Case Manager (LCSW) TriWest Healthcare AllianceCase Manager (LCSW)Kansas City, MORemoteFull timeFunctions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.
Provider Credentialing Rep TriWest Healthcare AllianceProvider Credentialing RepKansas City, MORemoteFull timeThis role facilitates meetings to discuss and resolve certification and credentialing issues and concerns, manages the Credentialing shared inbox to provide accurate and prompt responses to internal and external inquiries, and collaborates closely with Credentialing department leaders to evaluate and refine processes. • Assists in developing, compiling, and distributing routine and ad hoc reports on certification and credentialing metrics, KPIs, backlog trends, workflow timeliness, and quality indicators; contributes to presenting findings to leadership and recommending improvement strategies.
Sr Info Security Engineer TriWest Healthcare AllianceSr Info Security EngineerKansas City, MORemoteFull timePlans delivery of solutions; answers technical and procedural questions from less experienced team members; teaches improvement processes; mentors team members and provides security technical leadership to other Information Security and Information Technology team members. • Experience in a role that has lead security operations, security tools and solutions, secure applications and networking in the implementation of NIST and Security Best Practices to meet or exceed compliance with the FISMA Moderate/High requirements.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementKansas City, MORemoteFull timeTechnical 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.
Principal Field Clinical Specialist - Mitral & Tricuspid (Missouri/Kansas) Medtronic PlcPrincipal Field Clinical Specialist - Mitral & Tricuspid (Missouri/Kansas)Kansas City, MORemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
Instructor Kansas State UniversityInstructorOlathe, KSRemoteK-State Olathe focuses on industry-ready education, professional development, applied research, and regional workforce needs, with programs and partnerships in areas such as food science, animal health, advanced manufacturing, supply chain, community health, and food as medicine. Through academic programs, professional workshops, research facilities, and event space, the campus connects students, professionals, businesses, and community partners to education and innovation that create real-world impact.
Field CISO - Client Advisory | Remote, Central Region Optiv Security IncField CISO - Client Advisory | Remote, Central RegionKansas City, MORemoteThis individual will leverage deep technical expertise and business acumen to understand client security challenges, develop tailored solutions, and effectively communicate the value of Optiv's solutions and offerings. Collaborate with field sales teams to identify and qualify opportunities in Optiv client base, contributing to the sales pursuit and successful design of security solutions, and services engagements.
Aviation Planning Intern H.W.Lochner IncAviation Planning InternKansas City, MORemoteThe intern will assist with research, data collection, technical documentation, public involvement activities, grant support, mapping, and report preparation while gaining exposure to planning processes and project delivery. Whether you're launching your career or bringing years of experience, you'll have the opportunity to work alongside industry-leading experts, collaborate across disciplines and borders, and contribute to projects that transform the way people live, move, and connect.
Indemnity Claims Specialist CorVel CorpIndemnity Claims SpecialistOverland Park, KSRemote$52,999–$85,473 / yearThe Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. 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.
NewBuild Trust With Families - From Your Desk at Home AO Garcia AgencyBuild Trust With Families - From Your Desk at HomeLeavenworth, KansasRemoteWe 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.
NewProvider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystKansas City, MORemoteFull timeThis role requires knowledge of healthcare coding and reimbursements, strong analytical skills, ability to work with large multi-dimensional sets, an ability to identify negative and positive trends, and strong communication skills that enable clear communications to leadership regarding findings. • Works closely with Provider Services and Finance leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings.
Business Analyst Sr TriWest Healthcare AllianceBusiness Analyst SrKansas City, MORemoteFull timeIndependent 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. The position collaborates to ensure relevant analysis and complete, timely reporting is provided to meet TriWest business needs and Government's Healthcare requirements.
NewPricing Analyst (Remote) Keystone Technologies IncPricing Analyst (Remote)Kansas City, MORemoteThe Pricing Analyst will focus on developing job quotes, analyzing customer pricing, and collaborating closely with our sales team to enhance our pricing strategies and profitability, and improve customer satisfaction. We honor everybody’s story and build lifelong relationships, whether with colleagues, customers, or partners, because to reach our fullest potential means empowering people to thrive.
NewCustomer Service Representative (AR, IL, IA, KS, LA, MO, MN, NE, ND, OK, SD & WI) only TriWest Healthcare AllianceCustomer Service Representative (AR, IL, IA, KS, LA, MO, MN, NE, ND, OK, SD & WI) onlyKansas City, MORemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
NewDirector, Referral Management TriWest Healthcare AllianceDirector, Referral ManagementKansas City, MORemoteFull timeCollaborates with Utilization Management Director, MVS Directors, network providers, Military Treatment Facilities and TRICARE Regional Office West regarding TriWest's RM program initiatives including submission, review, optimization and return of clinical documentation processes. In collaboration with our Military & Veteran Services (MVS) leadership team and the Clinical Operations Utilization Management team, the Director develops strategies for achieving annual Referral Management goals and objectives, including input on system configuration and process development.
NewCustomer Service Rep - Spanish Fluency Required TriWest Healthcare AllianceCustomer Service Rep - Spanish Fluency RequiredKansas City, MORemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Supervisor, Contact Center TriWest Healthcare AllianceSupervisor, Contact CenterKansas City, MORemoteFull timeEnsures accurate completion of VA-approved medical authorizations, appointment scheduling, thorough documentation of all Veteran and provider encounters in the TriWest medical management system and receipt of timely medical documentation from network providers. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
NewVirtual - Member Care Representative AO Garcia AgencyVirtual - Member Care RepresentativeOlathe, KansasRemoteWe 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.
Senior Human Capital Generalist TriWest Healthcare AllianceSenior Human Capital GeneralistKansas City, MORemoteFull timeTechnical 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.
Customer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only) TriWest Healthcare AllianceCustomer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only)Kansas City, MORemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.