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

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

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

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

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

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.

Senior Referral Specialist

Lead 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

UNKNOWN

This is an opportunity for someone who enjoys building relationships, educating clients, and creating long-term financial security for others while growing their own career and income potential. James Madrid - State Farm Agent is seeking a motivated and relationship-driven professional to join our team as a Financial Services Representative.

James Madrid - State Farm Agent

Financial Services Representative - State Farm Agent Team Member

This role focuses on helping clients understand their options and guiding them through the process using a step-by-step pathway. We are hiring a remote Client Account Specialist to assist clients who have requested information about life and financial protection coverage.

Unlock Potential 360

Client Account Specialist - Remote

Zoho

This is a client-facing role focused on helping customers understand, and select appropriate financial protection solutions for their family and assets. We are an independent insurance agency seekingInsurance Sales Representative(Remote) to work with individuals and families who have requested information about coverage options.

Insurance Sales Representative - Remote

The Game Developer will act in both a project owner and project support role, working across multiple projects within a single year. The Game Developer is responsible for creating slot game front-end client software using our internal game engine.

Spinplay Games

Game Developer

PinpointHQ

Across the portfolio, Red Ventures businesses deliver seamless digital experiences for consumers, help Fortune 100 clients solve large-scale digital growth challenges, and create world-class experiences and opportunities for employees. Also, keep an eye on the sender: we only use official @redventures.com email addresses at the portfolio level or business specific email addresses (e.g., @thepointsguy.com), not ones like "redventurescareer.com."

YEAR

Sage Home Loans Corp

Loan Originator Nevada | Sage Home Loans

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 Provided • Pre-qualified warm leads • Step-by-step onboarding • Remote tools • Flexible hours • Ongoing mentorship Good fit Self-starters who like helping families and can handle a performance environment. 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 Client Experience Manager

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. 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 Enrollment Advisor

Technical Program managers play a vital role at New Relic leading the planning, execution, and delivery of large cross functional programs in support of our strategic objectives. Drive technical projects from ideation to delivery, including managing complex project schedules, removing roadblocks, and keeping processes running smoothly.

New Relic Inc

Senior Technical Program Manager - Security & Identity

The PAM is the primary contact for consented patients and caregivers across the GSK Oncology portfolio, guiding them through onboarding, access, and ongoing phases of the treatment journey, and supports provider accounts within the territory on coverage, coding, and payment questions after a prescribing decision has been made. Key Responsibilities: Patient Navigation & Support: Serve as the point of contact for patients, caregivers, and HCP office staff, providing approved information and education on oncology-specific care, including benefit discussions, product and disease-state per the PI, and program-specific resources.

GSK, Plc.

Patient Access Manager (Northern Ca/Nv/Ut)

DNV Business Assurance North America is seeking a Senior Manager, ICT Delivery & Technical Operations is the senior leader accountable for the overall delivery, technical quality, client-facing execution, client satisfaction, and operational performance of DNV's ICT certification services across North America. Serve as executive delivery sponsor for strategically important ICT clients, maintaining oversight of major, complex, multi-site, or global programs and accountability for delivery excellence, program governance, customer satisfaction, risk management, and timely resolution of escalated issues.

DNV GL SE

Senior Manager ICT Delivery & Technical Operations

The ideal candidate combines strong electrical industry experience with excellent communication and teaching skills and enjoys helping others build their technical knowledge and skills. Strong knowledge of electrical installations, grounding, conductor ampacity, motor circuits, overcurrent protection, voltage drop, and related calculations.

TEEMA Group

Instructor – Electrical Training

WorkWolf

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.

Work From Home Jobs in Las Vegas, NV

Provider Program Manager TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Financial Services Representative - State Farm Agent Team Member James Madrid - State Farm Agent

Client Account Specialist - Remote Unlock Potential 360

Insurance Sales Representative - Remote Unlock Potential 360

Game Developer Spinplay Games

Loan Originator Nevada | Sage Home Loans Sage Home Loans Corp

Remote Client Experience Manager AO Garcia Agency

Remote Enrollment Advisor AO Garcia Agency

Senior Technical Program Manager - Security & Identity New Relic Inc

Patient Access Manager (Northern Ca/Nv/Ut) GSK, Plc.

Senior Manager ICT Delivery & Technical Operations DNV GL SE

Instructor – Electrical Training TEEMA Group

Remote Benefits Coverage Coordinator AO Garcia Agency

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