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

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

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

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.

Senior Referral Specialist

UNKNOWN

Vibee takes into consideration a candidate’s education, training, and experience, as well as the position’s work location, expected quality and quantity of work, required travel (if any), external market and internal value, including seniority and merit systems, and internal pay alignment when determining the salary level for potential new employees. Support the marketing team by gathering internal data for marketing purposes, including pulling geographical data to tailor local campaigns and updating our decks with sales statistics.

HOUR

Insomniac Holdings

Vibee - Seasonal Data & Analytics Marketing Coordinator

ea_via_bold

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

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 work includes data entry and task processing in medical management and customer relationship management (CRM) systems, and making and receiving telephone calls, including participation in outreach campaigns. The Healthcare Operations Specialist provides non-clinical support to TriWest healthcare operations teams, supporting the access to care our military community deserves.

Healthcare Operations Specialist- HI

Lead Referral Specialist

We are seeking a knowledgeable and customer-focused HVAC Specialist to provide expert phone and email-based troubleshooting and applications assistance for residential and commercial water-source heat pump, geothermal, air-conditioning, and heat pump systems. Key Responsibilities: Provide troubleshooting and applications support via phone and email to external customers and internal teams (Customer Service, Sales) on a variety of HVAC systems and components.

YEAR

The Bosch Group is a leading global supplier of technology and services. It employs roughly 375,000 associates worldwide (as of December 31, 2015). The company generated sales of 70.6 billion euros in 2015. Its operations are divided into four business sectors: Mobility Solutions, Industrial Technology, Consumer Goods, and Energy and Building Technology. The Bosch Group comprises Robert Bosch GmbH and its roughly 440 subsidiaries and regional companies in some 60 countries. Including sales and service partners, Bosch’s global manufacturing and sales network covers some 150 countries. The basis for the company’s future growth is its innovative strength. Bosch employs 55,800 associates in research and development at roughly 118 locations across the globe. The Bosch Group’s strategic objective is to deliver innovations for a connected life. Bosch improves quality of life worldwide with products and services that are innovative and spark enthusiasm. In short, Bosch creates technology that is “Invented for life.”

Robert Bosch GmbH

HVAC Specialist (Water Source Heat Pumps/Geothermal)

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

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.

AO Garcia Agency

Remote Enrollment Advisor

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.

SlateRx

PBM Clinical Account Executive Pharmacist

Trinet ATS Feed

We are searching for individuals with strong communication skills and customer service who are detail-oriented and like helping clients organize vacations, cruises, hotels, resorts, car rentals, theme park tickets, and a variety of other travel experiences. If you love working with people, enjoy idea of helping others plan memorable trips, have strong communication skills, and want the flexibility of a remote opportunity, we look forward to hearing from you.

Destinationswithdunn

Travel Client Relations Specialist

Manatal

Qualifications: Requires a High School Diploma or equivalent and 2+ years of experience in inside sales, experience selling into the pharmacy industry, prospecting and targeting new business or other directly related experience. With our deep and unique expertise in technology, data collection, and financial controls, our product 340BDirect offers simplicity, order, and transparency to each of our customers.

Zions Bancorporation NA

Executive Account Director (Sales Representative) - Remote or In-office in Midvale, UT

CLA is a top 10 national professional services firm where our purpose is to create opportunities every day, for our clients, our people, and our communities through industry-focused wealth advisory, digital, audit, tax, consulting, and outsourcing services. How you'll create opportunities in this Seasonal Tax Preparer role: Tax Preparation: Prepare 1040 forms for individual income tax returns and files tax returns electronically or by mail.

CliftonLarsonAllen (CLA) is a professional services firm delivering integrated wealth advisory, outsourcing, and public accounting capabilities to help enhance our client's enterprise value and assist them in growing and managing their related personal assets - all the way from startup to succession and beyond.Our professionals are immersed in the industries they serve and have specialized knowledge of their operating and regulatory environments. With nearly 4,000 people, 90 US locations and a global affiliation, we bring a wide array of solutions to help clients in all markets, foreign and domestic. Investment advisory services are offered through CliftonLarsonAllen Wealth Advisors, LLC, an SEC-registered investment advisor. 

CliftonLarsonAllen LLP

Seasonal Tax Preparer (Remote)

Admitted to the state bar in the state where they are located or (1) admission to the bar within one year of hire for individuals who must pass a bar exam or portions of a bar exam to be admitted or (2) bar admission as soon as practicable but no later than 60 days of hire for individuals with diploma privilege or who are eligible for in-house counsel registration. Collaboratively participate in regular meetings/communications with management and attorney team members to review file handling/strategy, reserving practices, risk management, process adherence, and performance.

American Family Insurance Group

Senior Supervisory Attorney - Complex Claim Unit

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.

Remote Jobs in Nellis Air Force Base, NV

Supervisor, Referral Management TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Vibee - Seasonal Data & Analytics Marketing Coordinator Insomniac Holdings

Autism Services Navigator TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

HVAC Specialist (Water Source Heat Pumps/Geothermal) Robert Bosch GmbH

Client Account Specialist - Remote Unlock Potential 360

Remote Enrollment Advisor AO Garcia Agency

PBM Clinical Account Executive Pharmacist SlateRx

Travel Client Relations Specialist Destinationswithdunn

Executive Account Director (Sales Representative) - Remote or In-office in Midvale, UT Zions Bancorporation NA

Seasonal Tax Preparer (Remote) CliftonLarsonAllen LLP

Senior Supervisory Attorney - Complex Claim Unit American Family Insurance Group

Part-Time Remote Insurance Representative AO Garcia Agency

Senior Enterprise Account Executive Enterprise Software Sales Redapt Inc

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