FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops

equestftpin

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

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.

Data Engineer Sr.

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

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

Lead Referral Specialist

Technical Skills: Knowledge of and/or experience with Adobe Creative Suite (Photoshop, Illustrator, and Acrobat) as well as Microsoft Office; Extensive knowledge of hand-coding HTML, CSS, JavaScript (including jQuery), NET (C#); Extensive knowledge of developing and testing Section 508 compliance, Knowledge of web design editing software including Microsoft Visual Studio and Adobe Dreamweaver; Proficient in PC operating systems. Consults with Communications and IT staff on architecture issues as required; consults with client departments on project issues and offers training to departments as needed to help ensure TriWest's policy on 508 compliance is enforced.

Front-End Web Developer

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

Senior Referral Specialist

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

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.

Health Coach

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

The Director, HS Utilities leads health and safety programs for the company's utility-sector operations, including synthetic gypsum and fly ash processing and other byproduct handling and beneficial-reuse facilities, distinguishing this scope from the cement plant operations covered by the Director, HS Operations roles. This position is a peer to the Director, HS Operations positions within the Health & Safety organization, and is accountable for the day-to-day execution of safety programs at utility and byproduct-handling sites, leading a team of Safety Specialists and Safety Coordinators who provide site-level training, auditing, and incident response support.

Eco Materials

Director - Health & Safety - Remote

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

UNKNOWN

Proficient sales techniques; makes connections, facilitates meetings, reads the room, asks probing questions, overcomes objections, gains trust, maintains composure under pressure, positions solutions, and assists in finalization of sale. Effectively work with multiple client personas across the security team, as well as other relevant personas, to develop a security strategy and define roadmaps to execute on the security strategy aligned with business goals, budgetary spend, and metrics based on return of investment.

YEAR

Optiv Security Inc

Cybersecurity Advisor - Threat Management | Remote, MN, TX, TN, MO

By combining advanced business and security practitioner knowledge, the Principal AI Cybersecurity Advisor designs security solutions using some of the most advanced security services and technologies to achieve highly defensible and scalable security programs to align with the clients' security initiatives wherever AI is involved. Effectively work with multiple client personas across the executive branch (CxO), as well as other relevant personas to develop AI product and services, advisement, and AI security strategy and define roadmaps to execute on AI strategy-aligned business goals, budgetary spend, and metrics based on return of investment.

Principal AI Cybersecurity Advisor

We design large hyperscale data center campuses and colocation data centers throughout the U.S. This role will give you the opportunity to work on some of the largest and most complex engineering-driven projects being built today. Pursuant to the California Consumer Privacy Act, as amended by the California Privacy Rights Act (collectively, the "CCPA"), this notice explains Olsson's practices regarding the collection, use, and disclosure of personal information for job applicants residing in California.

Olsson Associates

Senior Civil Engineer - Data Center

CompuMark Online Search is Clarivate's trademark and industrial design search platform that uses AI and image-recognition technology to help customers and intellectual property offices search, compare, and analyze trademarks and designs. Contribute to ongoing work to maintain system security certifications including FedRAMP and Soc2 type 2. Support the sales and marketing teams with product demos, client queries, and RFI/RFP drafting.

Clarivate Plc

Product Owner (TrademarkVision - Intellectual Property)

The MRD Clinical Account Executive is responsible for promoting and selling Tempus's Minimal Residual Disease (MRD) testing services to clinicians and healthcare providers. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.

Tempus AI Inc

MRD Clinical Account Executive, Ozarks

ADAPTED_NOW

The Research Contracts & Purchasing Specialist is a key operational role on the Fiscal Affairs team, working across the contracting, purchasing, and accounts payable functions to support a cohesive and well-coordinated research administration environment. The University of Kansas Office of Research advances the university's research mission by supporting faculty and staff across the full sponsored project lifecycle — from funding opportunity identification and proposal development through award management and closeout.

Work From Home Jobs in Lees Summit, MO

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Data Engineer Sr. TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Front-End Web Developer TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Manager, Referral Management TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

Director - Health & Safety - Remote Eco Materials

Business Analyst Sr TriWest Healthcare Alliance

Cybersecurity Advisor - Threat Management | Remote, MN, TX, TN, MO Optiv Security Inc

Principal AI Cybersecurity Advisor Optiv Security Inc

Senior Civil Engineer - Data Center Olsson Associates

Product Owner (TrademarkVision - Intellectual Property) Clarivate Plc

MRD Clinical Account Executive, Ozarks Tempus AI Inc

Research Contract & Purchasing Agent University of Kansas

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