FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Autism Care Demonstration Specialist

equestftpin

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

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

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

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

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

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: 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

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. We hire for • On-time follow-up • Clean video presence • Fast learning on tools • Respect for the client .

AO Garcia Agency

Remote Family Protection Associate

sourcestack_via_bold

Maxion Research invites people in Omaha, NE 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 - Omaha, NE

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

Operating within a team, the Senior Analyst drafts examiner-ready SAR narratives, files CTRs, and performs continuing-activity reviews - including identifying continuing-activity reports from originally filed SARs - under the QA of the SAR Lead. About the Role: The Senior Analyst, SAR / CTR Filing is a filing specialist responsible for the accurate and timely preparation and e-filing of Suspicious Activity Reports (SARs) and Currency Transaction Reports (CTRs) with FinCEN.

YEAR

Pathward Financial Inc

Sr. Analyst - SAR / CTR Filing

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

Efficiently build and manage data pipelines, automate repetitive workflows, and maintain data quality across diverse source systems. Enable businesses to consolidate data for reporting and make data-driven decisions.

Saicon Consultants Inc

SQL Server Integration Services

jobdiva

HOUR

Should an agency choose to send unsolicited resumes, Glory reserves the right to review such resumes but will not be held liable for any fees/charges associated with a candidate hire except where a formal written agreement is in place between Glory and the Agency to source candidates for a specific role. Experience repairing high-speed paper handling machines such as check sorters, mail sorters, currency sorters; ATM’s or copier machines experience is preferred.

GLORY

Field Service Technician - 2nd shift - Omaha, NE

PinpointHQ

The Cell Therapy Account Management (CTAM) will be responsible for driving Amtagvi demand by building a robust referral network between community practices and academic centers; enable early patient identification and streamline referral pathways; and collaborate with internal teams to enhance scientific and operational excellence in cell therapy account management. As the first and only company to take TIL therapy from concept to a broadly accessible commercial treatment, Iovance operates as an end-to-end cell therapy company, anchored by fully owned, centralized U.S.-based manufacturing that is scaled to serve thousands of cancer patients worldwide each year.

Iovance Biotherapeutics Inc

Cell Therapy Account Management - North Central

Job Summary: You would be indirectly reporting to the Tax Advisors or Tax Analyst and would be responsible for serving as an integral member in the tax department and ensuring the department creates and delivers accurate and timely tax returns and other tax products for the organization. Essential Functions: Prepare various types of basic to moderately complex tax returns (1040, 1041, 1120, 1120S and 1065).

Macpower Digital Assets Edge Private Limited

Senior Tax Associate-Active CPA

We work with independent agents across Houston and all of Texas who are building their own books of business through a system that is already proven and already in motion. Warm inbound leads system in place — you talk to people who already raised their hand for coverage, so there is no cold calling.

GIA Legacy Planning

Life Insurance Sales Professional-Entrepreneurial Opportunity

Teamtailor

We celebrate, and embrace, our team members through our HUMBLE HUNGRY*SMART approach, and we believe that we are strongest when we embrace the voices of our employees, customers, partners, and the communities we serve. We strive to remove barriers that traditional institutions put in the way of financial access, and promote economic mobility by providing responsible, secure, high quality financial products.

Underwriter II, USDA Generalist

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 Omaha, NE

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Sr Pricing Manager ACI Worldwide

Health Coach TriWest Healthcare Alliance

Senior Human Capital Generalist TriWest Healthcare Alliance

Remote Family Protection Associate AO Garcia Agency

Online Research Panel Participant - Omaha, NE Maxion Corp

Client Account Specialist - Remote Unlock Potential 360

Sr. Analyst - SAR / CTR Filing Pathward Financial Inc

Remote Membership Services Coordinator AO Garcia Agency

SQL Server Integration Services Saicon Consultants Inc

Field Service Technician - 2nd shift - Omaha, NE GLORY

Cell Therapy Account Management - North Central Iovance Biotherapeutics Inc

Senior Tax Associate-Active CPA Macpower Digital Assets Edge Private Limited

Life Insurance Sales Professional-Entrepreneurial Opportunity GIA Legacy Planning

Underwriter II, USDA Generalist Pathward Financial Inc

Remote Benefits Presenter AO Garcia Agency

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