FULL_TIME

FEED

OTHER

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

TriWest Healthcare Alliance

Supervisor, Utilization Management

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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

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

Develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.

Provider Program Manager

UNKNOWN

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. It is an independent contractor opportunity where your results are a direct reflection of your effort, your consistency, and your willingness to follow a system that works.

GIA Legacy Planning

Remote Sales Professional-Entrepreneurial Opportunity

Teamtailor

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.

Life Insurance Agent - Remote - Kansas City, MO

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 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.

YEAR

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

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)

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

Project Civil Engineer - Data Center

Experienced in the design of roadways for KDOT (or other DOT clients) with the ability to oversee and assist in analyses, developing calculations, develop of technical reports and preparing contract documents (PS&E) in accordance with state and local agency requirements. 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.

H.W.Lochner Inc

Roadway Design Engineer - Kansas City, KS

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

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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.

HOUR

KLDiscovery Inc

Document Reviewer

This role will engage deeply with subject matter expertise in SAP SuccessFactors Employee Central Time, 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.

SAP Employee Central/Time Senior Manager

This is a client-facing role focused on helping customers understand, and select appropriate financial protection solutions for their family and assets. We are an independent insurance agency seekingInsurance Sales Representative(Remote) to work with individuals and families who have requested information about coverage options.

Unlock Potential 360

Insurance Sales Representative - Remote

Zoho

We work with independent agents across the US 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.

Remote-Life Insurance Sales Professional-Entrepreneurial Opportunity

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.

Work From Home Jobs in Olathe, KS

Supervisor, Utilization Management TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Remote Sales Professional-Entrepreneurial Opportunity GIA Legacy Planning

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

MRD Clinical Account Executive, Ozarks Tempus AI Inc

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

SAP Employee Central/Time Manager Accenture Plc

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

Project Civil Engineer - Data Center Olsson Associates

Roadway Design Engineer - Kansas City, KS H.W.Lochner Inc

Remote Client Relations Manager AO Garcia Agency

CEI Inspector H.W.Lochner Inc

Document Reviewer KLDiscovery Inc

SAP Employee Central/Time Senior Manager Accenture Plc

Insurance Sales Representative - Remote Unlock Potential 360

Remote-Life Insurance Sales Professional-Entrepreneurial Opportunity GIA Legacy Planning

Remote Team Lead - Client Services AO Garcia Agency

Remote Needs Analysis Specialist AO Garcia Agency

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