FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Data Engineer Sr.

equestftpin

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.

Lead Referral Specialist

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

UNKNOWN

Our model benefits all stakeholders - patients get more convenient care, nurses access flexible work for better pay, pharmacies fill more prescriptions, hospitals reduce low-reimbursement admissions, and payors enjoy 12x reduced costs with home-delivered care. Over the last 5 years, we've successfully demonstrated multi-state expansion, validated strong unit economics, and boast remarkable retention of patients, nurses, and pharmacies.

Float Health

Recurring Care Specialist

BreezyHR

Open Mind Health (OMH) is expanding and actively recruiting fully licensed California therapists (LCSW, LMFT, LPCC, or licensed Psychologist [PsyD/PhD]) with experience and interest in providing virtual mental health care to children and adolescents. If you're a fully licensed California therapist passionate about helping children and adolescent clients thrive through innovative, holistic, and evidence-guided care and looking for a flexible, remote opportunity to provide meaningful virtual mental health care, we'd love to hear from you.

Open Mind Health

Licensed Therapist – Children & Adolescents – Remote California – 1099 (LCSW, LMFT, LPCC, Psychologist)

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.

Sup, Case Mgmt Sp Prgms Ops

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

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

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

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

Senior Referral Specialist

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: 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

As a Home-Based Travel Consultant, you will assist clients with planning trips, provide destination guidance, and help create and share travel content that inspires future travelers. Training and mentorship are provided, making this a great opportunity for individuals who want to develop digital skills and grow professionally within the travel industry while working from home.

Prestigetravelpartner

Home-Based Travel Consultant

sourcestack_via_bold

We are seeking an experienced Structural Engineer to join a growing engineering firm specializing in the design and construction of ductwork and structural support systems for power generation facilities worldwide. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.

Gpac’s mission is to be the preferred staffing and recruitment solution by effectively delivering and connecting talent with successful companies and organizations. 
<br/><br/>
Our team, with collective experience of over 250 years, is passionate about wh

Gpac

Structural Engineer, P.E. (Remote)

LogicMelon

This is a remote position; however, candidates must reside in one of the following locations to be considered: Phoenix (AZ), Las Vegas (NV), Denver (CO), Salt Lake City (UT), Los Angeles (CA), San Francisco (CA). Build and maintain long-term customer retention and relationships by researching and developing existing customers, as well as new leads.

Peak Technologies

Sales Manager

Betterteam

Working closely with Project Managers, Engineers, design professionals, and field crews, you will turn project requirements into accurate digital models and technical drawings that support planning, design coordination, construction documentation, and field operations. The BIM/VDC Modeler develops, coordinates, and maintains detailed BIM and VDC models across the full project lifecycle.

BIM/VDC Modeler (Remote/Hybrid)

Nomadic Closer is currently partnering with a fast-scaling $3M public speaking & coaching brand helping entrepreneurs land TEDx talks, build authority, and scale their coaching businesses. Nomadic Closer is a global high-ticket sales recruitment partner connecting elite closers with 7- and 8-figure brands.

Nomadic Closer

Remote Closer

WorkWolf

Responsibilities: Customer Support & Service Excellence: Deliver high-quality day-to-day customer support using the Zendesk Product Suite by triaging incoming tickets, identifying recurring trends, and driving customer inquiries to prompt resolution while maintaining seamless cross-shift issue transitions. This position is subject to working in high security areas governed by the US Department of Justice's "Criminal Justice Information Services (CJIS) Security Policy" and therefore requires successfully passing a more stringent fingerprint background check administered by Motorola Solutions Inc. customers.

Work From Home Jobs in North Las Vegas, NV

Data Engineer Sr. TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

Lead Referral Specialist TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

Recurring Care Specialist Float Health

Licensed Therapist – Children & Adolescents – Remote California – 1099 (LCSW, LMFT, LPCC, Psychologist) Open Mind Health

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Senior Referral Specialist TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Home-Based Travel Consultant Prestigetravelpartner

Structural Engineer, P.E. (Remote) Gpac

Sales Manager Peak Technologies

BIM/VDC Modeler (Remote/Hybrid) Gpac

Remote Closer Nomadic Closer

Technical Support Specialist - Tier II, Radius Mapping Motorola Solutions Inc

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