Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Little Rock, ARRemoteFull timeComplies 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).
NewHealthcare Consultant, Network Strategy & Analytics (remote) UnitedHealth Group IncHealthcare Consultant, Network Strategy & Analytics (remote)Little Rock, ARRemote$72,800–$130,000 / yearThis role will partner closely with contracting, finance, actuarial, operations, provider relations, and clinical teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions. This role primarily supports and validates provider and payor network contracting and trend management activities through financial or pricing modeling, negotiation support, analysis, and reporting.
NewHealthcare Consultant, Network Strategy & Analytics (Remote) UnitedHealth Group Inc.Healthcare Consultant, Network Strategy & Analytics (Remote)Little Rock, ARRemote$72,800–$130,000 / yearThis role will partner closely with contracting, finance, actuarial, operations, provider relations, and clinical teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions. This role primarily supports and validates provider and payor network contracting and trend management activities through financial or pricing modeling, negotiation support, analysis, and reporting.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareAR$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselARRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsAR$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Controller (Healthcare) Arkansas Talent GroupController (Healthcare)Little Rock, ArkansasThis is a high-impact leadership opportunity for an experienced accounting and finance professional who enjoys improving processes, developing teams, strengthening controls, and translating financial information into actionable business insight. Arkansas Talent Group is exclusively partnering with a respected, growth-oriented Healthcare Organization to identify a strategic and hands-on Controller to lead the financial operations of its Physician Group in Little Rock!
Chief of Staff to the SVP - Healthcare Analytics CVS Health CorpChief of Staff to the SVP - Healthcare AnalyticsAR$131,500–$303,195 / year6+ years of experience managing and optimizing structured business processes, including recruiting operations, onboarding programs, and cross-functional governance, with a proven ability to drive execution and operational excellence. Operational rhythm: run the recruiting pipeline, manage onboarding so new colleagues get up to speed effectively, organize leadership onsite workshops, and have meeting cadence to drive transparency and engagement.
Project Manager Sr TriWest Healthcare AllianceProject Manager SrLittle Rock, ARRemoteFull timeTechnical Skills: Knowledge of the Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques, presentations skills, and proficient with Excel, SQL, Word, PowerPoint, and Visio. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines.
Sr Project Manager - Strategic Planning TriWest Healthcare AllianceSr Project Manager - Strategic PlanningLittle Rock, ARRemoteFull timeProject leads/supports multiple complex cross functional projects and assigned teams; effectively models, implements and communicates best practice project management knowledge, skills, tools and processes ensuring accuracy, consistency and thoroughness in all phases. Technical Skills: Knowledge of modern Healthcare/Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques.
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerLittle Rock, ARRemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMLittle Rock, ARRemoteFull timeDevelops 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.
Veterinary Hospital Area Manager PetVet Care CentersVeterinary Hospital Area ManagerBenton, AR$75,000–$80,000 / yearClassification of protected categories is as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityLittle Rock, ARRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerLittle Rock, AR$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
NewManager, Data Engineering (Master Data Management) MDM TriWest Healthcare AllianceManager, Data Engineering (Master Data Management) MDMLittle Rock, ARRemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. • Develops and maintains ongoing relationships with hardware, software, consultant, and employee resource vendors to insure that TriWest systems are adequately supported and external opportunities are understood and considered in the planning process.
Environmental Services Manager Compass Group USA IncEnvironmental Services ManagerLittle Rock, AR$50,000–$52,000 / yearCrothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Crothall Healthcare, a Compass Healthcare company, provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry.
Executive Recruiter TriWest Healthcare AllianceExecutive RecruiterLittle Rock, ARFull timeServing as a trusted advisor to executive hiring leadership, the Executive Recruiter develops and executes proactive, research-driven search strategies to identify, attract, and secure top-tier leadership talent. The Executive Recruiter leads full lifecycle recruitment for executive level Director, Vice President, Chief-level, and other highly specialized leadership roles across TriWest Healthcare Alliance.
Pharmacy Operations Manager- CPhT Walgreen CoPharmacy Operations Manager- CPhTConway, AR$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Director of Nursing – Surgical Services TaphealthcareDirector of Nursing – Surgical ServicesBenton, ArkansasThe Director will collaborate closely with physicians, nursing leadership, and executive teams to optimize surgical workflows, improve patient outcomes, and drive performance across key operational metrics. This leadership role is responsible for overseeing surgical services including Pre-Op, PACU, and procedural areas, ensuring high-quality patient care, operational efficiency, and staff engagement.