FULL_TIME

FEED

OTHER

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).

TriWest Healthcare Alliance

Program Integrity Investigator

equestftpin

UNKNOWN

Bachelor's degree in Business, Engineering, Communications, or a related technical discipline and a minimum of 10 years of successful sales leadership experience in unmanned systems, tactical or public safety communications, C4ISR, electronic warfare, or defense/public safety technology; or Associate's degree with a minimum of 12 years; or High School Diploma/GED with a minimum of 14 years. In this key leadership role, you will lead a high-performing team of Sales Directors responsible for driving B2B "design-win" revenue across major defense primes, uncrewed system manufacturers (UAS, UGV, USV, loitering munitions), systems integrators, and C-UAS platform builders.

YEAR

Motorola Solutions Inc

Senior Sales Director, Original Equipment Manufacturer (OEM) & Defense Primes

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 successful candidate will perform administrative duties from a home office, communicate with colleagues through digital collaboration tools, and manage assigned responsibilities with minimal supervision while following company procedures and deadlines. The successful candidate will assist with administrative tasks, maintain accurate records, manage correspondence, organize digital files, and help ensure efficient communication across the organization.

Willmott Assosiates PLC

Administrative Assistant

NinjaGig

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

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

In addition to base pay, this role is eligible for an annual incentive bonus and first-class benefits, which include: Health & wellness: Comprehensive and heavily subsidized medical, dental, and vision plans, plus on-site gym access, holistic wellness sessions, and group fitness classes. Updating Traveler contact information, modifying reservations, processing payments, managing airline tickets, online access resets, providing general information on itineraries.

HOUR

Grand Circle LLC

Remote Customer Service Agent - (11.30 Hire)

We are seeking an Account Lead, Retail Search to join our team and lead strategic initiatives for an enterprise retail account, focusing on execution within retail media networks like Amazon, Walmart, Best Buy & Target. DEPT is a pioneering technology and marketing services company that creates integrated end-to-end digital experiences for brands such as Google, KFC, Philips, Audi, Twitch, Patagonia, eBay and more.

3Q Digital, Inc.

Account Lead - Retail Search

Preferred Experience: Knowledge and hands-on experience with Document Management Systems; Experience in detail-intensive and customer-focused environments; Excellent organizational skills, attention to detail, and strong oral and written communications skills; Word processing knowledge and experience with Microsoft Office products. Serves as the Subject Matter Expert for documentation support activities including: document formatting, and change request review and approval facilitation.

Mindlance

Documentation Specialist II

jobdiva

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 .

AO Garcia Agency

Remote Client Care Specialist

Remote Client Solutions Representative

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.

<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

Medical Only Claims Specialist

Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.

BetterHelp is the largest online counseling platform worldwide. We change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.

BetterHelp

Licensed Psychologist- Remote

GreenHouseAPI

Licensed Professional Counselor - Remote

Licensed Marriage and Family Therapist - Remote

The position is responsible for denial prevention and protecting and contributing to the organization's financial goals by obtaining and documenting patients' insurance benefits and eligibility status, initiating and securing prior authorization with payers, and by validating, analyzing, and accurately interpreting medical necessity results by reviewing payer specific medical policies or criteria, utilizing the web-based medical necessity software. 1 year in healthcare field: including medical office, insurance/front desk, medical insurance prior authorization, hospital registration, ancillary or surgical procedure scheduling, hospital business office (billing or collections), or prior experience in medical insurance company provider services or prior authorization departments.

HonorHealth

Coordinator - Financial Clearance

By owning system enhancements, streamlining workflows, and building strong cross-functional partnerships, you directly support organizational compliance and enable our teams to move forward with confidence. Research and resolve complex payroll tickets independently, escalating unresolved risks to the Senior Manager with documented context and recommended solutions.

CustomInk LLC

Senior Payroll & Reporting Specialist

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State of Arizona

Audit Manager

Maintain a bird's eye view across the Global Sales Enablement portfolio and unified roadmap of all enablement programs - from onboarding and ongoing sales readiness to events and customer enablement- ensuring priorities, programs, and key milestones stay connected and on track. Ultimately you'll help keep the Enablement engine running-bringing the structure, coordination and accountability that allows our team to focus on what matters most: equipping our sellers and leaders with the knowledge, skills, and resources they need to succeed.

New Relic Inc

Sales Enablement Program Manager

GAI is seeking a highly skilled and experienced QA/QC Protection & Control Engineer 2 to oversee QA/QC on design, development, and implementation of protection and control systems for high-voltage substations. We value work-life balance and offer flexibility - this position can be performed in a hybrid capacity in these locations: Overland Park, KS, Pittsburgh, PA, Lisle, IL, Orlando, FL, or in a fully remote capacity.

Work From Home Jobs in Surprise, AZ

Program Integrity Investigator TriWest Healthcare Alliance

Senior Sales Director, Original Equipment Manufacturer (OEM) & Defense Primes Motorola Solutions Inc

TRICARE Customer Service Rep TriWest Healthcare Alliance

Administrative Assistant Willmott Assosiates PLC

Direct Contracting Manager TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Remote Customer Service Agent - (11.30 Hire) Grand Circle LLC

Account Lead - Retail Search 3Q Digital, Inc.

Documentation Specialist II Mindlance

Remote Client Care Specialist AO Garcia Agency

Remote Client Solutions Representative AO Garcia Agency

Medical Only Claims Specialist CorVel Corp

Licensed Psychologist- Remote BetterHelp

Licensed Professional Counselor - Remote BetterHelp

Licensed Marriage and Family Therapist - Remote BetterHelp

Coordinator - Financial Clearance HonorHealth

Senior Payroll & Reporting Specialist CustomInk LLC

Audit Manager State of Arizona

Sales Enablement Program Manager New Relic Inc

QA/QC Protection & Control Engineer 2 GAI Consultants Inc

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