Average salary: $122,316 /yearly
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- ...distribution and file maintenance. 3.14. The contractor shall use the computerized systems such as CHCS, AHLTA, EHR, HAIMS, DEERS, and TRICARE along with other software such as electronic mail, a planning calendar, and databases. 3.15. The contractor shall perform data...SuggestedFull timeContract workFor contractorsWork at officeImmediate startShift workWeekend work
Destiny Management Services, Llc
Remote1 day ago - ...and handle multiple projects simultaneously. Experience in a healthcare environment and knowledge of government programs (e.g., TRICARE, VA, Military Health System) is a plus. Prior experience in a high-profile setting and military service is a plus. Availability...SuggestedFull timeWork at officeFlexible hours
Cook Systems
Remote1 day ago $34.5k - $47.4k
...sensitive diagnosis and/or referral requiring Case Management and pend to appropriate point of contact for review. Understands TRICARE benefits/limitations and Humana Military referral processes, MOUs with MTFs, and referral and UM policies. Answers questions or...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipTraineeshipInterim roleRemote workWork from homeHome officeMonday to FridayShift work- ...REST/SOAP APIs) AWS certifications: Machine Learning Specialty, Solutions Architect, or DevOps Professional Experience with TRICARE, DHA, or healthcare insurance domain knowledge Background in conversational AI design (IVR, chatbots, voice agents) #LIREMOTE...SuggestedFull timeLocal area
$203.4k - $279.8k
...caring community The Associate VP, Transformation & Program Delivery strategically implements Government programs and contracts (TRICARE, Veterans, etc.) while leading a portfolio of transformational initiatives. In this remote role, you will report to the VP of...SuggestedFull timeContract workTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome office$114.96k - $142.01k
...benchmarks and key performance indicators (KPIs) to measure the success of CM Program Ensures all clinical initiatives comply with TriCare, CMS, NCQA, and other state or federal regulatory standards Identifies trends, gaps and operational risks through performance...SuggestedFull timeRemote work$55.22k - $82.89k
...diagnosis codes, CPT physician service codes, internal codes (for unlisted or unusual CPT codes), and governmental (Medicare, Medicaid, TriCare), commercial and managed care regulations by reading relevant professional literature and by attending workshops and lectures....SuggestedDaily paidFull timeTemporary workPart timeRemote workMonday to FridayFlexible hoursShift workDay shift$100k - $130k
...across both facility and professional billing. Payer fluency: Expert-level understanding of Medicare IPPS and OPPS, Medicaid, Tricare, VA, and commercial payer behavior, including contract interpretation, appeal pathways, and reimbursement methodology (DRG, APC, EAPG...SuggestedFull timeContract workImmediate startRemote workFlexible hoursShift work$172.2k - $236.9k
...designs conform to enterprise security, privacy, and regulatory requirements including HIPAA/PHI, ONC interoperability rules, and DoD/TRICARE data standards where applicable. Represent the combined product and architecture voice in governance forums (ARB, TRB, MOR)....SuggestedFull timeTemporary workApprenticeshipWork at officeImmediate startRemote workWork from homeHome office- ...with Verint workforce management or quality management integrations Healthcare domain experience (HIPAA compliance, PHI handling, TRICARE) Experience with change management processes (ServiceNow, CAB approvals) #LIREMOTE Here at rockITdata, we are committed to...SuggestedFull timeLocal area
$86.93k - $107.38k
...Management Society of America (CMSA) and the established definitions of care management and care coordination published by CMSA, NCQA, TRICARE, and CMS. Applies evidence-based criteria, e.g., CMS, and HEDIS quality measures, for care management processes and...SuggestedFull timeRemote work$157.2k - $256.6k
...Calculations include: Medicaid, Medicare Part B, Public Health Service (PHS)/340B, and Federal Supply Schedule (FSS), which includes: TriCare and the Industrial Funding Fee (IFF). The Associate Director will work collaboratively with Contracting Strategy supporting the...SuggestedRemote jobContract work$86.93k - $107.38k
...hybrid training programs for the Case Management department. This role supports clinical and non-clinical staff serving Medicare and TRICARE members. The position will be responsible for collaborating with leadership to develop and deploy both live clinical instruction as...SuggestedFull timeRemote work$95k
...and collaboration with families and teachers within funding requirements. Maintain knowledge of State and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations. Promote the...SuggestedRemote jobFull timeWork at officeWeekend workAfternoon shift$96k - $101k
...~Experience with process flow documentation and design ~2 - 5 years' experience in a healthcare environment (preferred) ~TRICARE Analyst experience (preferred) Requirements ~May lead project team assignments of moderate scope requiring expert technical...SuggestedFull timeTemporary workInterim roleTriWest Healthcare
Remote5 hours ago- ...emergency management, GIS, identity management, and notification systems. Benefits ~Medical, Dental, and Vision coverage ~TRICARE Supplemental ~Critical Illness insurance ~Company-Paid Life and Short-Term Disability insurance ~Optional Long-Term...Full timeContract workTemporary workFor subcontractorWork at office
Tlingit Haida Tribal Business Corporation
Remote2 days ago
