FULL_TIME

FEED

OTHER

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

TriWest Healthcare Alliance

Referral Specialist

equestftpin

Senior Referral Specialist

Orders/receives medical records for Potential Quality Issues (PQI and CQM Department activities according to desk procedures, conducts follow-up telephone calls to providers, and completes other processes to resolve missing documents. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Clinical Quality Support Specialist

Performs clinical research necessary to establish evidence-based clinical content guidelines, uses technical and medical writing capabilities to create content to support targeted population campaigns, population wellness portals and activity, support accreditation and contractual requirements, beneficiary educational and other work as needed. • Supports Medical Management projects and non-clinical resources such as project managers as a subject matter expert in evidence-based clinical criteria for building assessments, care plans, interventions and other clinically-based tools and programs.

PH Communications Specialist

Technical Skills: Thorough knowledge of TRICARE policies and procedures, data collection and reporting, TriWest Care Radius medical management systems, and Referral Management Specialists function. • Two or more years of supervisory experience Managed care and operational experience in medical management systems, including referral management/prior authorization, or utilization management.

Supervisor, Referral Management

Lead Referral Specialist

Develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.

Provider Program Manager

The ACD Specialist lends administrative support to beneficiaries, clinical staff, and providers in support of the Autism Care Demonstration (ACD) The ACD is a benefit program for eligible TRICARE beneficiaries who have an Autism Spectrum Disorder (ASD) diagnosis, and provides a set of services not available under basic TRICARE benefits. Independent Thinking / Self-Initiative: Critical thinker with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without considerable direction and to find necessary resources.

Autism Care Demonstration Specialist

Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

Manager, Case Management Special Programs

UNKNOWN

We are looking for a highly motivated, self-driven Outside Sales Representative to manage and grow our business in Washington, Oregon, Idaho, Montana, Wyoming, and potentially other western markets. · Travel at least 75% of the time throughout Washington, Oregon, Idaho, Montana and Wyoming, with occasional travel to other markets for business development, training, seminars and trade shows as needed.

Levi's Building Components

Outside Sales Representative

Daily work • Speak with people who asked for information • Map needs to available protection options • Run a simple enrollment flow • Build and service a client list Provided • Pre-qualified warm leads • Step-by-step onboarding • Remote tools • Flexible hours • Ongoing mentorship Good fit Self-starters who like helping families and can handle a performance environment. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.

AO Garcia Agency

Remote Client Intake Specialist

ea_via_bold

If you need an accommodation because of a disability to search and apply for a career opportunity with us, please send an e-mail to ApplicantAccommodations@dentsu.com by clicking on the link to let us  know the nature of your accommodation request and your contact information. Fueled by a unique culture built in and around meritocracy, we bring the passion, the know-how and the balance necessary to maintain the charted course we set for ourselves: to be the best, we employ the best.

HOUR

Dentsu International Ltd

Social Media Content Specialist - Overnight Remote US-Based

Closed-Loop Feedback Integration: Systematically capturing operational feedback, field trial results, and operator testing notes to continuously evolve backlog user stories and transform field-tested waveforms into robust commercial software solutions. By bridging the gap between theoretical R&D and reliable military systems engineering, the Technical Product Manager will ensure Silvus outpaces emerging electronic warfare (EW) threats and delivers robust software-defined spectrum dominance.

YEAR

Motorola Solutions Inc

Technical Product Manager (Spectrum Dominance)

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. What comes with the seat • No cold calling • Qualified-interest pipeline • Performance-based advancement • Full training • Current tech stack • Work from home Traits that work here Driven.

Remote Management Trainee

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Requirements • Communication that is clear and human • Discipline without a supervisor in the hallway • Openness to a proven process • Interest in benefits conversations, not just “sales energy” Apply today.

Part-Time Remote Client Care Representative

The work • Take requested conversations — no cold lists • Explain benefit options simply • Help clients enroll when it is a fit • Keep a clean follow-up rhythm You get • Remote work • A written process so you are not inventing the job • Coaching from people who have done the work • A path into leadership if you produce You should apply if you are competitive, coachable, and comfortable on camera. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.

Remote Jobs in Boise, ID

Referral Specialist TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Outside Sales Representative Levi's Building Components

Remote Client Intake Specialist AO Garcia Agency

Social Media Content Specialist - Overnight Remote US-Based Dentsu International Ltd

Technical Product Manager (Spectrum Dominance) Motorola Solutions Inc

Remote Management Trainee AO Garcia Agency

Part-Time Remote Client Care Representative AO Garcia Agency

Remote Client Account Specialist AO Garcia Agency

Coverage Support Representative AO Garcia Agency

Remote Appointment Setter AO Garcia Agency

Part-Time Remote Benefits Representative AO Garcia Agency

Remote Policy Services Representative AO Garcia Agency

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