UNKNOWN

FEED

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 .

AO Garcia Agency

Remote Member Services Specialist

Remote Insurance Enrollment Representative

Maxion Research invites people in Honolulu, HI 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 - Honolulu, HI

ea_via_bold

This person will build the market from the front: serving as the technical voice in design meetings, the problem-solver on job sites, and the relationship every building owner and contractor remembers for future projects. We are looking for an engineer or technical salesperson in the MEP world who wants to move out of the office and into a career combining technical work, sales, and business development.

the job This

Territory Manager - Hawaii & Guam

This role is responsible for influencing capability requirements, strengthening advocacy within major modernization and advanced battle management programs, and driving long-term strategic engagement across AFLCMC, Space Systems Command, operational wings, and mission partners, while also providing supervisory responsibility overseeing the strategic program pursuits of the USAF BD Director. From pure line-of-sight to extreme non-line-of-sight, Silvus radios form a self-healing, self-forming mesh network, enabling secure and reliable connectivity, including video and high-bandwidth data.

YEAR

Motorola Solutions Inc

Market Development Executive, United States Air Force & Space Force

FULL_TIME

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

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

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.

Lead Referral Specialist

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

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

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

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.

Autism Care Demonstration Specialist

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

Referral Specialist

Technical Skills: Thorough knowledge of TRICARE policies and procedures, data collection and reporting, TriWest Care Radius medical management systems, and Referral Management Specialists function. • Two or more years of supervisory experience Managed care and operational experience in medical management systems, including referral management/prior authorization, or utilization management.

Supervisor, Referral Management

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

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

The Customer Care Representative will handle a variety of tasks which will increase in complexity as the Customer Care Representative’s skills progress, but will consist primarily of handling inbound calls from Members, Clients and Facilities. We believe every passenger deserves personalized attention and exceptional care, and we’re looking for passionate, driven individuals to help us deliver on that promise.

Medical Transportation Management

Customer Care Representative - WFH Hawaii

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.

Work From Home Jobs in Honolulu, HI

Remote Member Services Specialist AO Garcia Agency

Remote Insurance Enrollment Representative AO Garcia Agency

Online Research Panel Participant - Honolulu, HI Maxion Corp

Territory Manager - Hawaii & Guam the job This

Market Development Executive, United States Air Force & Space Force Motorola Solutions Inc

Business Analyst Sr TriWest Healthcare Alliance

Manager, Referral Management TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

Customer Care Representative - WFH Hawaii Medical Transportation Management

Health Coach TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Similar Job Searches

Stand out to leading employers.