FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Supervisor, Referral Management

equestftpin

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

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

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

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.

Lead Referral Specialist

UNKNOWN

Our solution automates data loss prevention (DLP) and insider risk management (IRM) in modern environments, protecting sensitive unstructured data across endpoints, SaaS applications, email, cloud storage, GenAI tools, and more. This is an ideal role for a proven channel leader who has successfully built and scaled partner programs at high-growth cybersecurity or SaaS companies and thrives in a fast-paced, entrepreneurial startup environment.

Planet Green Search

Senior Director of Channel Sales, AI cybersecurity, Remote

Founded by industry pioneers, SlateRx provides simple and affordable pharmacy benefit programs to employer groups, unions, public sector groups, health systems, and other payers throughout the United States. Respond to routine inquiries and correspondence regarding coverage determinations and appeals with members, prescribers, and pharmacies as applicable.

SlateRx

Clinical Coordinator

Trinet ATS Feed

If you’re not interested but have a colleague who might be, MedAtlantic offers a lucrative referral bonus if you refer a colleague that would like more information. REMOTE MSK/Body Imaging Needed (Early Evenings, or Overnights Available) .

MedAtlantic Healthcare Solutions

Physician - Radiologist - Fellowship trained MSK/Body Radiologist - Teleradiology/Remote

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

This role focuses on helping clients understand their options and guiding them through the process using a step-by-step pathway. We are hiring a remote Client Account Specialist to assist clients who have requested information about life and financial protection coverage.

Unlock Potential 360

Client Account Specialist - Remote

Zoho

Working in close partnership with the account executive and cross-functional teams, you will translate complex clinical, utilization, and financial information into clear, actionable strategies that improve pharmacy benefit performance, support high-quality care, and control total pharmacy spend. This role requires a client-focused pharmacist who can interpret data, explain clinical and economic tradeoffs to both clinical and non-clinical audiences, identify opportunities for improved performance, and build trusted relationships that support client retention and SlateRx's continued growth.

PBM Clinical Account Executive Pharmacist

Collaborate closely with game designers, developers, and fellow mathematicians throughout the concept and development lifecycle, actively contributing innovative ideas, shaping game mechanics, balancing features, and helping create engaging and commercially successful player experiences. The Mathematician will have a deep understanding of player psychology and slot game dynamics; turning creative game concepts into mathematically sound and compelling products that stand out in the competitive iGaming market.

Spinplay Games

Mathematician

PinpointHQ

This role oversees departmental performance, employee development, workforce planning, portfolio priorities, and mathematical risk while partnering with executive and cross-functional leaders to deliver engaging, commercially competitive, and regulatory-ready online slot games. Expert knowledge of slot mathematics, including RTP, volatility, prize distributions, jackpots, and feature balancing, with experience developing, validating, and launching commercially released and/or regulator-approved games across multiple markets.

Math Director

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” .

AO Garcia Agency

Remote Member Services Specialist

Remote Benefits Sales Representative

Maxion Research invites people in Henderson, NV to join an online research panel and be considered for optional surveys, interviews, focus groups, and product-feedback studies. Research activities may include completing online questionnaires, joining remote discussions, testing concepts, or sharing opinions about products and services.

Maxion Corp

Online Research Panel Participant - Henderson, NV

Success here requires strong self-leadership, personal accountability, and the drive to manage your time and performance independently—while still having the support, training, and mentorship to help you win. In this role, you’ll play a meaningful part in helping individuals and families find the right insurance solutions to protect their future and gain lasting peace of mind.

GIA Legacy Planning

Work from Anywhere-Licensed Life Insurance Agents

Teamtailor

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 . 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.

Part-Time Remote Insurance Representative

The ideal candidate brings a strong background selling complex enterprise software solutions, preferably from organizations such as ServiceNow, Salesforce, Workday, Datadog, Splunk, or similar enterprise software providers. Using your business acumen, consultative selling approach, and experience navigating complex enterprise organizations, you will guide opportunities through the full sales lifecycle, from prospecting and executive engagement through solution development, negotiation, and close.

Redapt Inc

Senior Enterprise Account Executive Enterprise Software Sales

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 Jobs in Henderson, NV

Supervisor, Referral Management TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Senior Director of Channel Sales, AI cybersecurity, Remote Planet Green Search

Clinical Coordinator SlateRx

Physician - Radiologist - Fellowship trained MSK/Body Radiologist - Teleradiology/Remote MedAtlantic Healthcare Solutions

Autism Services Navigator TriWest Healthcare Alliance

Client Account Specialist - Remote Unlock Potential 360

PBM Clinical Account Executive Pharmacist SlateRx

Mathematician Spinplay Games

Math Director Spinplay Games

Remote Member Services Specialist AO Garcia Agency

Remote Benefits Sales Representative AO Garcia Agency

Online Research Panel Participant - Henderson, NV Maxion Corp

Work from Anywhere-Licensed Life Insurance Agents GIA Legacy Planning

Part-Time Remote Insurance Representative AO Garcia Agency

Senior Enterprise Account Executive Enterprise Software Sales Redapt Inc

Remote Financial Services Representative AO Garcia Agency

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