
Green Bay, WI · On-site +1
Occasional travel for work for in-person conferences. If you are not currently licensed but have a desire to learn this business, we will help guide you in that process. Sales * Call on our lead ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Virginia Beach, VA · On-site +1
Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...
Austin, TX · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Austin, TX · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Hialeah, FL · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Hialeah, FL · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Miami, FL · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Miami, FL · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Sarasota, FL · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Sarasota, FL · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Cedar City, UT · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Cedar City, UT · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Stamford, CT · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Stamford, CT · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Lakewood, CO · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Lakewood, CO · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Charleston, SC · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Charleston, SC · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Boulder, CO · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Boulder, CO · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Phoenix, AZ · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Phoenix, AZ · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Akron, OH · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
Akron, OH · On-site +1
$300 - $500/wk
We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...
$18K - $27K
11% of jobs
$34.3K is the 25th percentile. Wages below this are outliers.
$27K - $36K
17% of jobs
$36K - $45K
13% of jobs
The median wage is $51.2K / yr.
$45K - $54K
14% of jobs
$54K - $63K
16% of jobs
$69.4K is the 75th percentile. Wages above this are outliers.
$63K - $72K
7% of jobs
$72K - $81K
8% of jobs
$81K - $90K
6% of jobs
$90K - $99K
3% of jobs
$99K - $108K
3% of jobs
$108K - $117K
2% of jobs
$18K
$59.8K
$117K
As a Work From Home HMO representative, your daily tasks often include responding to member inquiries, processing claims, providing information about benefits, and coordinating care with healthcare providers. You may also handle case management, assist with enrollment, and resolve insurance-related issues via phone, email, or secure chat. Collaboration with other remote team members, such as nurses and case managers, is common to ensure seamless care for members. This role demands strong self-motivation, as well as the ability to manage confidential information securely while working independently from your home office.
To excel as a Work From Home HMO (Health Maintenance Organization) representative, you need a comprehensive understanding of healthcare administration, insurance policies, and case management, often supported by a degree in healthcare or business and previous experience in the insurance industry. Familiarity with CRM systems, HIPAA compliance software, and secure telecommunication platforms is typically required. Strong organizational skills, meticulous attention to detail, and effective communication are valuable soft skills in this remote environment. These qualifications enable professionals to efficiently manage member needs, ensure regulatory compliance, and deliver excellent customer service from a home-based setting.
A Work From Home HMO job typically involves providing remote support for health maintenance organizations (HMOs). This can include customer service, claims processing, billing, or administrative tasks. Employees in these roles assist patients, healthcare providers, or insurers with inquiries and documentation while working from home. Strong communication skills and knowledge of healthcare processes are often required.
Albuquerque, NM • On-site, Remote
$84K - $152K/yr
Full-time
Medical, Life, Retirement, PTO
Posted 4 days ago
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThe Senior Analytics Consultant's primary responsibility is to leverage strong Tableau skills and healthcare industry knowledge to support clinical and business stakeholders for the IL Commercial HMO and Marketplace. This role will be accountable for the overseeing NCQA analytical support and consultancy of internal/external customers and advisory service for internal/external senior leaders. The individual in this role will use their healthcare industry knowledge to report and review data in Excel, SQL, Python and R. The individual will primarily use their storytelling skills leveraging Tableau and Power BI to display outcomes and opportunities.Required Job Qualifications:
Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field
Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.
Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc.
Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI
High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution.
Experience leading an analytic initiative to success.
Excellent communication and presentation skills.
Ability to work independently and as part of a team.
Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.
Ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline.
Preferred Job Qualifications:
Expert Level Tableau User: ability to develop dashboards from scratch within the tool.
Experience with project management methodologies.
Experience of Healthcare industry - payor, provider, pharmacy, public health, epidemiology, etc.
Experience with version control/collaborative tools, such as GitHub
Experience with automation tools, such as Alteryx.
Work From Home:This position is fully remote and available in the US only.
Sponsorship: Sponsorship is not available.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.
HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$84,400.00 - $152,300.00Exact compensation may vary based on skills, experience, and location.
Sourced by ZipRecruiter
Outpatient health care
10,000+ Employees
Chicago, IL, US