FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Senior Referral Specialist

equestftpin

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

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

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

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

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

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

Lead Referral 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

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

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

UNKNOWN

5+ years of hands-on enterprise identity security experience, including designing, presenting, implementing, or supporting solutions across one or more domains: Identity and Access Management (IAM), Privileged Access Management (PAM), Endpoint Privilege Management (EPM), Identity Governance and Administration (IGA), or machine identity security. Understanding of modern privileged access controls, including credential vaulting and rotation, session management, just-in-time access, zero standing privilege, endpoint least privilege, and secure third-party access.

Optiv Security Inc

Idira Partner Architect | Remote, USA

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 - Kansas City, KS

PinpointHQ

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.

YEAR

<p>CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.</p>

CorVel Corp

Senior Indemnity Claims Specialist

K-State Olathe focuses on industry-ready education, professional development, applied research, and regional workforce needs, with programs and partnerships in areas such as food science, animal health, advanced manufacturing, supply chain, community health, and food as medicine. Through academic programs, professional workshops, research facilities, and event space, the campus connects students, professionals, businesses, and community partners to education and innovation that create real-world impact.

Kansas State University

Instructor Pool, Biostatistics

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

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

Bachelor's degree in Electrical Engineering or other related technical fields with at least 2 years of demonstrated experience in a pre-and post-sales technical support position; or High School Diploma/GED with at least 6 years of demonstrated experience in a pre-and post-sales technical support position. Its battle-proven StreamCaster family of MANET radios and proprietary MN-MIMO waveform provides the vital communications link for defense, law enforcement and public safety agencies around the world, and in the toughest operational environments.

Motorola Solutions Inc

Sales Engineer - Department of War (DoW) - United States (Remote)

Ideal candidates for this category have previous experience, one or more of the following: Intelligence analysis and reporting using various cyber intelligence models and frameworks is also desired OT security sensor/tool deployment, OT networks, systems, and devices and how convergence, integration, and digitalization impact the OT attack surface throughout multiple industries OT security program/governance development. We hire the very best security talent and arm them with the coolest tools and latest tech so they can help our clients build resilience as we create integrated, customized turnkey solutions.

Work From Home Jobs in Lees Summit, MO

Senior Referral Specialist TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Director - Health & Safety - Remote Eco Materials

PH Communications Specialist TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Front-End Web Developer TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Idira Partner Architect | Remote, USA Optiv Security Inc

Field Service Technician - Kansas City, KS GLORY

Senior Indemnity Claims Specialist CorVel Corp

Instructor Pool, Biostatistics Kansas State University

Principal AI Cybersecurity Advisor Optiv Security Inc

MRD Clinical Account Executive, Ozarks Tempus AI Inc

Sales Engineer - Department of War (DoW) - United States (Remote) Motorola Solutions Inc

OT Transformation Security Manager (Remote) Accenture Plc

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