FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Supervisor, Utilization Management

equestftpin

Successful candidates will be comfortable working across multiple systems simultaneously, supporting diverse program workflows, and applying strong problem-solving, communication, and multitasking skills to help ensure efficient service delivery and a positive experience for members and stakeholders. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Operations Coordinator - (Remote)

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

UNKNOWN

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)

This role will primarily focus on administering, maintaining, troubleshooting, and optimizing Oracle 19c database environments, including Real Application Clusters (RAC), Oracle Grid Infrastructure, and Data Guard standby databases. What we are looking for: Minimum 3 years of hands-on experience deploying, administering, and supporting Oracle 19c databases, including Oracle RAC and Data Guard standby database environments.

Harris Computer Systems

(Remote) Technical Consultant

ADAPTED_NOW

This position requires you to obtain/maintain all applicable FINRA licensing exams (Securities Industry Essentials, Series 6, Series 63, and Series 65 or equivalent), sponsorship from State Farm VP Management Corp (SFVPMC) and State Farm Investment Management Corp. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

Customers and communities rely on us to help them face life's uncertainties. They come to us for guidance with insurance needs, financial planning, and strengthening the community.

State Farm

Sales Leader- Wyoming Sales Territory

CORE RESPONSIBILITES: Prepare and/or review monthly reconciliations for various accounts including but not limited to cash in transit, cash, inventory, fixed assets and intangibles, and lease accounts. Technical accounting: Write technical accounting memos for multiple areas including but not limited to leases (842) and revenue (606) and disposals.

Destination Pet LLC

Accounting Manager

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

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

Responsibilities: Identify client needs and recommend tailored protection and asset-building solutions. We're building a team of GROWTH-MINDED individuals who want: Mentorship from proven leaders.

Symmetry Financial Group

Financial Services Professional

Teamtailor

Searching for people with strong customer service and communication skills who are detail-oriented and enjoy helping clients plan and book vacations, cruises, hotels, Airbnbs, resorts, theme park tickets, and a variety of other travel experiences. If you love working with people, love the 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 Planning Consultant

Manatal

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

We're seeking a Sales Representative- Black Hills & Northern Wyoming who's ready to be part of our mission to manufacture and deliver innovative, performance-driven building products with unmatched service and integrity. Job Title: Sales Representative- Black Hills & Northern Wyoming | Req ID: 17903 | HR Contact: Caitlyn COLLINGS | Location: Remote Worker- Wyoming, Remote Worker- South Dakota.

amrize

Sales Representative - Black Hills & Northern Wyoming

ea_via_bold

Instead of applying for only one narrowly defined position, qualified candidates may have the opportunity to explore programs that align with their professional strengths and scheduling needs. Qualified applicants may be able to choose from multiple client programs based on their location, availability, skills, equipment, and program eligibility.

Faithful Financial Co, LLC

Remote Customer Service 5

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. Requirements • Communication that is clear and human • Discipline without a supervisor in the hallway • Openness to a proven process • Interest in benefits conversations, not just “sales energy” Apply today.

AO Garcia Agency

Coverage Education Specialist

Protection Services Representative

Remote Benefits Sales Representative

The work • Take requested conversations — no cold lists • Explain benefit options simply • Help clients enroll when it is a fit • Keep a clean follow-up rhythm You get • Remote work • A written process so you are not inventing the job • Coaching from people who have done the work • A path into leadership if you produce You should apply if you are competitive, coachable, and comfortable on camera. 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 Client Benefits Consultant

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

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.

Remote Jobs in Wyoming

Supervisor, Utilization Management TriWest Healthcare Alliance

Clinical Operations Coordinator - (Remote) Maximus

TRICARE Customer Service Rep TriWest Healthcare Alliance

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

(Remote) Technical Consultant Harris Computer Systems

Sales Leader- Wyoming Sales Territory State Farm

Accounting Manager Destination Pet LLC

Program Integrity Investigator TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

Financial Services Professional Symmetry Financial Group

Travel Planning Consultant Destinationswithdunn

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Sales Representative - Black Hills & Northern Wyoming amrize

Remote Customer Service 5 Faithful Financial Co, LLC

Coverage Education Specialist AO Garcia Agency

Protection Services Representative AO Garcia Agency

Remote Benefits Sales Representative AO Garcia Agency

Remote Client Benefits Consultant AO Garcia Agency

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Data Engineer Sr. TriWest Healthcare Alliance

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