FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops

equestftpin

Technical Skills: Strong knowledge of data warehouse design; data modeling; proficiency with SQL; strong experience with data extraction, transformation, and loading (ETL); working knowledge of report and dashboard development; strong knowledge of SQL Server / Snowflake databases; working knowledge of Oracle databases. • Bachelor's Degree in Business Administration, Computer Science, Mathematics, Engineering, or related field with programming and database systems coursework or equivalent database development experience.

Data Engineer Sr.

UNKNOWN

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.

AO Garcia Agency

Remote Client Solutions Representative

ea_via_bold

Partner with business segment leads to provide updated costing and pricing support for existing pricing structures, including customizing Excel templates and models, preparing pricing summary sheets and providing profitability metrics. The Senior Pricing Manager is also responsible for stakeholder management of the senior leadership team to recommend and implement new pricing strategies and disciplines to improve ACI's position in the marketplace.

Who is ACI? ACI powers electronic payments and banking for more than 5,000 financial institutions, retailers, billers and processors around the world. We process $13 trillion in payments and securities transactions each day, processing transactions for more than 250 of the leading global retailers, and 21 of the world’s 25 largest banks. 
 We are trusted globally as a result of our unrivalled understanding of payments and related processes. We have a definitive vision of how electronic payment systems will look in the future and we have the knowledge, scale and resources to deliver it. 
 That is why 18 of the top 20 global banks, and more than 300 retailers, rely on ACI payments software. How do we do it? 
 We are achievers, collaborators, innovators. 
 We enjoy the support and stability of a proven company along with the enthusiasm and entrepreneurial spirit of a startup. 
 We benefit from the diversity and expertise of our colleagues all over the world. 
 We work hard. And our dedication is rewarded with opportunities to learn, grow and build our careers by collaborating with the best and the brightest in the industry. 
 We are flexible in the way we work and dynamic as we respond to the monumental changes in the payments industry. 
 We come together with a singular goal &mdash; to power global commerce through our innovative technology. We are ACI. We drive payments at the speed of change.

ACI Worldwide

Sr Pricing Manager

Technical Skills: Advanced collaboration, listening, consulting, and conflict resolution skills; experience conducting investigations; in-depth knowledge of TriWest Human Capital policies and procedures; knowledge of Human Resources management concepts; Federal, state, and local employment law; ability to maintain the confidentiality of information and maintain safeguards; presentation skills. Coaches leaders on Triest Human Capital policies and procedures, including employee relations, leadership development, exit interviews, turnover analysis, performance appraisal system, leadership training, and investigations.

Senior Human Capital Generalist

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

Director, Population Health

Accurately and professionally answer health care inquiries and provide resolutions to TRICARE beneficiaries & providers over the phone, chat, email or other written correspondence. • Effectively and professionally answer customer inquiries by taking ownership of issues, utilizing sound judgement and the tools at your disposal to resolve customer issues on the initial contact.

TRICARE Customer Service Rep

The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

Transition of Care Coordinator RN/LCSW

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.

BetterHelp is the largest online counseling platform worldwide. We change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.

BetterHelp

Licensed Psychologist - Remote

GreenHouseAPI

Licensed Independent Mental Health Practitioner - Remote

Rather than juggling a large, ever-changing roster of clients, you will work closely with a handful of sophisticated clients, allowing you to build deep familiarity with their business needs and develop lasting working relationships. Our strategically growing law firm is seeking a talented attorney to join our Commercial and Technology Agreements (CAT) Practice Group to provide over-the-top service and achieve the best results for our clients.

Koley Jessen P.C., L.L.O

Commercial & Technology Transactions Attorney (2–4 Years Experience) | Remote

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. Bring • Communication skill • Self-management • Team habits • A spine — integrity is not optional .

Remote Membership Services Coordinator

Medicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.

Direct Contracting Manager

Extensive knowledge of the following technologies is required: Deep knowledge of SIEM platforms, malware applications (Windows Defender, Symantec, etc.), demonstrated expertise in threat detection and analysis, Patch management systems, Active Directory. The Cyber Security Engineer is responsible for vulnerability management, data loss prevention, identity and access management, vendor due diligence, tier 3 end-user support, and incident response.

Emprise Bank

Cyber Security Engineer (Remote)

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The Customer Service Rep I will be the first point of contact for new and existing customers insurance questions and will deliver a quality customer service experience that builds rapport and long-term relationships to encourage renewal/repeat business.

HOUR

Markel Corporation

Bilingual Customer Service Representative, Insurance

Bachelor's degree in Electrical Engineering or other related technical fields with at least 2 years of demonstrated experience in a pre-and post-sales technical support position; or High School Diploma/GED with at least 6 years of demonstrated experience in a pre-and post-sales technical support position. Its battle-proven StreamCaster family of MANET radios and proprietary MN-MIMO waveform provides the vital communications link for defense, law enforcement and public safety agencies around the world, and in the toughest operational environments.

YEAR

Motorola Solutions Inc

Sales Engineer - Department of War (DoW) - United States (Remote)

We design large hyperscale data center campuses and colocation data centers throughout the U.S. This role will give you the opportunity to work on some of the largest and most complex engineering-driven projects being built today. This role contributes to generating ideas and creating designs that provide purposeful, high-quality solutions to successfully solve engineering and design needs.

Olsson Associates

Licensed Civil Engineer - Data Center

Brightest minds + technology and innovation + business transformation The people of Diebold Nixdorf are 23,000+ teammates of diverse talents and expertise in more than 130 countries, harnessing future technologies to deliver personalized, secure consumer experiences that connect people to commerce. With guidance and / or in conjunction with more experienced technicians performs any or all of the following: Incident Handling: Utilizes diagnostic tools to perform troubleshooting via detailed analysis of hardware and software failures.

Diebold Nixdorf Inc

Field Service Technician

5+ years of hands-on enterprise identity security experience, including designing, presenting, implementing, or supporting solutions across one or more domains: Identity and Access Management (IAM), Privileged Access Management (PAM), Endpoint Privilege Management (EPM), Identity Governance and Administration (IGA), or machine identity security. Understanding of modern privileged access controls, including credential vaulting and rotation, session management, just-in-time access, zero standing privilege, endpoint least privilege, and secure third-party access.

Remote Jobs in Offutt Air Force Base, NE

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Data Engineer Sr. TriWest Healthcare Alliance

Remote Client Solutions Representative AO Garcia Agency

Sr Pricing Manager ACI Worldwide

Senior Human Capital Generalist TriWest Healthcare Alliance

Director, Population Health TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Licensed Psychologist - Remote BetterHelp

Licensed Independent Mental Health Practitioner - Remote BetterHelp

Commercial & Technology Transactions Attorney (2–4 Years Experience) | Remote Koley Jessen P.C., L.L.O

Remote Membership Services Coordinator AO Garcia Agency

Direct Contracting Manager TriWest Healthcare Alliance

Cyber Security Engineer (Remote) Emprise Bank

Bilingual Customer Service Representative, Insurance Markel Corporation

Sales Engineer - Department of War (DoW) - United States (Remote) Motorola Solutions Inc

Licensed Civil Engineer - Data Center Olsson Associates

Field Service Technician Diebold Nixdorf Inc

Idira Partner Architect | Remote, USA Optiv Security Inc

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