[Hiring] Representative II @NTTデータ

Role Description

As a Rep II, Operations, you will support Medicare members, prescribers, and providers by processing coverage-related requests across both phone and fax (offline) channels. This role integrates responsibilities previously segmented by channel (phone vs. fax) and line of business (Medicare Part D and applicable Medicare Part B processes), reflecting the organization’s modularized training model in which colleagues progressively learn, practice, and apply end‑to‑end skills before fully transitioning to production work.

In this role, you will be responsible for:

• Accurate case setup, review, outreach, documentation, and timely resolution of requests in accordance with Medicare guidelines, CMS-mandated timelines, and internal quality standards.
• Demonstrating strong attention to detail, professional verbal and written communication skills, and the ability to problem-solve in a highly regulated, fast-paced environment.
• Performing work through a combination of inbound and outbound phone interactions and fax-based casework.

This position is full-time, remote (Work at Home), non-exempt, and requires schedule flexibility based on business needs.

Schedule and Work Environment

• Schedule:
  • Flexibility to work shifts between 7:00am – 8:00pm CST (Monday–Friday) and rotating weekend or holiday coverage as required by business needs.
  • Overtime and extended hours may be required during peak periods.
• Work Environment:
  • Remote, work-from-home position.
  • Dedicated, secure, and quiet home workspace required.
  • Reliable high-speed internet with ability to hard-wire into company equipment (NO wireless connection, NO hotspots).

Essential Functions and Physical Requirements

• Regular and predictable attendance.
• Ability to work mandatory overtime or extended workweeks when required.
• Ability to sit for extended periods at a computer workstation.
• Ability to type and use a mouse throughout the duration of the shift.

Role Context (Training Model Alignment)

This role reflects an integrated Rep II model aligned with modularized training. Colleagues are trained across both phone and fax-based workflows and progressively apply learned skills through practice before full production deployment. Channel assignment (phone vs. offline work) and case mix may vary based on business needs, proficiency, and operational demand.

Qualifications

• Minimum of 6+ months customer service, healthcare, pharmacy, call center, or related experience.

Preferred Qualifications

• Call center experience.
• Experience in a PBM, managed care, or healthcare environment.
• Experience handling confidential patient or member information.
• Familiarity with multi-system workflows (e.g., claims platforms, case management systems, internal databases).
• Pharmacy Technician Certification (CPhT) or related education.

Compensation

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($20.25 hourly). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

Benefits

• Medical, dental, and vision insurance.
• Flexible spending or health savings account.
• Life and AD&D insurance.
• Short-and long-term disability coverage.
• Paid time off.
• Employee assistance.
• Participation in a 401k program with company match.
• Additional voluntary or legally required benefits.