FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Front-End Web Developer

equestftpin

Medicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.

Direct Contracting Manager

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

The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

Transition of Care Coordinator RN/LCSW

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

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

Director, Population Health

UNKNOWN

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. We hire for • On-time follow-up • Clean video presence • Fast learning on tools • Respect for the client Apply now.

AO Garcia Agency

Remote Leadership Development Associate

ea_via_bold

Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. We believe the most effective teams are built when everyone is empowered to thrive, and we are looking for a professional who can inspire and lead a dynamic team of project managers while ensuring smooth project execution.

<p>JLL is a financial and professional services firm specializing in commercial real estate services and investment management. We create value for companies and institutions that invest in and use real estate. With 60,000 employees across 280 corporate offices worldwide, we serve the local, regional and global real estate needs of corporates and investors in more than 80 countries. Our integrated services offering is grounded in expertise in all property types, a deep understanding of real estate markets and capital markets, and is coordinated and consistent across geographies.</p>

Vice President, Healthcare Construction

We embrace more innovative ways of working and prioritize opportunities to strengthen and advance your career, providing you with exposure to diverse categories and senior leadership while building your influence across the organization as you partner strategically with C-suite clients and senior JLL leadership to deliver transformational and sustained value. Accountable for delivering sophisticated market intelligence, supplier analytics, and operational insights across services operations, you'll direct cross-functional teams and field resources to execute complex strategic initiatives with measurable business impact.

Global Sourcing Director

The successful candidate will bring a demonstrated, quantifiable track record of managing in a minimum of two categories to include: MRO, Facilities Services, Travel, HR/Personnel, Marketing & Communications, and Professional Services categories - not general procurement exposure, but hands-on ownership of strategy, sourcing, negotiation, and supplier performance within these specific categories. This role owns the regional execution of global category strategies and is directly accountable for delivering measurable reductions in total cost of ownership (TCO), process improvement, and supplier base consolidation across the indirect portfolio.

Valmet Corporation

Indirect Procurement Manager, North America

The Regional Sales Director provides field leadership across a complex and matrixed commercial environment, partnering with sales leadership, commercial operations, marketing, market access, account management, and other cross-functional partners. Proven success working within highly matrixed organizations and leading coordinated execution across sales, market access, reimbursement, organized provider accounts, medical affairs, and marketing functions.

GSK, Plc.

Regional Sales Director - Mid-Atlantic

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. 3+ years of experience combined in any of the following areas: field reimbursement, hub case management, patient experience programs, helping patients and providers navigate insurance verification, prior authorization requirements, and access criteria.

Patient Access Manager (Ky/Knoxville, Tn/Charlotte, NC)

Working closely with Customer Success, Marketing, Product Management, and Implementation teams to ensure a seamless customer experience and identify opportunities for account growth. As an Account Executive, you’ll be responsible for driving revenue by identifying prospects, managing the sales cycle, and closing deals while building strong customer relationships that support long-term growth .

YEAR

VLogic

Account Executive

Strong working knowledge of OIG Compliance Program Guidance, CMS requirements, Medicare Advantage, Medicaid, HIPAA, Fraud, Waste & Abuse, Stark Law, Anti-Kickback Statute, telehealth regulations, provider licensure, credentialing, and nurse practitioner scope-of-practice requirements. Qualified candidates will complete a video interview with Urrly focused on value-based care compliance depth, Medicare Advantage and Medicaid exposure, clinical/provider compliance, investigations, audit readiness, governance, executive communication, and compensation/logistics alignment.

Urrly

Director of Healthcare Compliance, Value-Based Care & Risk Adjustment (Remote)

Lead strategic capacity model planning and multi-million dollar resource allocations across internal teams and offshore/third-party augmented partners, optimizing unit costs and ensuring operational elasticity against portfolio demand. Drive continuous improvement across the requirements lifecycle, optimizing analytical tools (Jira, Confluence, Visio, Lucidchart) and templates to streamline timelines and reduce specification gaps.

Rentokil

Business Analysis Manager

The SDM oversees the day-to-day management and operations of JLL's Work Dynamics Technology application platforms on the account, ensuring stability, availability, and performance of JLL technology, managing platform support and maintenance activities, and driving operational efficiency. The Service Delivery Manager (SDM) is a key role within the Work Dynamics Technology Enablement team, responsible for ensuring the consistent and effective delivery of IT services to a large financial services client account within Work Dynamics.

Senior Director, Technology Account Management

Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. We embrace more innovative ways of working and prioritize opportunities to strengthen and advance your career, and this position offers meaningful exposure to both client relationship management and high-level financial strategy.

Financial Planning & Analysis Lead

Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Key Responsibilities: Serve as the engineering principal on implementing secure identity practices in technology architectures, including the enterprise IdP service used for global authentication.

Principal Information Security Engineer, Identity Security Engineering

Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Lead and manage all sourcing-related functions: performing due diligence and assessment of prospective suppliers, executing RFPs/bids and ensuring effective transition to operations during implementation.

Sourcing Specialist (Ifm Categories)

A Remote Travel Coordinator business opportunity offers an excellent chance to provide a valuable service to different organizations and businesses while enjoying the freedom to work from anywhere. Your duties would include making all necessary arrangements, such as researching and reserving flights, ground transportation, lodging, and other travel-related services.

Work From Home Jobs in Mooresville, NC

Front-End Web Developer TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Director, Population Health TriWest Healthcare Alliance

Remote Leadership Development Associate AO Garcia Agency

Vice President, Healthcare Construction JLL

Global Sourcing Director JLL

Indirect Procurement Manager, North America Valmet Corporation

Regional Sales Director - Mid-Atlantic GSK, Plc.

Patient Access Manager (Ky/Knoxville, Tn/Charlotte, NC) GSK, Plc.

Account Executive VLogic

Director of Healthcare Compliance, Value-Based Care & Risk Adjustment (Remote) Urrly

Business Analysis Manager Rentokil

Senior Director, Technology Account Management JLL

Financial Planning & Analysis Lead JLL

Principal Information Security Engineer, Identity Security Engineering JLL

Sourcing Specialist (Ifm Categories) JLL

Remote Travel Coordinator Never Ending Travels

Similar Job Searches

Stand out to leading employers.