Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Cheyenne, WYRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Clinical Intake/Enrollment Specialist for Care Management Harris Computer SystemsClinical Intake/Enrollment Specialist for Care ManagementWYRemoteEsrun Health seeks talented and motivated individuals to join our Clinical Intake Team as Enrollment Specialists, working with our clients to help ensure their eligible patients have the opportunity to understand and enroll in the Care Management programs offered by their practice provider. Required Quota for base pay + commission rates - 300 outreach attempts (calls/texts) with minimum of 10 documented enrollments per pay period.
Clinical Education Training Specialist TriWest Healthcare AllianceClinical Education Training SpecialistCheyenne, WYRemoteFull timeAssist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerCheyenne, WYRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
Clinical Laboratory and Healthcare Facility Surveyor 2026-01319 State of WyomingClinical Laboratory and Healthcare Facility Surveyor 2026-01319WYYou will serve as a Health Facility Surveyor with the Health Care Surveillance Branch, Healthcare Licensing and Surveys, Wyoming Department of Health, conducting surveys and investigating complaints statewide according to Wyoming State Statutes and agreement with the federal Centers for Medicare and Medicaid Services (CMS). (AA) VETERANS PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veterans military service, and wish to claim veterans preference, please attach the appropriate documentation substantiating your claim.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTCheyenne, WYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusCheyenne, WYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Field Support Specialist TriWest Healthcare AllianceField Support SpecialistCheyenne, WYFull timeThe incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.
Public Cloud Marketplace Specialist Arrow Electronics IncPublic Cloud Marketplace SpecialistWYRemote$93,500–$130,352.60 / yearJob Description: Arrow Electronics has an exciting new opportunity for a Marketplace Supplier Specialist who will work with Account Management Representatives, supplier partners, engineers, and other internal Arrow resources to offer exemplary customer service and product knowledge expertise with an aim to expand marketshare and grow our business. What You'll Be Doing: Through primarily digital interaction, this Marketplace Supplier Specialist will support a variety of supplier offerings in public cloud marketplaces, helping customers to locate and secure the right products or services for their specific needs.
Appeals Specialist Blue Cross and Blue Shield AssociationAppeals SpecialistCheyenne, WYDepending on the department and the position, eligible employees may be offered limited In-Office/WFH flexibility (for those positions that are offered limited WFH, there will be a required number of In-Office days per week/month depending on department). In this position, you'll be the friendly expert guiding members and providers through the appeals process-setting up cases, coordinating reviews, sending important communications, and keeping everything running smoothly and on time.
Remote Telemedicine Physician – Men's Hormone Specialist (MD/DO) Hone Health Medical RolesRemote Telemedicine Physician – Men's Hormone Specialist (MD/DO)Cheyenne, WYRemoteWe are looking to add to our growing team of 150+ physicians who specialize in treating hormones and are passionate about improving patient outcomes through telemedicine. If you are a physician with a strong background in treating hypogonadism and experience prescribing testosterone and other hormone-optimizing pharmaceuticals, this is an opportunity to join a mission-driven team that is reshaping access to care.
Medical Science Liaison MSL Rocky Mountains- MT, WY CO, NM Vor BioPharma IncMedical Science Liaison MSL Rocky Mountains- MT, WY CO, NMWY$208,000–$240,000 / yearWho we are looking for: The Medical Science Liaison (MSL) in Neurology will serve as a scientific expert, fostering partnerships with healthcare professionals, clinical researchers, and advocacy groups in relevant disorders. The MSL will deliver high-quality scientific exchange, provide education on emerging data, support clinical trial execution, and capture insights that inform medical affairs strategy.
Vascular Embolization Territory Manager North Denver Northern CO and WY Penumbra IncVascular Embolization Territory Manager North Denver Northern CO and WYCheyenne, WY$150,000–$200,000 / yearAttend industry trade shows as assigned, responsible for show follow-up, including a summary report to sales and marketing management, turning in orders, communicating problems for internal follow-up, getting leads, and sending appropriate follow-up correspondence. Professional Development • Ability to manage a large number of accounts and work well across territories with multiple Territory Managers and Clinical Specialists to create high-functioning internal relationships.