FULL_TIME

FEED

OTHER

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.

TriWest Healthcare Alliance

Supervisor, Referral Management

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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

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

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

Technical Skills: Advanced collaboration, listening, consulting, and conflict resolution skills; experience conducting investigations; in-depth knowledge of TriWest Human Capital policies and procedures; knowledge of Human Resources management concepts; Federal, state, and local employment law; ability to maintain the confidentiality of information and maintain safeguards; presentation skills. Coaches leaders on Triest Human Capital policies and procedures, including employee relations, leadership development, exit interviews, turnover analysis, performance appraisal system, leadership training, and investigations.

Senior Human Capital Generalist

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. Bring • Communication skill • Self-management • Team habits • A spine — integrity is not optional Apply if you want the remote track and you will do the work.

AO Garcia Agency

Remote Coverage Consultant

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The Field Engineer is ultimately accountable for the system being implemented based on the site design specifics, including the on-site configuration, testing, cut, and post-cut support for Motorola's on-premise and cloud-hosted ECH solutions. We deploy and support products such as Emergency Call Handling, 911 Equipment, Computer Aided Dispatch, Records Management Systems, Jail Management Systems and Mobile Data Computing, among other offerings.

HOUR

Motorola Solutions Inc

Senior Field Engineer - ECH SME - US Remote

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. Requirements • Communication that is clear and human • Discipline without a supervisor in the hallway • Openness to a proven process • Interest in benefits conversations, not just “sales energy” Apply today.

Remote Family Benefits Planner

This role focuses on helping clients understand their options and guiding them through the process using a step-by-step pathway. We are hiring a remote Client Account Specialist to assist clients who have requested information about life and financial protection coverage.

Unlock Potential 360

Client Account Specialist - Remote

Zoho

Our Benefits for providers can include: Credentialing, licensure, billing, and collections assistance, The ability to change facilities, hours, and roles within IPC''s partner organizations, Administrative support for office management, allowing you to focus on your patients, Flexible Full-time, Part-time, and 1099 contractor opportunities available, Stability, supported by a physician owned organization with a 95% provider retention rate. Our nationwide network of board-certified psychiatrists, psychiatric nurse practitioners, behavioral health clinicians, licensed social workers, and other healthcare providers deliver high quality care to our partner facilities via on-site and telehealth placements.

Integrated Psychiatric Consultants PA

Kansas-licensed PMHNP Psychiatric Nurse Practitioner with SUD experience, Part-time

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.

Remote Enrollment Representative

The position is considered a work-from-home position as no formal office space/work location is provided; however, the Member Advocate will conduct a large portion of work at partner nursing homes within a specific work region. Experience: o Experience in a long-term care setting with elderly patients as either a CNA, Activities Therapist, or social worker preferred.

American Health Companies Inc

Activities Director

Communication: Communicate effectively with clients, attorneys, and other legal professionals regarding the status of service, any issues or obstacles encountered, and the successful completion of service. Job Summary: A process server is responsible for delivering legal documents, such as subpoenas, summonses, complaints, and court orders, to individuals or organizations involved in legal proceedings.

Aristocrat Investigation LLC

Process Server

ADAPTED_NOW

For US based candidates only - The On Target Earnings (OTE, base salary + commissions) for this position ranges from $100,700 - $181,300/year; a candidate’s OTE is determined by various factors including, but not limited to, relevant work experience, skills, certifications and location. We provide the world's most distributed platform from Cloud to Edge to help the giants of the digital world work faster and stay more secure, making the internet a better experience for everyone.

YEAR

Akamai is the global leader in Content Delivery Network (CDN) services, making the Internet fast, reliable and secure for its customers. The company's advanced web performance, mobile performance, cloud security and media delivery solutions are revolutionizing how businesses optimize consumer, enterprise and entertainment experiences for any device, anywhere.

Akamai Technologies, Inc.

Customer Success Manager II- Remote

Akamai Technologies, Inc

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time.

Conduent is the world's largest provider of diversified business process services with leading capabilities in digital processing, automation and analytics.


Conduent Inc

Medicaid Call Center - Customer Care Associate (Remote)

LPC, Counselor, Telehealth, Virtual Mental Health Therapist, LIMHP, Remote LCSW, Psychologist, Behavioral Health, Telehealth Counseling, Remote, Psychotherapist, LMHC, LMSW, Remote, Virtual, Counselor, Telehealth Therapist, Virtual LMFT, LCSW, Remote, LMHP, Mental Health Counseling, Remote, Social Worker, LISW, LICSW, Psychotherapy, LPC, Telehealth, Social Worker, Remote, Virtual, Psychotherapist). Active state license (LMHC, LCSW, LMFT, LPC, LMHP, or Psychologist).

Behavioral Health Therapist

sourcestack_via_bold

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 Traits that work here Driven.

Remote Insurance Enrollment Representative

For US based candidates only - The On Target Earnings (OTE, base salary + commissions) for this position ranges from $108,900 - $226,100/year; a candidate’s OTE is determined by various factors including, but not limited to, relevant work experience, skills, certifications and location. With the world's most distributed compute platform from cloud to edge we make it easy for customers to develop and run applications, while we keep experiences closer to users and threats farther away.

Senior Partner Solutions Engineer - US West

If you're tired of long commutes or missing moments with family, this work-from-home opportunity offers a real path to a meaningful career — with free, proven training and full support. Mink Life & Legacy is seeking motivated, coachable individuals who want more time and more control.

Work From Home Jobs in Topeka, KS

Supervisor, Referral Management TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Senior Human Capital Generalist TriWest Healthcare Alliance

Remote Coverage Consultant AO Garcia Agency

Senior Field Engineer - ECH SME - US Remote Motorola Solutions Inc

Remote Family Benefits Planner AO Garcia Agency

Client Account Specialist - Remote Unlock Potential 360

Kansas-licensed PMHNP Psychiatric Nurse Practitioner with SUD experience, Part-time Integrated Psychiatric Consultants PA

Remote Enrollment Representative AO Garcia Agency

Activities Director American Health Companies Inc

Process Server Aristocrat Investigation LLC

Customer Success Manager II- Remote Akamai Technologies, Inc.

Medicaid Call Center - Customer Care Associate (Remote) Conduent Inc

Behavioral Health Therapist GHC

Remote Insurance Enrollment Representative AO Garcia Agency

Senior Partner Solutions Engineer - US West Akamai Technologies, Inc.

Remote Life Insurance Sales Agent – Training Provided MINK Life & Legacy Agency

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