FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Direct Contracting Manager

equestftpin

Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty disease management program settings in a healthcare system or managed care organization (MCO). The DM nurse will partner with the interdisciplinary care team to identify appropriate care to prevent complications related to chronic conditions and minimize the risk of potential exacerbation through the use of evidence-based condition-specific education and coaching.

RN Disease Manager (Behavioral Health Experience Required)

Functions on TriWest standing and ad hoc committees as a representative of the Legal department including, but not limited to, committees responsible for TriWest's peer review, quality, and credentialing programs. • Experience advising managed care administrators, health plans, or healthcare providers, • Familiarity with HIPAA, False Claims Act, Stark, Anti-Kickback and other healthcare-related laws & regulations.

Assoc Gen Counsel - Healthcare

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

UNKNOWN

This position sets and tracks team KPIs, coaches team members to improve conversion, ensures positive experience for prospective clients from first inquiry through account opening, and works closely with the Chief Marketing Officer to refine lead generation and new client acquisition strategies. Personally work and convert approximately 10-20% of inbound lead volume, assessing prospect needs, explaining products and services, addressing concerns, and guiding prospects through account opening.

IRA Financial

Sales Manager (Remote)

Hireclick

Develop compelling proposal content that clearly articulates TriWest's unique capabilities, market expertise, provider relationships, analytical capabilities, and demonstrated ability to build and maintain networks that meet complex customer requirements. The Director of Network Strategy is responsible for developing and executing TriWest's enterprise strategy for network adequacy and network optimization across its VA Community Care Network (CCN) and TRICARE programs.

Dir, Provider Network Strategy

In this role you will provide Over-the-Phone (on-demand & pre-scheduled) and Video Remote (pre-scheduled) interpreting services to various Prisma clients including the South Dakota DHS/LTSS offices. About Prisma International, Inc. (Prisma) - Prisma is a dynamic and growing language services provider committed to delivering exceptional Interpretation solutions to clients worldwide.

Prisma International

Interpreter (OPI & VRI - Medical)

sourcestack_via_bold

Daily work • Speak with people who asked for information • Map needs to available protection options • Run a simple enrollment flow • Build and service a client list . 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 Sales Manager in Training

We’re expanding our successful team and looking for mechanically inclined, passionate technicians who live our core values: Safety First, Quality People, Quality Product, and Ethical Behavior. Carlson & Stewart Refrigeration is a design-build contractor specializing in commercial and industrial refrigeration systems across the Upper Midwest.

Carlson & Stewart Refrigeration

HVAC-R Service Technician - Local residency required - Travel from home

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. What comes with the seat • No cold calling • Qualified-interest pipeline • Performance-based advancement • Full training • Current tech stack • Work from home .

Fully Remote - Member Benefits Specialist

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. You are paired with a growing team, given tools and mentorship, and expected to enroll and support clients who asked for guidance.

Virtual - Client Portfolio Specialist

Fully Remote - Member Services Representative

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 . 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.

Fully Remote - Client Advocacy Lead Trainee

Remote Client Solutions Representative

Remote Benefits Presenter

Fully Remote - Client Relations Associate

Remote Client Care Specialist

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. Bring • Communication skill • Self-management • Team habits • A spine — integrity is not optional .

Remote Sales Representative

Fully Remote - Policy Enrollment Representative

Executive Presentations & Technical Advocacy: Review, refine, and occasionally deliver high-impact technical presentation materials regarding complex system designs to customers, pre-sale, and post-sale engineering leadership. The Manager of Regional MCN Deployments NSA Team - Network Practice Office (NPO) provides leadership, strategic direction, and technical oversight to a team of regional Network Solutions Architects (NSAs).

Work From Home Jobs in South Dakota

Direct Contracting Manager TriWest Healthcare Alliance

RN Disease Manager (Behavioral Health Experience Required) TriWest Healthcare Alliance

Assoc Gen Counsel - Healthcare TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Sales Manager (Remote) IRA Financial

Dir, Provider Network Strategy TriWest Healthcare Alliance

Interpreter (OPI & VRI - Medical) Prisma International

Remote Sales Manager in Training AO Garcia Agency

HVAC-R Service Technician - Local residency required - Travel from home Carlson & Stewart Refrigeration

Fully Remote - Member Benefits Specialist AO Garcia Agency

Virtual - Client Portfolio Specialist AO Garcia Agency

Fully Remote - Member Services Representative AO Garcia Agency

Fully Remote - Client Advocacy Lead Trainee AO Garcia Agency

Remote Client Solutions Representative AO Garcia Agency

Remote Benefits Presenter AO Garcia Agency

Fully Remote - Client Relations Associate AO Garcia Agency

Remote Client Care Specialist AO Garcia Agency

Remote Sales Representative AO Garcia Agency

Fully Remote - Policy Enrollment Representative AO Garcia Agency

Manager of Regional MCN Deployments NSA Team - Network Practice Office (NPO) Motorola Solutions Inc

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