MTS Service Delivery Manager JLLMTS Service Delivery ManagerPortland, ORRemoteYou translate account strategy into consistent, reliable service delivery-ensuring every technician, every shift, and every work order reflects MTS's commitment to technical excellence and operational reliability, and ensuring the client knows that MTS is operationally responsive and committed to their success. Job Description: The MTS Service Delivery Manager is the operational and regional execution leader for a dedicated client account, responsible for day-to-day service delivery, performance accountability, and quality assurance across all MTS operations in their region.
Data Engineer TriWest Healthcare AllianceData EngineerPortland, ORRemoteFull 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.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerPortland, ORRemoteFull 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.
Customer Service Rep - Spanish Fluency Required TriWest Healthcare AllianceCustomer Service Rep - Spanish Fluency RequiredPortland, ORRemoteFull 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.
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)Portland, ORRemoteFull 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.
Business Analyst Sr TriWest Healthcare AllianceBusiness Analyst SrPortland, ORRemoteFull 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.
Salesforce Health Cloud Architect TriWest Healthcare AllianceSalesforce Health Cloud ArchitectPortland, ORRemoteFull timeTechnical Skills: General knowledge of data communication architectures, design, and support; General knowledge of the technology impacts on business and how to integrate technical plans to support enterprise business function; Business problem-solving skills; Understanding of project management concepts and techniques, including metrics. Works directly with Salesforce Health Cloud development teams, administrators and 3rd party vendor partners to provide expert technical direction, instruction, and leadership around complex technical concepts.
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) onlyPortland, ORRemoteFull 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 ManagementPortland, ORRemoteFull 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.
NewProvider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMPortland, ORRemoteFull 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.
Dir, Bus Design & Prod Mgmt TriWest Healthcare AllianceDir, Bus Design & Prod MgmtPortland, ORRemoteFull timeThis position requires in-depth knowledge and expertise in all aspects of TriWest's business contracts and provides cross-functional leadership and design as needed to adjust to a constantly changing environment. The Director of Business Design and Product Management oversees multiple operational support teams including Business Design and Integration (BDI) and Product Management.
NewTechnical Business Analyst 2 - Remote 09/09/26 AZAD Technology PartnersTechnical Business Analyst 2 - Remote 09/09/26Portland, ORRemote$45–$57 / hourExperience should be consistent with the specific requirements of technical business analysis and information technology and progressively more technical in nature Proficiency with Microsoft products, including Word, Visio, PowerPoint, Excel, and Outlook or similar. AZAD is looking for bright, talented, flexible, and customer centric problem solvers who enjoy the challenges associated with solving the most complex problems by utilizing the most sophisticated technologies and strong people skills.
NewSenior Buyer TriWest Healthcare AllianceSenior BuyerPortland, ORRemoteFull 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.
NewDirect Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerPortland, ORRemoteFull 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.
NewProvider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystPortland, ORRemoteFull 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.
Senior Human Capital Generalist TriWest Healthcare AllianceSenior Human Capital GeneralistPortland, ORRemoteFull 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.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementPortland, ORRemoteFull 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.
Cruise & Resort Booking Specialist (Work From Home) Never Ending TravelsCruise & Resort Booking Specialist (Work From Home)Anahiem, CARemoteUnlimited earning potential – Commission-based with instant possibility to obtain instant pay outs, and build residual income. We are seeking motivated, self starting individuals interested in operating independently as Remote Resort and Cruise Bookers.
Senior Sales Director, Law Enforcement & Homeland Defense Motorola Solutions IncSenior Sales Director, Law Enforcement & Homeland DefenseORRemote$150,000–$190,000 / yearThis key leadership role establishes, builds, and leads a dedicated revenue pillar responsible for driving business growth across the US Department of War, National Guard, Federal Civilian & Law Enforcement agencies (DOJ, DHS, DOI, etc.), as well as State & Local Public Safety organizations. This position leads a team of specialized Sales Directors, executing a bottom-up tactical sales strategy while aligning closely with top-of-funnel Market Development Executives (MDEs), Business Development Directors, and Spectrum Overlay specialists.
Sr. Trial Attorney Nationwide Mutual Insurance CoSr. Trial AttorneyPortland, ORRemote$138,000–$243,000 / yearAreas of focus include appellate practice, commercial auto, commercial premises, commercial material damage, commercial properly, complex commercial, complex personal lines liability, homeowners liability, dog bite, slip and fall/trip and fall, trucking, liquor liability, wrongful death, federal practice, liquor liability, material damage, personal lines auto, personal lines property damage, premises liability, products liability, trucking defense, and uninsured/underinsured motorist. Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment.