UNKNOWN

FEED

This position sets and tracks team KPIs, coaches team members to improve conversion, ensures positive experience for prospective clients from first inquiry through account opening, and works closely with the Chief Marketing Officer to refine lead generation and new client acquisition strategies. Personally work and convert approximately 10-20% of inbound lead volume, assessing prospect needs, explaining products and services, addressing concerns, and guiding prospects through account opening.

IRA Financial

Sales Manager (Remote)

Hireclick

FULL_TIME

OTHER

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.

TriWest Healthcare Alliance

TRICARE Customer Service Rep

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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

Provide work direction for sales managers, sales reps, staff and cross-functional support teams that support the needs of customers and supports divisional goals. Act as the conduit between sales, marketing and credit functions and those corresponding functions at Provide needed input on new market development, large volume sales opportunities in SF&G and Golf at the distributor level.

YEAR

Ideas and ideals. That's life at Toro. Be a part of a company that delivers a surprising array of products for markets around the globe. You play a role to help customers make the outdoors more beautiful and functional…from the world's top golf courses, Super Bowl stadiums, public venues like Walt Disney World® and the Indianapolis Motor Speedway®, beautiful mountainous vineyards…all the way to some of the best-looking yards in your own neighborhood. Watch your ideas grow in a place where you can put down roots…with a culture founded on lasting values that guide how we treat one another and our customers. At The Toro Company, you'll find a world of opportunities to work hard and contribute your best. And the freedom to take time for the people and pursuits that make life richer. Contribute your ideas and share our ideals. That's life at Toro. Headquartered in Bloomington, MN, The Toro Company (<a href="http://phx.corporate-ir.net/phoenix.z ?c=62289&p=irol-irhome" target="_blank">TTC</a>) delivers innovation around the globe through a surprising array of products. For nearly 100 years, our ideas have transformed the way professionals and homeowners create beautiful outdoor environments. An excellent reputation, strong brands, ethical business practices, and a culture founded on trust and respect are ideals shared by our employees. With annual revenue of approximately $1.8 billion, Toro consistently delivers strong financial performance and market leadership. More than 4,400 global employees form a strong community with a world of opportunities to learn and contribute. We are proud to be an Equal Opportunity Employer.

The Toro Company

Regional Business Manager (Turf Equipment & Irrigation) LAC - The Toro Company (Remote)

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

ADAPTED_NOW

For US based candidates only - The On Target Earnings (OTE, base salary + commissions) for this position ranges from $100,700 - $181,300/year; a candidate’s OTE is determined by various factors including, but not limited to, relevant work experience, skills, certifications and location. We provide the world's most distributed platform from Cloud to Edge to help the giants of the digital world work faster and stay more secure, making the internet a better experience for everyone.

Akamai is the global leader in Content Delivery Network (CDN) services, making the Internet fast, reliable and secure for its customers. The company's advanced web performance, mobile performance, cloud security and media delivery solutions are revolutionizing how businesses optimize consumer, enterprise and entertainment experiences for any device, anywhere.

Akamai Technologies, Inc.

Customer Success Manager II- Remote

Akamai Technologies, Inc

We work with independent agents across the US 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

Licensed Insurance Agent - Remote

Teamtailor

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

Virtual - Client Portfolio Specialist

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Remote Flexibility for Detail-Oriented Helpers

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.

Motorola Solutions Inc

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

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)

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

Technical Skills: Knowledge of TRICARE program and benefits; managed care program concepts and health care delivery processes; management reporting tools and medical management systems; legal, regulatory requirements, and HIPAA privacy regulations. Under the direction of the Director of Referral Management, the Manager will lead and guide non-clinical staff in processes that maintain accuracy, efficiency, and timeliness for all network and military referral requests.

Manager, Referral Management

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

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

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

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.

Referral Specialist

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

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.

Remote Jobs in South Dakota

Sales Manager (Remote) IRA Financial

TRICARE Customer Service Rep TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Regional Business Manager (Turf Equipment & Irrigation) LAC - The Toro Company (Remote) The Toro Company

Supervisor, Utilization Management TriWest Healthcare Alliance

Customer Success Manager II- Remote Akamai Technologies, Inc.

Licensed Insurance Agent - Remote GIA Legacy Planning

Virtual - Client Portfolio Specialist AO Garcia Agency

Remote Flexibility for Detail-Oriented Helpers AO Garcia Agency

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

SVP Of Software Engineering & Transformation (Remote) Emprise Bank

Clinical Quality Support Specialist TriWest Healthcare Alliance

Manager, Referral Management TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

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