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

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.

Supervisor, Utilization Management

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. The position collaborates to ensure relevant analysis and complete, timely reporting is provided to meet TriWest business needs and Government's Healthcare requirements.

Business Analyst Sr

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

UNKNOWN

Oversee and prepare accurate project documentation for all phases of construction including project charter, due diligence reports, budgets, schedules, meeting minutes, financial funding requests, status reports, punch lists, and special reports on-time and in accordance with pre-established formats in order to pass all project documentation reviews with client. Lead project teams consisting of architects, design engineers, general and specialty contractors, property management, operating engineers, real estate brokers, environmental consultants, client Project Management Organization, client security, and client technology teams.

JLL is a financial and professional services firm specializing in commercial real estate services and investment management. We create value for companies and institutions that invest in and use real estate. With 60,000 employees across 280 corporate offices worldwide, we serve the local, regional and global real estate needs of corporates and investors in more than 80 countries. Our integrated services offering is grounded in expertise in all property types, a deep understanding of real estate markets and capital markets, and is coordinated and consistent across geographies.

Senior Project Manager, PDS Projects

ea_via_bold

A week in this role looks like scanning the news cycle for opportunities in your clients' practice areas, building a targeted media list on the spot for a story that broke yesterday, running daily outreach through Qwoted and direct journalist relationships, shaping the angle on a client's expert commentary and briefing the content team on how to write it, and following up on the pitch you sent Tuesday that hasn't gotten a reply yet. Media Relationships & Outreach: Build and maintain real relationships with reporters and editors, lead proactive outreach and disciplined follow-up, and track reporter preferences, beats, and engagement history so every next pitch lands warmer.

HOUR

Market My Market

Digital PR Contractor

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

Preferred Qualifications: • Bilingual (Spanish and English) • Excellent communication skills• Leadership capabilities • Self-starter • Positive attitude • Growth mindset We Offer: • 100% remote positions • Uncapped earning potential • Opportunity to enter into leadership *All interviews will be conducted via Zoom video conferencing (Global Elite Empire Consultants is a third-party recruiter, not an insurance agency) 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. We are looking for goal-oriented individuals with leadership potential to join a rapidly growing company.

AO Garcia Agency

Work From Home - Bilingual Client Services Representative

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

Technical Skills: Knowledge of TRICARE program and benefits; managed care program concepts and health care delivery processes; management reporting tools and medical management systems; legal, regulatory requirements, and HIPAA privacy regulations. Under the direction of the Director of Referral Management, the Manager will lead and guide non-clinical staff in processes that maintain accuracy, efficiency, and timeliness for all network and military referral requests.

Manager, Referral Management

This role will engage deeply with subject matter expertise in SAP SuccessFactors Employee Central Time, fostering an environment where collaboration and thoughtful decision-making drive success. We've got over 70 SAP awards-more than any other partner-and we're the leading business partner for SAP SuccessFactors, SAP Ariba, SAP Hybris, SAP FieldGlass, SAP Concur, and more.

Accenture Plc

SAP Employee Central/Time Senior Manager

YEAR

Our primary focus is connecting middle-market, private equity-backed portfolio companies and corporate clients with elite consultants with deep functional experience across executive leadership, finance, accounting, operations, technology and business transformation. ETONIEN is supporting established businesses seeking to modernize accounts payable and finance operations through Ramp implementation and ERP integration.

ETONIEN

Interim Ramp Implementation & ERP Integration Consultant

Workable

The ideal candidate has experience in both SMB and enterprise marketing and has built winning demand generation programs from the ground up—equally comfortable crafting account-based marketing (ABM) strategies as they are launching and optimizing hands-on, multi-channel campaigns. Our proprietary digital cognitive assessment tools, including digital cognitive tasks and electronic behavioral health questionnaires, are used by healthcare providers treating mental health conditions, brain injuries, aging, and other patient populations throughout the world, as well as by leading researchers.

Creyos

Director, Integrated Marketing (USA)

General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Designs, builds, manages, and implements enterprise infrastructure technology platforms and systems across cloud, network, database, storage, platform, computing, or middleware domains.

Truist Financial Corp

Lead zOS Systems Programmer - Remote

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 . 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 Benefits Enrollment Advisor

Our technical team has a deep understanding of network enterprises and cloud technologies that incorporate Collaboration, Data Center, Borderless networking, Security solutions and products from leading equipment manufacturers. Proactively scopes the technical solution required to address customer requirements, assesses customers met and unmet needs, and recommends solutions that optimize value for both the customer and the firm.

GlobalXperts, Inc.

Sales Representative

jobdiva

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. We hire for • On-time follow-up • Clean video presence • Fast learning on tools • Respect for the client .

Remote Family Care Benefits Representative

How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence.

Gallagher, a global insurance brokerage and risk management services firm, helps clients address risk, protect assets and recover from losses. The products and services we provide keep businesses and institutions running, and enable individuals and families to rebuild their lives. Gallagher is the only insurance broker recognized by the Ethisphere Institute as a World's Most Ethical Company.
 
Gallagher provides retail and wholesale property and casualty brokerage, alternative risk transfer services, employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services.

Gallagher

Workers Compensation Claims Adjuster - NC/SC

[AW]-iCims

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.

Remote Client Success Representative

Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary. The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.

Remote Jobs in Charlotte, NC

Referral Specialist TriWest Healthcare Alliance

Supervisor, Utilization Management TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Senior Project Manager, PDS Projects JLL

Digital PR Contractor Market My Market

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Work From Home - Bilingual Client Services Representative AO Garcia Agency

Manager, Case Management Special Programs TriWest Healthcare Alliance

Manager, Referral Management TriWest Healthcare Alliance

SAP Employee Central/Time Senior Manager Accenture Plc

Interim Ramp Implementation & ERP Integration Consultant ETONIEN

Director, Integrated Marketing (USA) Creyos

Lead zOS Systems Programmer - Remote Truist Financial Corp

Remote Benefits Enrollment Advisor AO Garcia Agency

Sales Representative GlobalXperts, Inc.

Remote Family Care Benefits Representative AO Garcia Agency

Workers Compensation Claims Adjuster - NC/SC Gallagher

Remote Client Success Representative AO Garcia Agency

Clinical Assessor RN (Remote + Required Travel) Acentra Health

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