FULL_TIME

FEED

OTHER

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

TriWest Healthcare Alliance

Supervisor, Utilization Management

equestftpin

UNKNOWN

Handles executive-level internal and external communications which includes; handling incoming phone calls, returning phone calls, responding to voice-mails, managing incoming e-mails by forwarding and responding to e-mails as appropriate, and creating and mailing letters and memos on behalf of Executive and department. Acts as project manager on assigned projects, provides administrative assistance as needed on other special projects and maintains departmental file sharing and intranet site(s), as requested.

YEAR

Reinsurance Group of America Inc

Executive Assistant (open to remote)

linkup_via_bold

Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes. Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Senior Investigator, Special Investigations Unit (Aetna SIU)

ADAPTED_NOW

Bachelor’s degree in business, healthcare, or a related field required; Master’s degree in Business Administration (MBA), Public Health, Healthcare Administration, or a related field required. Under minimal supervision, the Chief Ambulatory Officer (CAO) provides direction and administration of CRH owned clinic’s activities to ensure accomplishment of their objectives.

Cody Regional Health

CHIEF AMBULATORY OFFICER

West Park Hospital District

Applies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.

Utilization Clinical Reviewer

Ability to demonstrate good customer service (AIDET) Aid team members in maintaining turnaround times as expected from client Account for internal control responsibilities in line with the organizations objectives Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA) Other duties as assigned by supervisor or manager Answer questions and offer other information, as requested, to provide patient-focused service and a positive impression of the organization Suggests improvements and participates in organized efforts to improve service levels POSITION QUALIFICATIONS Education / Experience / License and Certifications High school graduate or equivalent. Ability to exercise good judgment to handle situations appropriately Ability to use online resources to and tools to achieve goals in the most efficient manner Ability to multi-task using several systems and multiple monitors at the same time Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment.

Sheridan Memorial Hospital

Prior Authorization Specialist

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

The successful candidate will collaborate with cross-functional enterprise teams, provide technical leadership, and leverage deep expertise in iOS development and Apple Health technologies to deliver secure, high-quality, and customer-centric digital products. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.

Staff Software Development Engineer - iOS

Additional Skills Able to communicate effectively in English, both verbally and in writing Additional languages desirable Basic computer knowledge Organizational skills Participates in continuing education activities within the department and organization Attends and actively participates in departmental staff meetings Keeps up to date with clinical practice and evidence-based practice guidelines Stays abreast of organizational policies and procedures Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. JOB SUMMARY The Nurse Practitioner (NP) or Physician Assistant (PA) provides medical consultation, follow-ups, routine patient care and performs minor office procedures.

Nurse Practitioner or Physician Assistant

Additional Skills Able to communicate effectively in English, both verbally and in writing Additional languages desirable Basic computer knowledge Organizational skills Participates in continuing education activities within the department and organization Attends and actively participates in departmental staff meetings Keeps up to date with clinical practice and evidence-based practice guidelines Stays abreast of organizational policies and procedures Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. ABOUT SHERIDAN MEMORIAL HOSPITAL At Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services.

Nurse Practitioner/Physician Assistant

Provides consultation on business requirements and functional specifications in logical program designs, code modules, application systems, and software solutions; facilitates the transition to high level design and supports the project lifecycle with input from leadership where needed. Serves as a technical lead for project teams throughout the implementation and maintenance of business and enterprise software solutions by leveraging partnerships with technology teams and business leaders to resolve escalated issues.

Old Dominion Freight Line Inc

Application Delivery Technical Lead

ea_via_bold

The Coordinator, Financial Counseling is responsible for supporting patients and providers by ensuring accurate financial clearance, patient education, and identification of financial risk prior to services being rendered. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

HOUR

e+CancerCare LLC

Coordinator, Financial Counseling

Cardinal Health Inc

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

Director, Population Health

Navista

sourcestack_via_bold

The Senior Software Developer will develop modular Python-based analytical applications and supporting software, contribute to differential privacy and disclosure-avoidance tools, build evaluation applications, support production analytical pipelines and automated output generation, develop dashboards and technical tools, ensure reproducibility and scalability, and support documentation, testing, training, and Government knowledge transfer. E-Logic, Inc. is seeking a Senior Software Developer to support the development, testing, implementation, validation, and optimization of software applications and analytical tools supporting the IRS RAAS Statistics of Income (SOI) Division's production of differentially private Qualified Opportunity Zone statistics.

E Logic

Senior Software Developer

The Hire Talent

For more news and information, visit SLB.com Follow us on Facebook at @WeAreSLBGlobal, LinkedIn: SLBGlobal, or Instagram at @SLBGlobal. ChampionX has future and immediate hiring needs for experienced Production Planner I professionals in Evansville, WY to support our operations team.

Schlumberger

Production Planner

Troubleshoots and directs repair of 480V three-phase power distribution, motor control centers (MCCs), motor starters, VFDs, soft starters, and AC induction motors. Oversees installation, calibration, and troubleshooting of process instrumentation, including 4-20 mA loops, I/P converters, transmitters (temperature, pressure, level, pH), flow measurement, and automatic control valves.

Western Sugar Cooperative

E&I Supervisor

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Maximus is a trusted federal partner supporting the Internal Revenue Service (IRS) in delivering essential services that help taxpayers navigate and meet their tax obligations.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Senior ALC Developer

AA) VETERANS PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veterans military service, and wish to claim veterans preference, please attach the appropriate documentation substantiating your claim. WORKING FOR THE GREATEST STATE IN THE NATION - Wyoming offers a lifestyle you can't find anywhere else - wide-open spaces, clean air, friendly communities, year-round recreation, and no state income tax.

Coding Manager Jobs in Wyoming

Supervisor, Utilization Management TriWest Healthcare Alliance

Executive Assistant (open to remote) Reinsurance Group of America Inc

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

CHIEF AMBULATORY OFFICER Cody Regional Health

Utilization Clinical Reviewer TriWest Healthcare Alliance

Prior Authorization Specialist Sheridan Memorial Hospital

Program Integrity Investigator TriWest Healthcare Alliance

Staff Software Development Engineer - iOS CVS Health Corp

Nurse Practitioner or Physician Assistant Sheridan Memorial Hospital

Nurse Practitioner/Physician Assistant Sheridan Memorial Hospital

Application Delivery Technical Lead Old Dominion Freight Line Inc

Coordinator, Financial Counseling e+CancerCare LLC

Coordinator, Financial Counseling Cardinal Health Inc

Director, Population Health TriWest Healthcare Alliance

Coordinator, Financial Counseling Navista

Senior Software Developer E Logic

Production Planner Schlumberger

E&I Supervisor Western Sugar Cooperative

Senior ALC Developer Maximus

Public Health Registered Nurse (RN) 2026-02301 State of Wyoming

Similar Job Searches

Stand out to leading employers.