Professional Management Enterprises jobs - 25 jobs

Job Title: Healthcare Forms Processor/Data Entry Clerk Remote Hours: M-F 8am-5pm Eastern Pay: $20hr PME is seeking a detail-oriented Forms Processor to join our team for a multi-year project. This position involves managing the complete lifecycle of form processing, from initial data collection through system entry, with a focus on healthcare consumer engagement. This position is crucial for maintaining the integrity and accuracy of healthcare data, ensuring efficient operations and reliable reporting. Key Responsibilities Process and Review Forms: Review healthcare forms for accuracy and completeness Data Input and Management:Precisely inputting data from source documents into databases, spreadsheets, or other systems. Data Verification:Reviewing data for errors, discrepancies, or inconsistencies and correcting them as needed. Member Follow-Up: Follow up with health plan members who need to provide additional information to complete or correct their forms Record Maintenance:Updating and maintaining records, ensuring information is current and accurate. Organization:Sorting, organizing, and managing digital for easy retrieval. Coordination: Work closely with the digital health management company to insure data accuracy and useability Reporting:Assisting in generating reports and retrieving data as requested. Confidentiality:Handling and safeguarding sensitive and confidential information in accordance with company policies. Quality Control:Performing quality checks to ensure data accuracy and integrity. Required Skills and Qualifications Data Entry:Typing with speed and exceptional accuracy. Software:Proficiency with Microsoft Office Suite and experience with data entry software. Work independently: Ability to work independently and manage workload effectively Attention to Detail:Strong attention to detail and commitment to accuracy. Organization:Excellent organizational and time management skills, with the ability to meet deadlines. Confidentiality:Proven ability to maintain confidentiality when handling sensitive information. Communication:Good written and verbal communication skills. Education:Requires a HS diploma or equivalent and minimum of 3 years' experience in a general office/administrative environment; or any combination of education and experience. Preferred Qualifications Associate's or bachelor's degree in a related field. Prior experience in a data entry, specifically healthcare related.

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 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: Vaccinated Covid and Flu Home Visits Required Driver's License required High School Diploma/GED required Preferred: Community Outreach Experience preferred

Title: Deskside Support Technician Hours: Mon-Fri 8am-5pm Pay:$19hr TheDeskside Support Technicianprovides on-site technical support for hardware, software, and peripheral devices across multiple client locations. This role involves troubleshooting, installing, maintaining, and repairing IT equipment and systems while delivering excellent customer service. The technician acts as the primary point of contact for technical support, performing Tier 1 duties and escalating more complex issues when necessary. Essential Functions: Install, maintain, and repair computer systems, hardware components, and peripheral equipment. Provide Tier 1 technical support and assist with Tier 2 support as needed. Escalate unresolved or high-impact issues promptly according to escalation procedures. Ensure timely and accurate updates in client ITSM tools and service management systems. Process warranty claims and support vendor compliance for hardware replacements. Coordinate with internal teams and third-party vendors to resolve service issues. Uphold a high level of customer satisfaction through proactive support and communication. Follow all client security protocols, policies, and data integrity procedures. Interact professionally with clients, users, and other team members on-site and remotely. Maintain professional appearance and behavior. Maintain attendance and punctuality standards in line with company expectations. Perform other duties as assigned by management. Required Education, Experience, and Certifications: High school diploma or equivalent required; Associate's or Bachelor's degree in a related field preferred. 1-3 years of relevant technical support or IT service experience preferred (equivalent education may substitute). Experience with Microsoft Windows operating systems and Office Suites. Familiarity with Active Directory, imaging software, and enterprise support tools. Client-specific certifications may be required based on project or location. Skills and Abilities: Strong verbal and written communication skills. Ability to explain technical concepts clearly to non-technical users. Effective interpersonal skills with a customer-first attitude. Strong organizational skills and attention to detail. Ability to work independently and as part of a cross-functional team. Demonstrated problem-solving ability in a fast-paced environment. Physical and Work Environment Requirements: Must be able to lift and transport equipment and boxes weighing up to 75 lbs. Ability to stand, walk long distances, and climb stairs throughout the workday. Must be capable of kneeling, crouching, and crawling when required. Prolonged periods of computer use required. Must be able to travel to client sites; some overnight travel may be necessary. Work is typically performed in a professional office or client site environment. Tools and Equipment Used: Desktop and laptop computers Communication headset Company vehicle (if provided) 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.

Job Title: Clinical Review Nurse - Prior Authorization Nurse Hours:Mon-Fri 8AM-5PM EST Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. Responsibilities Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria. Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care. Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of members. Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care. Assists with service authorization requests for a member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities. Collects, documents, and maintains all member's clinical information in health management systems to ensure compliance with regulatory guidelines. Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members. Provides feedback on opportunities to improve the authorization review process for members Performs other duties as assigned. Education/Experience: Requires Graduate from an Accredited School of Nursing with a degree in Nursing and 2 - 4 years of related experience. Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations is preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure required

Job Title: Certified Community Health Worker (CHW) Organization: Professional Management Enterprises (PME) is a Minority-owned business dedicated to delivering innovative workforce solutions and community-based services. With a strong focus on equity and inclusion, PME partners with healthcare providers, government agencies, and community organizations to remove barriers and strengthen systems of care. Our mission is to empower individuals and families, creating pathways to healthier, more stable futures. Position Summary We are seeking Certified Community Health Workers (CHWs) (or those willing to obtain certification within six months) to join our team in targeted Indiana counties. CHWs will work closely with individuals, families, and community partners to address healthcare and social service needs. This role requires empathy, compassion, and a strong commitment to helping others overcome barriers; whether medical, social, or economic. This is a remote position with at least 50% of time spent on the road, covering assigned regions within the counties listed. CHWs will use electronic health records and other digital tools to document activities, track progress, and coordinate care. Key Responsibilities Build trusting, respectful relationships with members to provide support, encouragement, and advocacy. Conduct outreach, home visits, and community-based interactions to connect members with healthcare, social services, and workforce opportunities. Assist members in navigating the healthcare system, including scheduling appointments, accessing insurance benefits, and understanding care plans. Address social determinants of health (SDOH) such as food insecurity, housing instability, transportation, and employment barriers. Support members with chronic conditions, disabilities, or other health concerns by coordinating care and identifying needed accommodations. Document all interactions and interventions in electronic records accurately and promptly. Collaborate with healthcare providers, social service agencies, and other community partners. Provide culturally sensitive support, encouraging empowerment and self-advocacy among members. Maintain compliance with HIPAA and confidentiality standards. Cover assigned regions within counties, ensuring accessibility to members in the area. Qualifications Required: High school diploma or equivalent. Experience navigating healthcare, social services, or related fields (including lived experience). Demonstrated compassion, empathy, and ability to connect with people from diverse backgrounds. Strong communication, organizational, and problem-solving skills. Proficiency with computers and electronic record systems. Knowledge of HIPAA regulations and commitment to confidentiality. Ability to travel within assigned region; valid driver's license and reliable vehicle required (mileage reimbursed). Ability to pass a drug test and background check. FLU and COVID immunization. Preferred: Community Health Worker (CHW) Certification (or willingness to obtain within 6 months). Experience in care coordination, case management, or social services navigation. Knowledge of Medicaid benefits, community based and healthcare supports, and Indiana's Medicaid landscape Experience working with Medicaid members, low-income populations, or individuals experiencing socio-economic instability. Bilingual or multilingual skills. Work Environment & Expectations Remote-based role, with frequent travel in assigned regions. At least 50% of work performed on the road or in the community. Flexible schedule may be required to meet member needs (occasional visits outside of office hours). Compensation & Benefits Hourly rate: $23-$27, based on experience and certification. Opportunities for professional development and CHW certification support. Mileage reimbursement for work-related travel. Mileage reimbursement for required travel. Health, dental, and vision insurance. Paid time off, holidays, and sick leave. Professional development and training opportunities. Diversity, Equity & Inclusion PME strongly encourages applications from individuals who have overcome socioeconomic barriers, as well as applicants from minority backgrounds and those who are bilingual. We value diverse perspectives and believe lived experience enhances our team's ability to support the communities we serve. 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.

Intermediate knowledge of training processes, such as adult learning theories and instructional design principles. Effective facilitation skills, such as ability to facilitate open discussion in a less structured environment. Effective class preparation skills. Ability to coordinate cross state tasks and to interact with employees in all areas of the project. Ability to analyze effectiveness of training and to independently implement, with guidance from the training supervisor, appropriate solutions without compromising instructional design and adult learning theory. Ability to coach others and provide performance feedback (e.g. trainees, agents, etc.) Travel within the State of Indiana REQUIREMENTS: Education: Some college with 1 plus years experience in facilitation/trainer role or HS diploma or GED and 2 plus years experience with Indiana Eligibility Public Assistance Programs. Must be able to travel 20% - 40% within the State of Indiana Extensive knowledge of Policy and Guidelines in relation to Indiana Eligibility Public Assistance Programs (TANF, Medicaid, SNAP) Preferred Experience working in IEDSS Bachelor's Degree Coaching or training experience Training Certification Excellent communication & presentation skills 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.

Executive Administrative Assistant Schedule: Hybrid (In office 3 days/week, remote 2 days/week) Monday-Friday 8am-5pm Employment Type: Full-time Reports to: Plan President (MCO) About the role We're hiring an Executive Administrative Assistant to support the executive team. This role is ideal for someone who is highly organized, communicates clearly, and can shift smoothly between proactive planning and quick-turn needs. You'll be the go-to partner for calendar and meeting coordination, travel and expenses, and creating polished materials that help the President and leadership team stay prepared and aligned. We're open to candidates with a few years of experience or a recent college graduate who is motivated, professional, and excited to learn and grow in a business environment. What you'll do Manage calendars end-to-end, including scheduling, prioritization, and adjustments as needs change Send and manage meeting invitations, coordinate meeting rooms, and handle logistics across a small leadership group (while only owning calendar management for the President) Coordinate and host Microsoft Teams meetings, including setup, links, attendee management, and troubleshooting Prepare and submit expense reports accurately and on time, ensuring required documentation is complete Build and maintain simple trackers and schedules using Excel (basic proficiency needed) Create and update PowerPoint presentations for leadership meetings and communications (moderate proficiency needed) Draft and proofread emails and materials, handling sensitive information with professionalism and discretion Serve as a calm, reliable point of contact and help keep priorities moving through strong follow-up and organization Anticipate needs by staying aware of upcoming deadlines, key meetings, and changing priorities while also responding quickly to same-day requests What success looks like Calendars are organized, realistic, and aligned to priorities Meetings are scheduled smoothly with correct attendees, rooms/links, and materials Presentations and meeting setup are polished and ready, without last-minute scrambling Expense reports are accurate, timely, and compliant Stakeholders experience clear communication, responsiveness, and strong follow-through Requirements What we're looking for Bachelor's degree required Experience level: 0-3+ years preferred (including internships); open to strong recent graduates Strong organizational skills and the ability to manage competing priorities without dropping details Strong communication skills (written and verbal), with a professional, service-minded approach Comfortable working in a fast-paced environment with a mix of proactive planning and reactive needs Basic Excel skills (scheduling, lists, simple trackers) Moderate PowerPoint skills (building and updating presentations, formatting, professionalism) Comfortable using Microsoft Teams for meeting coordination High discretion and good judgment when handling confidential information Motivated to learn, grow, and build business acumen over time Salary Description 60,000-65,000

Full-time Description Member Advocate The Call Center Representative is the frontline representative and image of WellTrans NEMT. A typical day involves: handling all calls via an automated call distribution system related to all details of member trips; verification of member eligibility; and appropriately and adequately addresses internal and external customer questions, and inquiries. The Call Center Representatives will provide courteous and professional service to managed care entity partners and the members we serve; strives to ensure that all interaction with members results in a positive image of the company. Helps deal with and resolve any complaints and answer any questions. The position is on-site; remote positions are not available. Duties • Provides timely resolution of member complaints, concerns, and inquiries. • Follow communication “scripts” when handling different topics. • Builds effective relationships and trust with members by listening to their needs and going the extra mile. • Identify members' needs, clarify information, research every issue and provide solutions and/or alternatives • Meet personal and company qualitative and quantitative targets • Responds professionally to all provider and member requests. • Performs other related duties as assigned by management Salary / Benefits 15.00/hour - with chance for advancement after 90 days. Overtime potential Variable working schedules Paid Training Company sponsored health, vision, dental insurance (optional additional coverage available) Paid Time Off Paid Holidays Employee Assistance Program About WellTrans At WellTrans, our goal is to put an end to transportation being a barrier to people's good health. Our top priority is our members. We understand our members must have the ability to get the necessary care they need. That is why we are committed to providing on-time, reliable service in a safe and secure manner for every member who travels with us. We communicate and work with our members to ensure their transportation needs are met… Every. Single. Trip. WellTrans is a Certified Minority and Disabled Veteran owned business and an equal opportunity employer.Member Advocate Indianapolis, IN Description Summary: The Call Center Representative is the frontline representative and image of WellTrans NEMT. The Call Center Representative will handle a variety of tasks but will consist primarily of handling inbound and outbound calls from Members, Providers and Facilities. The Call Center Representatives will provide courteous and professional service to managed care entity partners and the members we serve; strives to ensure that all interaction with members results in a positive image of the company. Helps deal with and resolve any complaints and answer any questions. • Provides timely resolution of member complaints, concerns, and inquiries. • Follow communication “scripts” when handling different topics. • Builds effective relationships and trust with members by listening to their needs and going the extra mile. • Identify members' needs, clarify information, research every issue and provide solutions and/or alternatives • Meet personal and company qualitative and quantitative targets • Responds professionally to all provider and member requests. • Performs other related duties as assigned by management Requirements Requirements • 1-2 years call center experience or equivalent • Ability to pass a criminal background check and drug screen. • Ability to effectively take direction • Knowledge of industry is recommended but not required • Bilingual (English/Spanish) is preferred • Excellent customer service skills including dealing with potentially difficult members • Excellent verbal a nd written communication skills • Proficient on Microsoft Office • Ability to understand and follow written and verbal instructions • Professional appearance and demeanor • Ability to effectively communicate with people at all levels and from various backgrounds • Versatility, flexibility, and a willingness to work enthusiastically within a constantly changing environment Salary Description 15.00/hour

The Call Center Team Lead supports the daily operations of the WellTrans NEMT Call Center by providing direct oversight, guidance, and real-time support to call center agents. This position ensures service quality, monitors performance standards, and acts as the first line of leadership for operational issues, member concerns, and workflow challenges. The Team Lead assists with escalations, supports training needs, strengthens agent performance, and collaborates with management to uphold member satisfaction, compliance, and operational efficiency. This role requires strong leadership skills, a solid understanding of NEMT processes, and the ability to balance hands-on support with administrative duties. Requirements Supervisory & Leadership Duties Provide daily leadership and support to Member Advocates (Call Counselors), ensuring calls are handled with professionalism and accuracy. Monitor call performance, Quality Assurance metrics, and ticket activity to ensure service levels and standards are met. Serve as the first point of contact for agent questions, real-time assistance, and workflow clarification. Assist with resolving member concerns that require team lead support before escalating to management. Deliver ongoing coaching, side-by-side support, and feedback to agents to improve service skills and adherence to SOPs. Conduct routine one-on-one check-ins, quality reviews, and performance discussions with assigned team members. Support Workforce Management regarding break schedules, coverage needs, and real-time adjustments based on call volume. Ensure proper use of scripts, templates, documentation standards, and escalation protocols. Operational & Administrative Duties Support daily review of call quality, queue health, and operational updates. Assist with the review and approval of WMRs, schedule adjustments, and attendance-related updates. Track minor technical issues and workflow challenges; elevate trends to supervisors or management. Help onboard and train new agents during nesting phases and provide reinforcement training as needed. Maintain accurate reporting and communication across shifts to support continuity of operations. Participate in team meetings and contribute to process improvement initiatives. Plan-Specific Knowledge Maintain working knowledge of SOPs for WellTrans partners.

ESSENTIAL FUNCTIONS Schedule, route, and dispatch trips to all manner of providers Assist in coordination of mass transportation when needed Administer trips for volunteer/ independent drivers and mileage reimbursement program Completes all documentation and process task associated to mileage mapping and application procedures if responsible for volunteer/ independent drivers and mileage reimbursement programs Works closely with transportation providers and health care facilities to resolve problems Assigns reservations to network providers to ensure that vehicle resources are used most efficiently and effectively to meet client demand Responsible for daily communication with transportation providers Ensures accurate trip data input Other duties as assigned. Requirements POSITION QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Competency Statement(s) Analytical Skills -- Ability to use thinking and logic to solve everyday problems. Communication, Oral - Ability to communicate effectively with others using the spoken word Communication, Written - Ability to communicate in writing clearly and concisely Customer Oriented - Ability to take care of the customers' needs while following company procedures Interpersonal - Ability to get along well with a variety of personalities and individuals General understanding of transportation systems Education High School Graduate or General Education Degree (GED) Experience At least 1 to 2 years customer service experience in an inbound call center environment with heavy phone volume and data entry preferred 1 to 2 years of routing, scheduling and/or dispatch experience preferred Prior in-bound call center experience preferred Knowledge of transit system a plus Knowledge of Medicaid guidelines and covered services plus Ability to travel to office location to perform shifts In-office position, this is not a remote opportunity SKILLS & ABILITIES Excellent customer service & phone skills Proficient with Microsoft Word, Excel, and Outlook Ability to work independently or within a team Must be able to handle heavy phone volume when tasked to assist Salary Description $17

About Us: At BKG, we are committed to ensuring that individuals with chronic illnesses, co-morbidities, and disabilities receive the support they need to thrive within their communities. As part of our team, you'll have the opportunity to make a meaningful impact on the lives of our members while working in a collaborative and supportive environment. Position Overview: We are seeking a dedicated and compassionate Service Coordinator (Clinical) to join our team. In this role, you will play a vital role in our care coordination process by conducting assessments, identifying member needs, and developing person-centered service plans. Working as part of an interdisciplinary team, you will collaborate closely with care coordinators to ensure our members receive the comprehensive support they require. This position does require 50% travel and 50% remote office work. Pay/Benefits: Hours: Monday - Friday 8am-5pm Weekly Pay Reimbursable mileage Pay: $82,000-$85,000 depending on licensure and experience Health, dental, vision, and supplemental insurance available 401K 10 Paid holidays 80 hours of PTO Responsibilities: Conduct assessments to identify the physical health, behavioral health, social services, and long-term services and supports needs of our members. Assist in identifying members at high risk for complications and those who would benefit from alternative levels of care or waiver programs. Obtain clinical data as directed by the responsible RN or care coordinator. Participate in coordinating care for members with chronic illnesses, co-morbidities, and disabilities. Collaborate with the interdisciplinary team to develop and implement person-centered service plans. Participate in team rounds and collaborate closely with care coordinators to ensure effective care coordination. Travel to members' homes and other locations as necessary to conduct assessments and provide support. Note: This role will focus on clinical assessments and support for members' behavioral health needs. We are contractually obligated to have a certain percentage of our workforce trained to assist members with behavioral health needs. If you are passionate about making a difference in the lives of others and are looking for a rewarding career in healthcare, we encourage you to apply for this exciting opportunity. Join us in our mission to provide comprehensive care coordination services and support to individuals in need. Requirements Qualifications: Current, unrestricted LSW, LCSW, or LMSW license in applicable state(s) required. Minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background. State-specified certification based on state law and/or contract may be required. Strong communication and interpersonal skills. Ability to work effectively as part of an interdisciplinary team. Compassionate and patient-centered approach to care. Salary Description $82,000-$85,000

Benefits: Health, Dental, Vision and Supplemental insurance offer Hours: 8am-5pm Monday-Friday PTO: 80 hours PTO after 90 days 10 paid holidays Pay: $20/hr Responsible for providing non-clinical support to the Care/Service Coordination Department for the PathWays for Aging program Primary duties may include, but are not limited to: · Provides non-clinical support to Care and Service Coordination teams · Gathers clinical information regarding cases and supports collaboration across teams. · Conducts member/provider outreach as needed. · May assist with complex cases. · May act as liaison between Medical Management and/or Operations and internal departments. · Maintains and updates tracking databases. · Prepares reports and documents all actions. Requirements Requires a H.S. diploma or equivalent and a minimum of 1 year experience or any combination of education and experience which would provide an equivalent background. Understanding of managed care or Medicaid/Medicare strongly preferred. Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Salary Description 20.00

Job Type: Full-TimeWellTrans NEMT is hiring Escalation Agents to support our growing call center. This role handles complex issues, urgent trip concerns, and calls that require advanced problem-solving. Escalation Agents work closely with internal teams to resolve service failures, support stranded members, and ensure a positive and safe experience for all. ResponsibilitiesHandle escalated or urgent member and provider calls De-escalate frustrated callers with professionalism and empathy Investigate and resolve complex trip issues (delays, missed trips, safety concerns) Coordinate with Routing, Dispatch, Provider Relations, and leadership Provide real-time follow-up and complete accurate documentation Identify when formal complaints must be submitted through the correct channels Support Member Advocates with questions related to escalation criteria Why Join WellTransGrowing statewide NEMT leader Opportunities for advancement Supportive leadership and team environment Meaningful work helping members access essential care Requirements Requirements At least 5 years of customer service experience with at least 3 years in a call center setting Strong de-escalation and problem-solving skills Excellent communication and documentation abilities Ability to stay calm under pressure and manage high-severity situations Must work on-site (no remote options) Salary Description 17.00/hour

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: Vaccinated Covid and Flu Home Visits Required Driver's License required High School Diploma/GED required Preferred: Community Outreach Experience preferred

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: Bilingual (Burmese/English) (Spanish/English) Customer Care Representative Location: Indianapolis, Indiana (Remote) **Must be an Indiana Resident** Pay: $18.50hr (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

Full-time Description Job Type: Full-Time Schedule: Multiple shifts available | Monday-Friday | Non-Remote About WellTrans At WellTrans, we are committed to removing transportation barriers to healthcare. Our mission is to ensure every member has safe, reliable, and on-time access to their medical appointments- Every. Single. Trip. We are proud to be a Certified Minority- and Disabled Veteran-Owned Business and an Equal Opportunity Employer that values diversity and inclusion at every level of the organization. Position Summary As a Member Advocate at WellTrans NEMT, you are the voice and frontline representative of our organization. This role primarily involves handling incoming and outgoing calls through our automated call distribution system to support members, healthcare providers, and facilities. You will verify trip details and member eligibility, address inquiries, and ensure that every call results in a professional, helpful experience. This position is in-office only and plays a vital role in supporting access to healthcare for our community. Key Responsibilities Provide timely, professional responses to member and provider questions, concerns, and complaints. Follow call handling scripts while personalizing each interaction to build trust and rapport. Identify member needs and ensure accurate, complete resolutions with follow-up as needed. Maintain up-to-date documentation for all interactions and communications. Meet and exceed call center performance metrics including quality and call handling standards. Demonstrate a commitment to WellTrans values through courteous, respectful, and efficient service. Collaborate with internal departments to resolve complex or escalated issues. Support additional administrative duties or projects as assigned. Compensation & Benefits Starting Wage: $16.00/hour Advancement Opportunity: Performance review after 90 days with potential for growth Overtime opportunities Available Paid Training Health, Dental, and Vision Insurance (with optional additional coverage) Paid Time Off & Paid Holidays Employee Assistance Program (EAP) Requirements Must be bilingual in Spanish. 1-2 years of call center or relevant customer service experience preferred. Ability to pass a criminal background check and drug screen. Strong communication skills-both written and verbal. Proficiency in Microsoft Office and basic computer applications. Demonstrated professionalism and ability to work in a fast-paced, changing environment. Strong listening skills and ability to handle sensitive or escalated calls with empathy. Must be reliable, punctual, and able to follow written and verbal directions. Experience working with diverse populations and various communication styles. Salary Description 16.00/hour

Job DescriptionDescription: The Call Center Team Lead supports the daily operations of the WellTrans NEMT Call Center by providing direct oversight, guidance, and real-time support to call center agents. This position ensures service quality, monitors performance standards, and acts as the first line of leadership for operational issues, member concerns, and workflow challenges. The Team Lead assists with escalations, supports training needs, strengthens agent performance, and collaborates with management to uphold member satisfaction, compliance, and operational efficiency. This role requires strong leadership skills, a solid understanding of NEMT processes, and the ability to balance hands-on support with administrative duties. Requirements:Supervisory & Leadership Duties Provide daily leadership and support to Member Advocates (Call Counselors), ensuring calls are handled with professionalism and accuracy. Monitor call performance, Quality Assurance metrics, and ticket activity to ensure service levels and standards are met. Serve as the first point of contact for agent questions, real-time assistance, and workflow clarification. Assist with resolving member concerns that require team lead support before escalating to management. Deliver ongoing coaching, side-by-side support, and feedback to agents to improve service skills and adherence to SOPs. Conduct routine one-on-one check-ins, quality reviews, and performance discussions with assigned team members. Support Workforce Management regarding break schedules, coverage needs, and real-time adjustments based on call volume. Ensure proper use of scripts, templates, documentation standards, and escalation protocols. Operational & Administrative Duties Support daily review of call quality, queue health, and operational updates. Assist with the review and approval of WMRs, schedule adjustments, and attendance-related updates. Track minor technical issues and workflow challenges; elevate trends to supervisors or management. Help onboard and train new agents during nesting phases and provide reinforcement training as needed. Maintain accurate reporting and communication across shifts to support continuity of operations. Participate in team meetings and contribute to process improvement initiatives. Plan-Specific Knowledge Maintain working knowledge of SOPs for WellTrans partners.

ESSENTIAL FUNCTIONS Schedule, route, and dispatch trips to all manner of providers Assist in coordination of mass transportation when needed Administer trips for volunteer/ independent drivers and mileage reimbursement program Completes all documentation and process task associated to mileage mapping and application procedures if responsible for volunteer/ independent drivers and mileage reimbursement programs Works closely with transportation providers and health care facilities to resolve problems Assigns reservations to network providers to ensure that vehicle resources are used most efficiently and effectively to meet client demand Responsible for daily communication with transportation providers Ensures accurate trip data input Other duties as assigned. Requirements POSITION QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Competency Statement(s) Analytical Skills -- Ability to use thinking and logic to solve everyday problems. Communication, Oral - Ability to communicate effectively with others using the spoken word Communication, Written - Ability to communicate in writing clearly and concisely Customer Oriented - Ability to take care of the customers' needs while following company procedures Interpersonal - Ability to get along well with a variety of personalities and individuals General understanding of transportation systems Education High School Graduate or General Education Degree (GED) Experience At least 1 to 2 years customer service experience in an inbound call center environment with heavy phone volume and data entry preferred 1 to 2 years of routing, scheduling and/or dispatch experience preferred Prior in-bound call center experience preferred Knowledge of transit system a plus Knowledge of Medicaid guidelines and covered services plus Ability to travel to office location to perform shifts In-office position, this is not a remote opportunity SKILLS & ABILITIES Excellent customer service & phone skills Proficient with Microsoft Word, Excel, and Outlook Ability to work independently or within a team Must be able to handle heavy phone volume when tasked to assist Salary Description $17

Job DescriptionDescription: Location: Indianapolis, IN Job Type: Full-TimeWellTrans NEMT is hiring Escalation Agents to support our growing call center. This role handles complex issues, urgent trip concerns, and calls that require advanced problem-solving. Escalation Agents work closely with internal teams to resolve service failures, support stranded members, and ensure a positive and safe experience for all. ResponsibilitiesHandle escalated or urgent member and provider calls De-escalate frustrated callers with professionalism and empathy Investigate and resolve complex trip issues (delays, missed trips, safety concerns) Coordinate with Routing, Dispatch, Provider Relations, and leadership Provide real-time follow-up and complete accurate documentation Identify when formal complaints must be submitted through the correct channels Support Member Advocates with questions related to escalation criteria Why Join WellTransGrowing statewide NEMT leader Opportunities for advancement Supportive leadership and team environment Meaningful work helping members access essential care Requirements:Requirements At least 5 years of customer service experience with at least 3 years in a call center setting Strong de-escalation and problem-solving skills Excellent communication and documentation abilities Ability to stay calm under pressure and manage high-severity situations Must work on-site (no remote options)