OT Analyst/Consultant (Remote) Accenture PlcOT Analyst/Consultant (Remote)St. Petersburg, FLRemoteIdeal candidates for this category have previous experience, one or more of the following: Intelligence analysis and reporting using various cyber intelligence models and frameworks is also desired OT security sensor/tool deployment, OT networks, systems, and devices and how convergence, integration, and digitalization impact the OT attack surface throughout multiple industries OT security program/governance development. We hire the very best security talent and arm them with the coolest tools and latest tech so they can help our clients build resilience as we create integrated, customized turnkey solutions.
Remote-Life Insurance Sales Professional-Entrepreneurial Opportunity GIA Legacy PlanningRemote-Life Insurance Sales Professional-Entrepreneurial OpportunityTampa, FloridaRemoteWe work with independent agents across the US who are building their own books of business through a system that is already proven and already in motion. Warm inbound leads system in place — you talk to people who already raised their hand for coverage, so there is no cold calling.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementTampa, FLRemoteFull 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.
Provider Credentialing Rep TriWest Healthcare AllianceProvider Credentialing RepTampa, FLRemoteFull 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.
Data Engineer Sr. TriWest Healthcare AllianceData Engineer Sr.Tampa, FLRemoteFull timeTechnical Skills: Strong knowledge of data warehouse design; data modeling; proficiency with SQL; strong experience with data extraction, transformation, and loading (ETL); working knowledge of report and dashboard development; strong knowledge of SQL Server / Snowflake databases; working knowledge of Oracle databases. • Bachelor's Degree in Business Administration, Computer Science, Mathematics, Engineering, or related field with programming and database systems coursework or equivalent database development experience.
Sr. HRIS Analyst - Workday | Remote, USA Optiv Security IncSr. HRIS Analyst - Workday | Remote, USATampa, FLRemoteProvide end-to-end functional support of Workday, including support of various HR Modules; HCM, Compensation, Advance Compensation, Benefits, Time & Absence, Talent Management, Report Writer, Integration management, Security Administration. Provide project management expertise and/or assist project teams associated with HR projects and initiatives including integrations, system upgrades, modifications, and enhancements.
Sr Info Security Engineer TriWest Healthcare AllianceSr Info Security EngineerTampa, FLRemoteFull 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.
NewBusiness Analyst Sr TriWest Healthcare AllianceBusiness Analyst SrTampa, FLRemoteFull 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.
Customer 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) onlyTampa, FLRemoteFull 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.
NewSenior Buyer TriWest Healthcare AllianceSenior BuyerTampa, FLRemoteFull timeAssists departments in obtaining pricing and other information from vendors as well as reviews contracts and assists business units in the management of contractual obligations of the vendor to ensure that all terms and conditions are met. Act as SME in support of Procurement, Contract Management, DHA/ VA Contract Modification, Finance and business teams in support of pricing efforts including ROMs, RFIs/ RFPs, contracts, and licensing agreements.
NewProvider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystTampa, FLRemoteFull 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.
NewManager, Government Accounting TriWest Healthcare AllianceManager, Government AccountingTampa, FLRemoteFull timeThe Government Accounting Manager leads program financial management activities across multiple federal contracts, contract line items, and contract modifications, ensuring compliant general ledger operations aligned with company policy, company disclosed accounting practices, FAR, DFARS, and CAS. As a key business partner to Budget, Contract Management, Procurement, and Human Capital teams, the manager ensures accurate financial reporting and supports program execution by ensuring general ledger reporting is relevant and reliable.
NewSenior Human Capital Generalist TriWest Healthcare AllianceSenior Human Capital GeneralistTampa, FLRemoteFull 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.
NewDirector, Referral Management TriWest Healthcare AllianceDirector, Referral ManagementTampa, FLRemoteFull 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.
NewDirect Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerTampa, FLRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
NewSenior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystTampa, FLRemoteFull 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. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerTampa, FLRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Supervisor, Contact Center TriWest Healthcare AllianceSupervisor, Contact CenterTampa, FLRemoteFull 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.
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)Tampa, FLRemoteFull 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.
Diagnostic Radiologist - 100% Remote - Up to $1.3 mil - Swing Shift - Flexible Part time MedAtlantic Healthcare SolutionsDiagnostic Radiologist - 100% Remote - Up to $1.3 mil - Swing Shift - Flexible Part timeTampa, FloridaRemoteMy client, a physician-owned and operated phsyician group, is actively seeking US-based, board-certified or board-eligible radiologists for swing shift coverage. If you are looking for a supportive, physician-driven teleradiology environment with strong earnings and excellent operational backing, this is a fantastic opportunity.