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Required Skills: High School diploma, Technical Certificates, or Associate's, or Bachelor's degree, plus 3+ years of experience in one of the following areas: LMR, RF Systems, Radio Communications, Radio Frequency, Motorola equipment, Wireless Communication Systems, IT Systems, Mobile or Fixed Video Systems, Telecommunications, and Public Safety experience required for this position. 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.

YEAR

Motorola Solutions Inc

Field Service Engineer - US Remote

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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 - Benefits Presentation Associate

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In addition, they will supervise, train, and mentor junior research staff, and coordinate and manage multiple tasks and projects simultaneously, including but not limited to, ensuring adherence to deadlines, assigning tasks to project team members, and communicating with relevant internal and external subject matter experts and interest holders. The Senior Research Associate, Evidence Synthesis serves as a working principal investigator (PI) or co-PI to lead the design, conduct, and dissemination of high-quality systematic evidence reviews (e.g., systematic reviews, living systematic reviews, rapid reviews) to inform ACS guidelines for the early detection of cancer.

American Cancer Society

Senior Research Associate, Evidence Synthesis

Closed-Loop Feedback Integration: Systematically capturing operational feedback, field trial results, and operator testing notes to continuously evolve backlog user stories and transform field-tested waveforms into robust commercial software solutions. By bridging the gap between theoretical R&D and reliable military systems engineering, the Technical Product Manager will ensure Silvus outpaces emerging electronic warfare (EW) threats and delivers robust software-defined spectrum dominance.

Technical Product Manager (Spectrum Dominance)

Master's degree in Social Work or current, unrestricted Oregon license or certification in a health or human services discipline that permits independent assessments within the professional scope of practice, Licensed Clinical Social Worker (LCSW), Qualified Mental Health Professional (QHMP), or equivalent. Job Summary: The Case Manager of Behavioral Health (HRSN) will evaluate beneficiaries' needs, develop individualized care plans, and coordinates healthcare team members to ensure optimal client outcomes while adhering to payer requirements.

Acentra Health

Behavioral Health Case Manager (HRSN)

The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.

Greenlife Healthcare Staffing

RN Health Care Facility Surveyor

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Demonstrated experience performing legal research, conducting investigations, gathering and summarizing medical records, indexing depositions, gathering evidence and preparing exhibits for trial, with minimal assistance. This experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth.

HOUR

American Family Insurance Group

Litigation Paralegal

Our work in direct collaboration with our healthcare customers directly impacts quality scores, member experience, revenue protection, and operational and administrative expenses, making Drips an indispensable partner in today's value-driven landscape. You thrive in complex, consultative sales cycles and know how to navigate matrixed organizations to engage C-Suite and Senior Decision Makers across various lines of business: Medicare, Medicare Advantage, Medicaid, ACA, and Pharmacy.

Drips

VP - Health Plan Sales Executive (Remote)

OTHER

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

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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 .

Remote Enrollment Representative

Working alongside experienced Technical Consultants, Project Managers, and other Huron teams, you will develop the technical skills needed to help prepare client environments, execute upgrade activities, troubleshoot issues, and support successful go-lives. Today, leaders of higher education institutions and academic medical centers are spending too much time reacting to market forces, rather than focusing on the essential priorities that help students, faculty and staff thrive.

Huron Consulting Services

SaaS Technical Consulting Analyst (Remote – PST Working Hours)

FULL_TIME

4 years of experience with scheduling software, workforce management software or equivalent, and telephony systems, or 2 years of TriWest experience as a Workforce or Performance Reporting Analyst or Contact Center Supervisor with scheduling software, workforce management software or equivalent, and telephony systems. 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.

TriWest Healthcare Alliance

Workforce Analyst Sr - TRICARE

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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

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.

Data Engineer Sr.

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.

Supervisor, Utilization Management

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

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

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

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

Work From Home Jobs in Tualatin, OR

Field Service Engineer - US Remote Motorola Solutions Inc

Remote - Benefits Presentation Associate AO Garcia Agency

Senior Research Associate, Evidence Synthesis American Cancer Society

Technical Product Manager (Spectrum Dominance) Motorola Solutions Inc

Behavioral Health Case Manager (HRSN) Acentra Health

RN Health Care Facility Surveyor Greenlife Healthcare Staffing

Litigation Paralegal American Family Insurance Group

VP - Health Plan Sales Executive (Remote) Drips

Recurring Care Specialist Float Health

Remote Enrollment Representative AO Garcia Agency

SaaS Technical Consulting Analyst (Remote – PST Working Hours) Huron Consulting Services

Workforce Analyst Sr - TRICARE TriWest Healthcare Alliance

Direct Contracting Manager TriWest Healthcare Alliance

Data Engineer Sr. TriWest Healthcare Alliance

Supervisor, Utilization Management TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Sup, Case Mgmt Sp Prgms Ops TriWest Healthcare Alliance

TRICARE Customer Service Rep TriWest Healthcare Alliance

Director, Population Health TriWest Healthcare Alliance

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