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

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

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

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

UNKNOWN

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. You are paired with a growing team, given tools and mentorship, and expected to enroll and support clients who asked for guidance.

AO Garcia Agency

100% Remote Client Relations Specialist

ea_via_bold

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

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.

YEAR

U.S. Department of Veterans Affairs

Contract Specialist

This executive is responsible for identifying, prioritizing, and delivering transformational opportunities that leverage AI, automation, modern engineering practices, and strategic technology partnerships to improve client experience, operational efficiency, resiliency, and business outcomes. Proven success in developing and executing technology strategies and leading large-scale modernization and organizational change within complex, regulated environments, with measurable business outcomes.

Emprise Bank

SVP Of Software Engineering & Transformation (Remote)

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

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. 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

The Regional Sales Executive drives revenue growth in the legal technology industry, specifically within the Ediscovery and SaaS space, and plays a pivotal role in accelerating DISCO's growth in both law firms and corporate legal departments. DISCO provides a cloud-native, artificial intelligence-powered legal solution that simplifies ediscovery, legal document review and case management for enterprises, law firms, legal services providers and governments.

CS Disco, Inc.

Regional Sales Executive - Kansas City

The role has many responsibilities that are critical to the advisors’ continued success, including: calling/answering telephone calls and assisting customers, following up on sales leads, performing data entry when orders are completed or changed, directing clients and sales leads to appropriate members of the team. We align to a set of Values that are the core pillars that define our culture and help bring our brand purpose to life: We are stronger as one: We collaborate across the enterprise, scale what works and act decisively for our customers and partners.

Corebridge Financial

Advisor Assistant

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

K-State Olathe focuses on industry-ready education, professional development, applied research, and regional workforce needs, with programs and partnerships in areas such as food science, animal health, advanced manufacturing, supply chain, community health, and food as medicine. Through academic programs, professional workshops, research facilities, and event space, the campus connects students, professionals, businesses, and community partners to education and innovation that create real-world impact.

Kansas State University

Instructor Pool, Veterinary Biomedical Sciences (VBS)

About the Role: Responsible for assisting in building the Capital Markets Whole Loan Trading platform and for developing, structuring and executing strategic transactions through new Capital Markets - Structured Finance initiatives in order to optimize the bank's balance sheet and to improve the company's financial performance. Assist in driving execution with top investment banks, insurance companies, hedge funds, credit funds and private institutional investors to fund off balance sheet assets.

Pathward Financial Inc

Capital Markets Analyst I - Loan Trading

LPC, Counselor, Telehealth, Virtual Mental Health Therapist, LIMHP, Remote LCSW, Psychologist, Behavioral Health, Telehealth Counseling, Remote, Psychotherapist, LMHC, LMSW, Remote, Virtual, Counselor, Telehealth Therapist, Virtual LMFT, LCSW, Remote, LMHP, Mental Health Counseling, Remote, Social Worker, LISW, LICSW, Psychotherapy, LPC, Telehealth, Social Worker, Remote, Virtual, Psychotherapist). Active state license (LMHC, LCSW, LMFT, LPC, LMHP, or Psychologist).

Behavioral Health Counselor

This position will be fully remote and can be hired anywhere in the continental U.S. The Director, Security Engineering is responsible for the service delivery and engineering of the SIEM, EDR, SOAR, and other security platforms supporting Optiv's Managed Security Services (MSS) and Advanced Fusion Center (AFC) delivery models. Lead the security engineering practice across the SIEM, EDR, SOAR, and other security platforms, providing operational and strategic planning, fostering innovation, and organizing and negotiating the allocation of resources across the MSS and AFC portfolio.

Optiv Security Inc

Director, Security Engineering | Remote, USA

Advise clients on SAP S/4HANA, SAP Cloud ERP Public Edition, SAP Cloud ERP Private Edition, RISE with SAP Methodology / Journey, SAP Business AI, Generative AI, Data & Analytics, Automation, and SAP BTP. We Are: Accenture's Commercial Client Success organization helps clients realize measurable business value from their investments by connecting strategy, sales, solutioning, and delivery.

Accenture Plc

SAP Solution Architect Manager

Prepare documents for signature and collaborate with customer contacts to fulfil requirements of various patent offices as requested, including but not limited to: Intellectual Property applications (domestic and international), Information Disclosure Statements (IDS), formalized priority claims, formal documents such as ADS, Power of Attorney, PCT forms and other forms as needed. Manage, create and maintain documents on behalf of customers as per their directions including but not limited to scanning and filing of incoming documents, retrieving, sending requested documents to customers, unfiled matters, file intakes and file transfers.

Remote Jobs in Kansas City, KS

Referral Specialist TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Supervisor, Utilization Management TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

100% Remote Client Relations Specialist AO Garcia Agency

PH Communications Specialist TriWest Healthcare Alliance

Contract Specialist U.S. Department of Veterans Affairs

SVP Of Software Engineering & Transformation (Remote) Emprise Bank

Provider Program Manager TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Regional Sales Executive - Kansas City CS Disco, Inc.

Advisor Assistant Corebridge Financial

Autism Services Navigator TriWest Healthcare Alliance

Instructor Pool, Veterinary Biomedical Sciences (VBS) Kansas State University

Capital Markets Analyst I - Loan Trading Pathward Financial Inc

Behavioral Health Counselor GHC

Director, Security Engineering | Remote, USA Optiv Security Inc

SAP Solution Architect Manager Accenture Plc

IP Admin Senior Analyst (Patent Docketing) Clarivate Plc

Similar Job Searches

Stand out to leading employers.