Manager of Healthcare Vendor Contracts and Analytics UNITE HERE HEALTHManager of Healthcare Vendor Contracts and AnalyticsLas Vegas, NVThe Manager ensures effective performance and alignment across multiple vendors, including customer service, claims administration, HRA management, and coalition partnerships, while driving data-informed decision-making and operational excellence. The Manager of Healthcare Vendors & Analytics will be responsible for overseeing the Las Vegas Managed Care Specialist team and managing key healthcare vendor relationships that support the Hospitality Health Plan and analytics.
Healthcare Operations Director Behavioral Health SolutionsHealthcare Operations DirectorHenderson, NVThis leadership role oversees teams responsible for provider scheduling and insurance eligibility verification, ensuring efficient workflows, high accuracy, and excellent service for patients, providers, and facility partners. Behavioral Health Solutions (BHS) is seeking a Healthcare Operations Director to lead and optimize the administrative operations that support patient access and provider scheduling across multiple markets.
Assistant Professor of Big Data Science, Department of Healthcare Administration & Policy, School of Public Health [R0151170] University of Nevada Las VegasAssistant Professor of Big Data Science, Department of Healthcare Administration & Policy, School of Public Health [R0151170]Las Vegas, NVThe person hired for this position will be expected to collaborate with faculty in multiple departments and research areas in the SPH and will support interdisciplinary research in the above topics; further, there will be opportunities to work collaboratively with units across the university campus in support of health-related big data research. The ideal candidate will contribute to and expand existing big data and informatics research within the School of Public Health (SPH), advancing innovative, multidisciplinary approaches to healthcare and public health challenges.
Healthcare Provider, Business Operations - Senior Manager PricewaterhouseCoopers LLPHealthcare Provider, Business Operations - Senior ManagerNV$124,000–$280,000 / yearAs a Senior Manager, you will play a significant leadership role within our Provider Business Operations team, helping healthcare providers execute large, tech-enabled transformation programs for healthcare providers. Shape solution design and transformation strategies across multiple healthcare administrative domains (e.g., finance, HR, supply chain), leveraging deep expertise and a strong understanding of provider operations, business case development, and process improvement.
Customer Service Associate Representative - Cigna Healthcare - Remote The Cigna GroupCustomer Service Associate Representative - Cigna Healthcare - RemoteNVRemote$17.75–$19 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
People Services Director- Healthcare Fox Point Recruitment LLCPeople Services Director- HealthcareElko, NV$101,177–$136,588 / yearHealthcare Context: Acute care hospital experience is strongly preferred; healthcare HR leadership experience supporting hospitals or healthcare systems with 100+ employees. Labor Relations Depth: Direct union experience is strongly preferred, including administering collective bargaining agreements, participating in or leading union negotiations, and handling grievances/arbitrations.
ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionLas Vegas, NVRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.
Healthcare Epic Senior Manager Deloitte Touche Tohmatsu LtdHealthcare Epic Senior ManagerLas Vegas, NV$180,200–$355,100 / yearClients include hospitals, academic medical centers, health systems, home health agencies, long term care, outpatient facilities, ambulatory surgery centers, practitioners and physician groups, as well as health plans, other health insurance companies, pharmacy benefit managers (PBMs), and retail health care clients. As a Senior Manager on the Healthcare Solutions team, you will be responsible for leading complex healthcare transformation engagements and delivering technology-enabled solutions for provider clients.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareNV$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.
Healthcare Relationship Manager Columbia Banking System IncHealthcare Relationship ManagerLas Vegas, NV$113,000–$200,000 / yearAbout the Role: Columbia Bank is growing its Healthcare Banking platform, and were looking for a driven, relationship-first professional to help us serve the financial needs of physician groups, surgical specialists, micro-ER operators, DSOs, and physician-owned medical office buildings (MOBs). Staffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to any Columbia Bank employee and any such submissions will be considered unsolicited unless requested directly by a member of the Talent Acquisition team.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselNVRemote$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 AnalyticsNV$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.
Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingLas Vegas, NVRemote$120,000–$150,000This fully remote role is ideal for a professional who not only understands the government procurement lifecycle, but also brings an established network of agency contacts and a proven ability to identify, pursue, and secure new contract opportunities. Gotham Enterprises Ltd is seeking a highly connected and results-driven Government Contracts Manager to both generate and manage government contracts within our healthcare staffing division.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Nevada) NTT DATA Services, LLCIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Nevada)Las Vegas, NVRemote$108,000–$250,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
NewHealth Plan Payment Solutions Vice President - Healthcare Payments JPMorgan Chase & CoHealth Plan Payment Solutions Vice President - Healthcare PaymentsNVMorgan Payments, we connect consumers, providers, payers, and health tech companies across every healthcare payment transaction, creating a faster, simpler experience for all. JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P.
Field Technician - Healthcare Construction and Renovation KR WOLFEField Technician - Healthcare Construction and RenovationReno, NVFull timeGuided by our commitment to quality, value, and customer service, we operate by our SPIRIT and QUEST core values—delivering exceptional service with integrity, teamwork, and care. The Healthcare Renovation Technician is responsible for the demolition and renovation of all types of healthcare spaces, as well as the installation of new equipment.
Project Manager- Healthcare Construction Layton Construction Co LLCProject Manager- Healthcare ConstructionLas Vegas, NVHeadquartered in Salt Lake City, Utah, Layton operates from 16 strategic offices across the United States, employing more than 1,500 construction professionals who serve diverse markets including healthcare, education, commercial office, industrial, hospitality, and multi-unit residential. Founded on the core values of honesty, unity, safety, and quality, Layton has built a reputation for excellence in complex project delivery while maintaining strong partnerships with clients, architects, and trade partners nationwide.
Traveling Project Manager - Healthcare Construction Layton Construction Co LLCTraveling Project Manager - Healthcare ConstructionLas Vegas, NVHeadquartered in Salt Lake City, Utah, Layton operates from 16 strategic offices across the United States, employing more than 1,500 construction professionals who serve diverse markets including healthcare, education, commercial office, industrial, hospitality, and multi-unit residential. Founded on the core values of honesty, unity, safety, and quality, Layton has built a reputation for excellence in complex project delivery while maintaining strong partnerships with clients, architects, and trade partners nationwide.
Payer Healthcare Data Scientist, Manager PricewaterhouseCoopers LLPPayer Healthcare Data Scientist, ManagerNV$99,000–$232,000 / yearAs part of the Operations Consulting team, you will apply advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface actionable insights that reduce cost of care and improve population health outcomes for our payer clients. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
General Manager - Home Healthcare (Las Vegas, NV) SitrepsGeneral Manager - Home Healthcare (Las Vegas, NV)Las Vegas, NevadaTeam building at scale — you have hired, onboarded, and scaled teams in operationally intensive environments and can cite specific sourcing strategies, hiring mistakes, and resulting process changes. Hire, develop, and lead your market's operations team — Schedulers, Patient Care Coordinators, Clinical Managers, Sales Reps, and field clinicians.
NewHealth Plan Payment Solutions Executive Director - Healthcare Payments JPMorgan Chase & CoHealth Plan Payment Solutions Executive Director - Healthcare PaymentsNVAs a leader on the team, you leverage your advanced capabilities to craft complex solutions, partner with Sales to identify and capture market opportunities, and create new ways for teams to continuously deliver value to customers. Advises the Product Solutions teams on solutioning and adopting new and existing client-facing products and capabilities while crafting complex solutions and assessing risk to enhance the customer experience.
Security Officer - Healthcare Facility - Flex Allied UniversalSecurity Officer - Healthcare Facility - FlexLas Vegas, NevadaAs a Security Officer - Healthcare Facility - Flex in Las Vegas, NV , this role is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up additional shifts when it works for you. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up extra shifts through our scheduling platform, allowing you to increase earnings and gain experience across multiple sites.
NewArmed Security Officer - Healthcare Patrol - Flex Allied UniversalArmed Security Officer - Healthcare Patrol - FlexLas Vegas, NevadaPart timeAs an Armed Security Officer - Healthcare Patrol - Flex in Las Vegas, NV , this role is designed to provide reliable, consistent hours at an assigned site with the flexibility for you to earn more by picking-up additional shifts when it works for you. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up extra shifts through our scheduling platform, allowing you to increase earnings and gain experience across multiple sites.
Healthcare Services Pharmacist Walgreen CoHealthcare Services PharmacistLas Vegas, NV$53.50–$65.35 / hourSupports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal. Walgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyReno, NVFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
Senior Claims Examiner, Medical & Healthcare Claims Markel Group IncSenior Claims Examiner, Medical & Healthcare ClaimsNVThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareCarson City, NV$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
Principal Software Engineer - AI & Cloud (Healthcare / EHR Platforms) Oracle CorpPrincipal Software Engineer - AI & Cloud (Healthcare / EHR Platforms)Las Vegas, NV$99,600–$223,400 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. You'll operate at the intersection of distributed systems, cloud infrastructure, and applied AI-designing intelligent, scalable, and resilient healthcare solutions that directly impact clinical outcomes.
Traveling Project Manager - Healthcare Construction STO Building GroupTraveling Project Manager - Healthcare ConstructionLas Vegas, NVHeadquartered in Salt Lake City, Utah, Layton operates from 16 strategic offices across the United States, employing more than 1,500 construction professionals who serve diverse markets including healthcare, education, commercial office, industrial, hospitality, and multi-unit residential. Founded on the core values of honesty, unity, safety, and quality, Layton has built a reputation for excellence in complex project delivery while maintaining strong partnerships with clients, architects, and trade partners nationwide.
Project Manager- Healthcare Construction STO Building GroupProject Manager- Healthcare ConstructionLas Vegas, NVHeadquartered in Salt Lake City, Utah, Layton operates from 16 strategic offices across the United States, employing more than 1,500 construction professionals who serve diverse markets including healthcare, education, commercial office, industrial, hospitality, and multi-unit residential. Founded on the core values of honesty, unity, safety, and quality, Layton has built a reputation for excellence in complex project delivery while maintaining strong partnerships with clients, architects, and trade partners nationwide.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Nevada) NTT DATA Group CorpIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Nevada)Las Vegas, NVRemote$108,000–$250,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
X Ray Technician Limited Scope & Medical Support Specialist - Full Time ConcentraX Ray Technician Limited Scope & Medical Support Specialist - Full TimeHenderson, Nevada$18.23–$23.70 / hourPrepare patients for physical examinations, including taking vital signs and any required or requested ancillary testing including but not limited to vaccines and injections, phlebotomy, PFTs, audiogram testing and respirator fit testing. The X Ray Limited Scope & Medical Support Specialist performs routine x-ray, medical, and testing procedures under direct supervision of the treating clinician as well as supports in other areas of the facility as needed including registration and referral management.
X Ray Technician Limited Scope & Medical Support Specialist Full Time Concentra Inc.X Ray Technician Limited Scope & Medical Support Specialist Full TimeHenderson, NV$18.23–$23.70 / hourPrepare patients for physical examinations, including taking vital signs and any required or requested ancillary testing including but not limited to vaccines and injections, phlebotomy, PFTs, audiogram testing and respirator fit testing. The X Ray Limited Scope & Medical Support Specialist performs routine x-ray, medical, and testing procedures under direct supervision of the treating clinician as well as supports in other areas of the facility as needed including registration and referral management.
Field Support Specialist TriWest Healthcare AllianceField Support SpecialistLas Vegas, NVFull 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.
Technical Support AgilysysTechnical SupportLas Vegas, NevadaPowered by intelligent guest profiles, data-driven capabilities, and embedded artificial intelligence (AI), Agilysys is architected on a unified data model with a single set of APIs that create shared operational memory across all systems, enabling guest-specific insights to be acted on in real time at any touchpoint. Must be willing to complete all license applications, background checks, security checks and/or any other documentation and provide copies of any identification documents required by any State, Federal or Tribal governmental agency in order to maintain compliance with their laws and to successfully perform in the role.
Supervisor, IT Support TriWest Healthcare AllianceSupervisor, IT SupportLas Vegas, NVRemoteFull timeEstablishes regular meetings with other Service Desk staff to review aging of assigned service requests, share documentation and resolution of high severity issues, and drive solutions to minimize high severity issues. This role provides technical direction, manages customer relations, and performs related duties as assigned in order to document, assist and resolve tier 1 and 2 issues reported to the Service Desk.
Sr. Manager, Customer Support Payments PracticeTekSr. Manager, Customer Support PaymentsLas Vegas, NV$100,000–$120,000For this role, success looks like: 10+ years of experience in payments, merchant services, fintech, SaaS operations, customer success, or related customer-facing operational leadership roles, with deep working knowledge of merchant onboarding, payment processing, underwriting, PCI compliance, risk reviews, terminal deployment, and activation workflows. PracticeTek is one of the largest retail-healthcare tech providers in North America, offering everything a practitioner would need, from pre-encounter workflows to practice management, analytics, digital intake forms, marketing tools, EHRs, and payment systems, for a whopping 40,000+ clinics worldwide.
System Support Automation Specialist - COR Becton Dickinson Medical DevicesSystem Support Automation Specialist - CORSparks, NevadaWaters collaborates with analytical laboratories around the world to advance the release of effective, high-quality medicines, assure the safety of food and water, and drive better patient outcomes by detecting diseases earlier, managing routine infections, and combatting growing antibiotic resistance. Conduct comprehensive, data-driven root cause investigations to proactively identify, troubleshoot, and resolve issues in complex automated laboratory systems, ensuring sustained performance and reliability for customers.
NewCustomer Service Representative TEKsystemsCustomer Service RepresentativeHenderson, NV$20–$22 / hourWe're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
NewMedical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeLAS VEGAS, NevadaWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerLas Vegas, NVRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Program Director HealogicsProgram DirectorHenderson, NevadaWorks directly with the hospital and Healogics marketing departments to ensure that the wound care program has established strategic marketing plans and works with the same group and the hospital physician liaison to plan, coordinate, and execute activities directed toward increasing patient referrals to the wound care center(s). Works collaboratively, as part of a multi-functional team, to best determine key target referral sources, and develops a systematic approach to build those customer relationships and increase wound care center referrals.
Program Director Healogics IncProgram DirectorHenderson, NV$88,400–$116,400 / yearWorks directly with the hospital and Healogics marketing departments to ensure that the wound care program has established strategic marketing plans and works with the same group and the hospital physician liaison to plan, coordinate, and execute activities directed toward increasing patient referrals to the wound care center(s). Required Education, Experience and Credentials: Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related field preferred and 1 year of marketing/community education in the healthcare industry or clinical operations experience.
Director of Client Services (Full Time) Z5 InventoryDirector of Client Services (Full Time)NV$90,000–$100,000 / yearAs our Director of Client Services, you will be the operational and strategic anchor for our project delivery function - leading a team of high-performing Project Managers, championing client relationships at the executive level, and collaborating with our Data and Consulting teams to deliver outstanding outcomes across both client models. Serve as the senior client-facing leader for strategic accounts, building trusted relationships with CFOs, Directors of Supply Chain, VP-level operational leaders, and other key stakeholders at hospitals and outpatient surgery centers.
Dental Laboratory Office Administrator Cambridge Dental Consulting GroupDental Laboratory Office AdministratorLas Vegas, NV$20–$25 / hourThis position plays a critical role in ensuring exceptional client service, efficient case management, accurate administrative processes, and smooth coordination between technicians, drivers, clients, and management. The ideal candidate will have dental industry experience, strong administrative skills, excellent communication abilities, and the ability to thrive in a fast-paced environment.
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperienceLas Vegas, NVRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.
Group Practice Manager Hanger, Inc.Group Practice ManagerLas Vegas, NevadaFull timeThe Group Practice Manager (GPM) leads a small group of O&P clinics that are combined into a group practice, to ensure patients receive timely, high-quality care across a connected network of clinics. Why Us?: With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.
Project Manager TriWest Healthcare AllianceProject ManagerLas Vegas, NVRemoteFull timeTechnical Skills: Project management skills, including data analysis, facilitation and proficiency in the use of project management tools; ability to effectively interact and maintain effective working relationships with all levels of TriWest staff and with external shareholder organizations; ability to consistently meet meeting materials deadlines. Provides project management support for division and special company-wide projects and initiatives, supports TriWest's senior leadership with annual and day-to-day strategic and operational planning and projects, research activities, data analysis, drafts or edits plans and white papers related to specific initiatives.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)NV$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)NV$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.