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

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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

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

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

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 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

UNKNOWN

Coordinate travel schedules, timelines, and key planning milestones• Oversee workflow progress to ensure travel-related tasks are completed accurately and on time• Communicate with clients and team members to gather and confirm itinerary details• Track updates, monitor outstanding items, and follow up as needed• Maintain organized digital records, itineraries, and documentation• Review travel plans to ensure accuracy and completeness• Identify ways to improve efficiency and maintain smooth planning processes. We're looking for an organized and proactive Travel Scheduler & Workflow Planner to support daily operations by coordinating travel timelines, managing itinerary schedules, and ensuring workflows run efficiently from planning through completion.

Traveling with Mchaila

Travel Scheduler & Workflow Planner

ea_via_bold

We work with independent agents across Houston and all of Texas who are building their own books of business through a system that is already proven and already in motion. Warm inbound leads system in place — you talk to people who already raised their hand for coverage, so there is no cold calling.

GIA Legacy Planning

Life Insurance Agent - Remote - Kansas City, MO

Teamtailor

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

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.

YEAR

Olsson Associates

Senior Civil Engineer - Data Center

Bachelor's degree in Electrical or Computer Engineering, Computer Science, Network Engineering, or a related C5ISR technical field with at least 5 years of demonstrated experience in systems engineering, technical business development, or forward-looking defense technology roles; OR High School Diploma/GED with at least 9 years of relevant experience. The primary focus of this role is to be forward-looking: The successful individual in this role will leverage deep technical expertise in Software-Defined Radios (SDRs), emerging industry solutions, and tactical network architectures to translate Army operational requirements into winnable technical solutions.

Motorola Solutions Inc

Senior Business Development Engineer (BDE), US Army

This role will engage deeply with subject matter expertise in SAP SuccessFactors Employee Central Time Off, fostering an environment where collaboration and thoughtful decision-making drive success. We've got over 70 SAP awards-more than any other partner-and we're the leading business partner for SAP SuccessFactors, SAP Ariba, SAP Hybris, SAP FieldGlass, SAP Concur, and more.

Accenture Plc

SAP Employee Central/Time Manager

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.

Optiv Security Inc

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

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Drives technical direction of specialty related to quality control, risk selection, competitive monitoring, and development of knowledge and partnerships across related business units within the enterprise (underwriting, systems, services, claims, sales, distribution, marketing, etc.).

<p style="text-align: center;">Nationwide Trans Inc was founded August 11, 2004 by friends and business partners Kong Lee and Tony Tran. They started in the industry at different logistics brokerages and formulated their own business model as a freight transportation provider. Nationwide started out of their one story home in 2004 with only 4 trucks and 4 drivers. After 8 months, they moved int o a 2-acre yard and bought 22 more trucks. Throughout the years, they built strong relationships with top brokers such as Landstar, Schneider, and Coyote. Lastly in July 2011 they moved the company to its current location, Ontario, CA. the 6-acre yard consists of over 100 trucks and 150 trailers. Kong and Tony's next venture is Nationwide Logistics, in which their goal is to build life-long relationships and become a superior 3PL company in the industry.</p>

Nationwide Mutual Insurance Co

Sr Consultant, Risk Management - P&C (Fleet)

The work • Take requested conversations — no cold lists • Explain benefit options simply • Help clients enroll when it is a fit • Keep a clean follow-up rhythm You get • Remote work • A written process so you are not inventing the job • Coaching from people who have done the work • A path into leadership if you produce You should apply if you are competitive, coachable, and comfortable on camera. 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 Relations Manager

Whether you're launching your career or bringing years of experience, you'll have the opportunity to work alongside industry-leading experts, collaborate across disciplines and borders, and contribute to projects that transform the way people live, move, and connect. We collaborate with public and private clients to design and deliver innovative transportation, aviation, rail, transit, water, structural, environmental, and infrastructure solutions that connect communities and improve everyday life.

H.W.Lochner Inc

Transportation Project Manager - Kansas City, KS

Whether you're launching your career or bringing years of experience, you'll have the opportunity to work alongside industry-leading experts, collaborate across disciplines and borders, and contribute to projects that transform the way people live, move, and connect. As we continue to expand across the United States, we're looking for curious, collaborative professionals who are passionate about solving complex challenges and delivering projects that improve communities and create lasting impact.

CEI Inspector

Must reside in Alabama, Colorado, Florida, Georgia, Iowa, Kansas, Louisiana, Michigan, Minnesota, Missouri, North Carolina, North Dakota, New Mexico, Oklahoma, Pennsylvania (some counties excluded), South Carolina, South Dakota, Texas, or Wisconsin. KLDiscovery, a leading global provider of electronic discovery, information governance and data recovery services, is seeking actively licensed U.S. attorneys for ongoing remote Document Review projects.

Work From Home Jobs in Lees Summit, MO

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Front-End Web Developer TriWest Healthcare Alliance

Travel Scheduler & Workflow Planner Traveling with Mchaila

Life Insurance Agent - Remote - Kansas City, MO GIA Legacy Planning

MRD Clinical Account Executive, Ozarks Tempus AI Inc

Senior Civil Engineer - Data Center Olsson Associates

Senior Business Development Engineer (BDE), US Army Motorola Solutions Inc

SAP Employee Central/Time Manager Accenture Plc

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

Sr Consultant, Risk Management - P&C (Fleet) Nationwide Mutual Insurance Co

Remote Client Relations Manager AO Garcia Agency

Transportation Project Manager - Kansas City, KS H.W.Lochner Inc

CEI Inspector H.W.Lochner Inc

Document Reviewer KLDiscovery Inc

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