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

Senior Referral Specialist

equestftpin

UNKNOWN

If you thrive in fast-paced environments, enjoy owning projects end-to-end, and take pride in delivering work that customers see in the real world every day, this role was built for you. For certain roles, including those designated as safety-sensitive or regulated positions, employment may also be contingent upon successful completion of a pre-employment drug screening and/or other regulatory requirements.

YEAR

Stratus Unlimited

Project Manager, Exterior Signage

Applying knowledge of contract types-such as firm-fixed price, firm-fixed price with economic price adjustments, and cost-reimbursement-and acquisition methods including simplified acquisitions, sealed bidding, negotiations, cost sharing, multiple awards, commercial items, and special provisions. Assists the Acquisition Team Supervisors in coordinating contracting activities, performs contract reviews and provides guidance regarding complex contracts administered by other contract specialists, identifies special training needs, and conducts mentoring and contract training.

U.S. Department of Veterans Affairs

Contract Specialist

Lead Referral Specialist

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

Referral Specialist

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

Autism Services Navigator

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

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

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. This role spans many specialties such as Nutrition, Exercise Physiology, Clinical/Nursing, Respiratory Therapy, Counseling and Pharmacy and will spend time addressing individual health and lifestyle concerns of our beneficiaries.

Health Coach

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

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

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

This leader will report to the Manager of Case Management Special Programs under the overall Case Management Special Programs umbrella, specifically supporting TRICARE beneficiaries seeking benefits under Extended Care Health Option (ECHO) and Autism Care Demonstration (ACD). Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues, tactics, and strategies.

Sup, Case Mgmt Sp Prgms Ops

Job Overview: Perform functions to hire, supervise, monitor and provide direction to a team of Accountants in the preparation, review and revision of accurate monthly Financial Statements for an assigned group of Condominium and /or Homeowners Associations, within the guidelines of statutory requirements and the frameworks of the established policies and procedures of the department, while ensuring all contractual due dates are met. Requesting Information About the AEDT - NYC Local Law 144: Candidates who reside in New York City and are subject to NYC Local Law 144 may request information about the AEDT, including details on the type of data collected, the sources of such data, and our data retention policies.

FirstService Residential

Client GL Supervisor

Jobvite Talemetry Organic Easy Apply

The team manages the flow of customer purchase orders from receipt to shipment to ensure fulfillment of our Light Made Easy promise by problem-solving and working effectively with customers and various departments to fill every order and complete returns as expeditiously as possible. We honor everybody’s story and build lifelong relationships, whether with colleagues, customers, or partners, because to reach our fullest potential means empowering people to thrive.

Keystone Technologies Inc

Order Processing and Returns Associate - ESCO (Remote)

clearcompany

Embody the Partner SE team's four pillars: Build and Enable Tech Champions, building and empowering technical champions across partners by leveraging the ecosystem; Practice & Service Development, supporting partner GTM strategies and co-creating joint solutions and offerings; Technical Sales Success, driving technical success across the entire customer and partner journey; and Community Building, owning your franchise and building a network of trusted cohorts. A strong understanding of cybersecurity, identity security, and endpoint security solutions, or similar in the tech/software industry, including knowledge of complex cybersecurity threats and attack vectors and different types of endpoint and identity security solutions such as malware prevention and XDR/SIEM solutions, with strong familiarity with EDR, XDR, SIEM, and cloud technologies and familiarity with SIEM or other data lake solutions.

SentinelOne

Senior Manager, Solutions Engineering, MSSP

GreenHouseAPI

You've shipped real work using prompts, agents, and agentic loops, you're starting to build evals, and you have a clear opinion on what verification means when a human didn't write the code. As an Engineering Manager, you'll own the team responsible for the experience Flickr members have every day: the native apps, groups and community, privacy and moderation tooling, and the quality of the product people already pay for.

Flickr

Engineering Manager- Flickr

As an Executive Assistant & Special Projects Manager to the Executive Leadership Team (ELT), you will combine executive-level administrative support with strategic project management to drive alignment, operating rigor, and execution across the enterprise. The ideal candidate acts as a central connector across the ELT—enabling prioritization, driving operating cadence, and ensuring key initiatives move forward with clarity and accountability.

Remote Jobs in Clearwater, FL

Senior Referral Specialist TriWest Healthcare Alliance

Project Manager, Exterior Signage Stratus Unlimited

Contract Specialist U.S. Department of Veterans Affairs

Lead Referral Specialist TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Manager, Referral Management TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Client GL Supervisor FirstService Residential

Order Processing and Returns Associate - ESCO (Remote) Keystone Technologies Inc

Senior Manager, Solutions Engineering, MSSP SentinelOne

Engineering Manager- Flickr Flickr

Executive Assistant & Special Projects Manager Live Parallel

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