FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Business Analyst Sr

equestftpin

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 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: 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

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

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

Develop compelling proposal content that clearly articulates TriWest's unique capabilities, market expertise, provider relationships, analytical capabilities, and demonstrated ability to build and maintain networks that meet complex customer requirements. The Director of Network Strategy is responsible for developing and executing TriWest's enterprise strategy for network adequacy and network optimization across its VA Community Care Network (CCN) and TRICARE programs.

Dir, Provider Network Strategy

Accurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Customer Service Rep

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

UNKNOWN

We're looking for organized, client-focused individuals to help travelers explore destinations, compare options, and keep important planning details organized from home. As a Work From Home Destination Support Specialist , you'll assist with destination research, reservations, accommodations, transportation, activities, and client follow-up throughout the planning process.

PedrosVacations

Work From Home Destination Support Specialist

Manatal

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 - Nashville, TN

PinpointHQ

TriWest will prioritize candidates with experience with healthcare regulatory matters, including Medicare and Medicaid and conditions of participation in federal healthcare programs, anti-kickback laws, self-referral laws, HIPAA, and transactional matters for health care providers. Supports the Office of General Counsel in advising and producing attorney work products that support TriWest's healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims.

Healthcare Counsel

Be a Trusted Partner: Develop and nurture long-term relationships with key decision-makers, building credibility and positioning Harris as the acquirer of choice. What Your Impact Will Be: Develop the M&A Pipeline: Proactively identify and source software companies that align with our investment goals, using your initiative to build a robust pipeline of opportunities.

YEAR

Harris Computer Systems

(Remote) Corporate Development Associate

linkup_via_bold

Please note that this role will be dedicated to select customers and requires additional background screenings/clearances/training/certification, carry & use of customer-provided equipment, and extended on-call shift timing based on customer contractual obligations. Recognized by Fast Company as one of the World's Most Innovative Companies (Top 10, 2025), by CNBC's Disruptor 50, Bloomberg's AI Startups to Watch (2026), Forbes AI 50, and Gartner's Tech Innovators in Agentic AI, Glean continues to accelerate its global impact.

Glean Technologies, Inc

Designated Technical Support Engineer - Central/East

Behind our customers - amazing companies that help feed the world, provide life-saving medicine on a global scale, and focus on clean water and green mobility - our people are energized problem solvers that take pride in how the work we do changes the world for the better. Follow the Rockwell Automation disciplined & outcome-based sales process, know assigned accounts, plans for growth, maintains a healthy funnel, drive opportunities to closure and evaluates performance to goal.

Rockwell Automation Inc

Account Manager, End User

Chronic conditions include Multiple Sclerosis, NMOSD, Myasthenia Gravis, CIDP, ITP, Migraine Prevention, Crohn's Disease, Ulcerative Colitis, Plaque Psoriasis, Alpha 1 Antitrypsin Deficiency, Primary Immunodeficiency, hATTR Amyloidosis, Thyroid Eye Disease, and many others. Functional Competencies: Denials processing, claims, ability to handle multiple priority and tasks, strong attention to detail, strong verbal and written communication skills, analytical skills, computer skills (Outlook, Excel, Word, etc.).

TwelveStone Health Partners

Account Reimbursement Specialist - Healthcare (Full-time) - Remote (TN, KY, GA, MS, VA)

The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. If this matches what you wanted, please leave a thumbs up; if you wanted a different emphasis (more security/IAM focus, more DB2 performance focus, etc.), leave a thumbs down with a quick note and Ill revise.

IBM DB2 DBA

dstribute

In this role, you will lead and execute upgrades of IBM Directory Server (ISVD) in complex enterprise environments and ensure reliable authentication/identity services for downstream platforms. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement.

IBM LDAP SME

This role supports a fast-paced security operations environment where youll lead advanced incident investigations and serve as an escalation point for junior analysts. Youll partner with cross-functional teams to improve detection content, response playbooks, and overall SOC maturity within a cybersecurity-focused organization.

SOC L3 Analyst (Nightshift)

This role will work closely with culinary experts, dietitians, and project leaders to translate professionally designed menus into accurate, functional configurations within HealthTouch. Program and configure menus using HealthTouch Wizard and related functionality including screen build, item/recipe build and macro building.

Work From Home Jobs in Gallatin, TN

Business Analyst Sr TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Senior Human Capital Generalist TriWest Healthcare Alliance

Supervisor, Utilization Management TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Dir, Provider Network Strategy TriWest Healthcare Alliance

Customer Service Rep TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

Work From Home Destination Support Specialist PedrosVacations

Field Service Technician - Nashville, TN GLORY

Healthcare Counsel TriWest Healthcare Alliance

(Remote) Corporate Development Associate Harris Computer Systems

Designated Technical Support Engineer - Central/East Glean Technologies, Inc

Account Manager, End User Rockwell Automation Inc

Account Reimbursement Specialist - Healthcare (Full-time) - Remote (TN, KY, GA, MS, VA) TwelveStone Health Partners

IBM DB2 DBA IDR

IBM LDAP SME IDR

SOC L3 Analyst (Nightshift) IDR

Registered Dietician - Product Analyst - Remote CereCore

Similar Job Searches

Stand out to leading employers.