FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Provider Program Manager

equestftpin

UNKNOWN

Applying knowledge of contract types-such as firm-fixed price, firm-fixed price with economic price adjustments, and cost-reimbursement-and acquisition methods including simplified acquisitions, sealed bidding, negotiations, cost sharing, multiple awards, commercial items, and special provisions. Assists the Acquisition Team Supervisors in coordinating contracting activities, performs contract reviews and provides guidance regarding complex contracts administered by other contract specialists, identifies special training needs, and conducts mentoring and contract training.

YEAR

U.S. Department of Veterans Affairs

Contract Specialist

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

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

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

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

Bachelor's degree in Business, Engineering, Communications, or a related technical discipline and a minimum of 10 years of successful sales leadership experience in unmanned systems, tactical or public safety communications, C4ISR, electronic warfare, or defense/public safety technology; or Associate's degree with a minimum of 12 years; or High School Diploma/GED with a minimum of 14 years. In this key leadership role, you will lead a high-performing team of Sales Directors responsible for driving B2B "design-win" revenue across major defense primes, uncrewed system manufacturers (UAS, UGV, USV, loitering munitions), systems integrators, and C-UAS platform builders.

Motorola Solutions Inc

Senior Sales Director, Original Equipment Manufacturer (OEM) & Defense Primes

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.

AO Garcia Agency

Remote Insurance Account Representative

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.

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

Were seeking a highly skilled Senior Data Migration and Integration Developer to join our team and lead end-to-end data transformation initiatives as part of a large-scale system modernization effort. Develop and maintain scalable, secure APIs, web services, and middleware components to enable real-time and batch data exchange with external systems such as Medicaid, provider databases, and federal/state registries.

DigiDoc dba Public Sector Solutions Group

Data Migration and Integration Developer

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.

Remote Policy Review Specialist

ea_via_bold

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 Apply now.

Remote Leadership Trainee - Benefits

Plans and coordinates end-to-end testing across directly and indirectly integrated solutions, ensuring test plans, test cases, results, defects, and approvals are properly completed and documented. Serves as a subject-matter expert and trusted advisor for SAP Sales and Distribution, Order-to-Cash processes, pricing, payment card solutions, EDI, and third-party ordering integrations.

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

Lead Business Systems Analyst (Remote) - The Toro Company

Required Skills: High School diploma, Technical Certificates, or Associate's, or Bachelor's degree, plus 3+ years of experience in one of the following areas: LMR, RF Systems, Radio Communications, Radio Frequency, Motorola equipment, Wireless Communication Systems, IT Systems, Mobile or Fixed Video Systems, Telecommunications, and Public Safety experience required for this position. This position is subject to working in high security areas governed by the US Department of Justice's "Criminal Justice Information Services (CJIS) Security Policy" and therefore requires successfully passing a more stringent fingerprint background check administered by Motorola Solutions Inc. customers.

Field Service Engineer - US Remote

We are searching for people with strong communication skills and customer service skills who are detail-oriented and enjoy helping clients organize and book vacations, cruises, hotels, Airbnbs, resorts, theme park tickets, and a variety of other travel experiences. If you enjoy 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 Booking Consultant

Manatal

Drive lead opportunities and develop new business via inbound and outbound phone (30/70) and utilize mass communications tools such as email, social media, Salesloft, etc. to introduce Dodge products/services and drive demos and appointments. Dodge Construction Network's compensation and rewards package for full time roles includes a market competitive salary, comprehensive benefits, and, for applicable roles, uncapped commissions plans or an annual discretionary performance bonus.

Dodge Construction Network

Enterprise Business Development Representative

IRecruitee

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.

Remote Protection Planning Advisor

Work From Home - Manager in Training

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 Apply if you want the remote track and you will do the work.

Remote Jobs in Wyoming

Provider Program Manager TriWest Healthcare Alliance

Contract Specialist U.S. Department of Veterans Affairs

Autism Services Navigator TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Senior Sales Director, Original Equipment Manufacturer (OEM) & Defense Primes Motorola Solutions Inc

Remote Insurance Account Representative AO Garcia Agency

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

Data Migration and Integration Developer DigiDoc dba Public Sector Solutions Group

Remote Policy Review Specialist AO Garcia Agency

Remote Leadership Trainee - Benefits AO Garcia Agency

Lead Business Systems Analyst (Remote) - The Toro Company The Toro Company

Field Service Engineer - US Remote Motorola Solutions Inc

Travel Booking Consultant Destinationswithdunn

Enterprise Business Development Representative Dodge Construction Network

Remote Protection Planning Advisor AO Garcia Agency

Work From Home - Manager in Training AO Garcia Agency

Remote Family Protection Associate AO Garcia Agency

Remote Client Service Representative (Training Provided) AO Garcia Agency

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