Contract Jul 30, 2025 Call Center Job Title: Customer Service Representative (Outbound)
Location: Indianapolis, IN (Remote)
Pay: $14hr
A customer service representative, or CSR, will act as a liaison, provide services information, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. The best CSRs are genuinely excited to help customers. They’re patient, empathetic, and passionately communicative. They love to talk. Customer service representatives can put themselves in their customers’ shoes and advocate for them when necessary. Problem-solving comes naturally to customer care specialists. They are confident at troubleshooting and investigate if they don’t have enough information to resolve customer complaints. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satisfaction.
Each representative will be a part of an incentive program that pays out weekly (in addition to base pay)
Must be able to work a fixed 8 hr shift between 8am-8pm
Candidate must reside in Indiana
All equipment will be provided to each representative to work remotely
Requirements:
Manage large amounts of outgoing calls to welcome members
Identify and assess customers’ needs to achieve satisfaction
Build sustainable relationships and trust with customer accounts through open and interactive communication
Provide accurate, valid, and complete information by using the right methods/tools
Meet personal/customer service team targets and call handling quotas
Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution.
Keep records of customer interactions, process customer accounts and file documents
Follow communication procedures, guidelines, and policies
Take the extra mile to engage customers
Ability to create and maintain a professional remote work environment/area
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Jul 30, 2025 Call Center Professional Management Enterprises is seeking a Customer Care Representative to join our call center team! As a Customer Care Representative, you will act as a trusted advisor and educator on health care related inquiries. You will guide our customers to a better healthcare experience, working every day to make healthcare easy with the service you provide.
Job Title: Customer Care Representative (Burmese/English)
Location: Indianapolis, Indiana (Remote) **Must be an Indiana Resident**
Pay: (Weekly Pay)
Work Hours: Monday-Friday, 10am - 6:30pm
Duties and Responsibilities:
Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
Analyzes problems and provides information/solutions.
Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
Thoroughly documents inquiry outcomes for accurate tracking and analysis.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Researches and analyzes data to address operational challenges and customer service issues.
Provides external and internal customers with requested information.
Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
Uses computerized systems for tracking, information gathering and troubleshooting.
Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.
Seeks, understands and responds to the needs and expectations of internal and external customers.
Required to meet department goals.
Skills:
Experience in customer service is a plus
Bilingual (Burmese/English)
Ability to navigate multiple computer screens at a time.
Ability to provide quality customer service while multi-tasking is a plus.
Requirements:
Requires a HS diploma or equivalent; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.
Must have a private area to work closed off from others.
Can not be responsible for minors or be a primary caretaker for another person during working hours.
Must live within a 50 miles radius of Indianapolis, Indiana
Contract Jul 30, 2025 Call Center Professional Management Enterprises is seeking a Customer Care Representative to join our call center team! As a Customer Care Representative, you will act as a trusted advisor and educator on health care related inquiries. You will guide our customers to a better healthcare experience, working every day to make healthcare easy with the service you provide.
Job Title: Customer Care Representative (Burmese/English) (Spanish/English)
Location: Indianapolis, Indiana (Remote) **Must be an Indiana Resident**
Pay: (Weekly Pay)
Work Hours: Monday-Friday, 10am - 6:30pm
Duties and Responsibilities:
Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
Analyzes problems and provides information/solutions.
Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
Thoroughly documents inquiry outcomes for accurate tracking and analysis.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Researches and analyzes data to address operational challenges and customer service issues.
Provides external and internal customers with requested information.
Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
Uses computerized systems for tracking, information gathering and troubleshooting.
Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.
Seeks, understands and responds to the needs and expectations of internal and external customers.
Required to meet department goals.
Skills:
Experience in customer service is a plus
Bilingual (Burmese/English)(Spanish/English)
Ability to navigate multiple computer screens at a time.
Ability to provide quality customer service while multi-tasking is a plus.
Requirements:
Requires a HS diploma or equivalent; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.
Must have a private area to work closed off from others.
Can not be responsible for minors or be a primary caretaker for another person during working hours.
Must live within a 50 miles radius of Indianapolis, Indiana
Contract Jul 29, 2025 Healthcare This is an entry level position in the Appeals Department that reviews, analyzes and processes non-complex preservice and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (Part A & B) related to clinical and non-clinical services, quality of service, and quality of care issues to include executive and regulatory grievances.
Job Title: SCA Appeals Rep I
Location: Remote US
Hours: M-F 8am-5pm (During training, hours will be 8:30 EST to 5:00 EST (approximate). All training will be virtual. After training, we have a flex start window between 6:00 AM EST time and 10:00 AM EST time.)
Primary duties may include, but are not limited to:
Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review. The grievance and appeal work is subject to applicable accreditation and regulatory standards and requirements. As such, the analyst will strictly follow department guidelines and tools to conduct their reviews. Analyzes and renders determinations on assigned non-complex grievance and appeal issues and completion of the respective written communication documents to convey the determination. Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information. The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments.
Requirements
Requires a High school diploma or GED; up to 2 years’ experience working in grievances and appeals, claims, or customer service or any combination of education and/or experience which would provide an equivalent background.
Familiarity with medical coding and medical terminology, demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, all the company's internal business processes, and internal local technology strongly preferred.
Contract Jul 23, 2025 Healthcare Job Title: Health Coach
Hours: M-F 8am-5pm
Location: Indianapolis, IN
Description:
Responsible for providing health coaching to members, across all brands, with chronic diseases. Primary duties may include, but are not limited to: Conducts behavioral assessments to identify individual member knowledge, skills, and behavioral needs. Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as identified during assessment. Implements coaching plan by using behavior change principles to identify member barriers and develop ways to overcome those barriers. Coordinates with the nurse case manager to provide feedback on member goal attainment and clinical issues. Monitors and evaluates the interventions and modifies.
Position Summary: This Onsite Health Coach position requires 50-75% travel throughout the north region of IN to support client wellness events anywhere from 3-4 days/week most weeks. The remainder of the time will be spent working from home when not traveling to client locations and providing virtual support through webinars, group coaching, outreach, phone calls, planning meetings and documenting interactions when onsite. The Onsite Health and Wellness Coach utilizes a collaborative process, in conjunction with the client's wellness champions, to plan and implement wellness events and programs to promote and influence members in decisions related to achieving and maintaining optimal health status. The goal of these programs and events is to help members achieve healthy lifestyle behaviors and align these lifestyle behaviors with individual wellness goals.
Details: The Onsite Health and Wellness Coach will act as the face of the health and wellness programs for this client while promoting healthy behavior change and engagement in available health and wellness program.
• Support wellness events in the workplace including but not limited to wellness challenges, health fairs, presentations, biometric screenings and individual and group coaching both in person and virtually
• Build relationships with wellness champions/site contacts through outreach phone calls, emails and drop ins.
• Promote and build awareness around internal and vendor partners health and wellness programs and resources.
• Deliver health and well-being education and coaching on topics including weight management, stress management, tobacco cessation, healthy eating, physical activity, sleep, prediabetes, prehypertension, preventative health and other healthy lifestyle topics.
• Create awareness, drive healthy behavior changes, increase engagement and help to positively impact the health and wellbeing of employees for this client.
• Help to create a culture of health and wellbeing across the client’s locations.
Required Qualifications:
• 3+ years of experience with healthy lifestyle coaching in at least 4 of the following areas: weight management, tobacco cessation, nutrition, physical activity and/or stress management.
• 3+ years of experience in facilitating patient/client positive behavioral change.
• 3+ years of experience with Word, Outlook, PowerPoint, and documentation systems
• 3+ years supporting workplace wellness events such as health fairs, biometric screenings, presentations, activity booths and supporting individual and group coaching
• 3+ years experience presenting to audiences both onsite and virtually on health related topics
• 3+ years experience building/creating wellness champion networks and building relationships to help support employee well-being
Requires BA/BS in appropriate field of specialization (examples such as Health Education, Exercise Physiology, Respiratory Therapy or Dietician) and minimum of 3 years of related experience in health education, exercise instruction, or patient education; or any combination of education and experience, which would provide an equivalent background. Certification, advanced certification, and/or license appropriate to field of specialty as required. Prior experience in health coaching, disease management and knowledge of behavioral and/or clinical assessment techniques, health and/or patient education and behavior change techniques preferred. Understanding of disease management principles preferred.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Jul 14, 2025 Healthcare
Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Pay Rate $20.00 hrly.
Monday - Friday 8:00-5:00 pm
Work remotely and local Travel is required
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Vaccinated
Home Visits
Driver’s License required
High School Diploma/GED required
Contract Jul 14, 2025 Information Technology Job Title: Business Analyst II
Location: Remote (Indiana)
Hours: M-F : 8AM to 5PM EST. Will work remote and will may require to come in if needed in the future.
***Requires a BS/BA degree & Must have 3-5 years of experience)***
Job Description:
We are looking for a skilled BA/Automation Tester with a strong background in the payments domain to join our team on a contractual basis. The ideal candidate will have extensive experience in Business Requirement Analysis, Python scripting, AWS Glue ETL Validation, and Power BI Testing. You will be essential in ensuring the quality and reliability of our payment systems through detailed testing and validation processes.
Key Responsibilities:
Business Analysis:
Collaborate with stakeholders to gather and analyze requirements related to payment systems.
Document functional specifications and technical requirements to guide development and testing processes.
Automation Testing:
Design, develop, and execute automated test scripts using a Test Automation Framework with Python and other required tools to ensure robust and scalable solutions.
Perform regression testing and identify, document, and track defects to closure.
Collaborate with development teams to resolve identified issues and improve system performance.
AWS Glue ETL Validation:
Validate and test ETL processes and data pipelines in AWS Glue to ensure data integrity and accuracy.
Conduct comprehensive testing of data transformations, data flow, and data mappings.
Power BI Testing:
Test Power BI dashboards and reports for accuracy, reliability, and performance.
Validate data visualizations to ensure alignment with business requirements and user expectations.
Payments Domain Expertise:
Apply expertise in the payments industry to enhance test coverage and scenario planning.
Stay updated with industry trends and regulations to ensure compliance and mitigate risks.
Required Skills and Qualifications:
Proven experience as a Business Analyst and Automation Tester in the payments domain.
Proficiency in Python for scripting and automation testing.
Hands-on experience with AWS Glue ETL processes and validations.
Familiarity with Power BI testing and validation practices.
Strong understanding of data analysis and data validation techniques.
Excellent communication and documentation skills.
Ability to work collaboratively in a fast-paced, dynamic environment.
Strong problem-solving skills and attention to detail.
Preferred Qualifications:
Experience with other ETL tools and technologies.
Certifications related to AWS, Power BI, or software testing.
Familiarity with agile methodologies and tools like JIRA.
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Jun 30, 2025 Administrative Job Summary
Data Capture Specialist is responsible for the accurate keying of information and scanning various documents.
Pay: 14.85/hour
Onsite Position - Marion, IN
Duties and Responsibilities
The responsibilities of the Data Capture Operator are outlined as follows and no intended to be all inclusive:
Accurately entering alphabetic and numeric data from electronic images with speed and accuracy utilizing software application to capture the appropriate data.
Reading, analyzing, and classifying documents based on certain assigned criteria.
Operating and maintaining scanning equipment, including processing documents through scanner and making appropriate adjustments to improve image capture.
Reviewing completed work and administering the company’s quality control procedures to ensure work is at or above required accuracy rates.
Assisting entire team in meeting daily and monthly KPIs and SLAs.
Following proper procedures, rules, and processes for data capture and quality assurance of data.
Utilizing appropriate and compliant safeguards to reasonably prevent the improper use or disclosure of confidential and protected information which may include Protected Health Information (PHI) and/or Personally Identifiable Information (PII) and reporting any concerns to manager.
Knowledge, Skills, and Abilities
High School Diploma or equivalent required.
Proficiency is MS Office (Word, Outlook, Teams, SharePoint).
Excellent typing skills—touch, 10 key, 45 wpm
Ability to pass reference checks, drug screen, and background checks.
Work Schedule
Monday: 9:00 a.m. - 6:00 p.m.
Tuesday: 9:30 a.m. - 5:30 p.m.
Wednesday through Friday: 9:00 a.m. - 5:30 p.m.
