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.
UNIT PROGRAM COORDINATOR United States Air ForceUNIT PROGRAM COORDINATORNellis AFB, NV$51,542–$67,006 / yearExperience with administrative support programs such as cyber security Liaison (CL), Government Travel Card (GTC) program, Defense Travel Systems (DTS) administrator, drug demand program, Automated Data Processing Equipment (APDE) accounts, security program, supply program, civilian time card program, and unit recognition program; and experience assisting/supporting on military and civilian personnel issues and manpower resource requirements. ACTIVE DUTY SERVICE MEMBERS: The VOW Act requires federal agencies to treat an eligible active duty service member as a veteran, disabled veteran, and preference eligible (as applicable) when applying for civil service positions before the effective release or discharge date.
Outreach Coordinator The Just One ProjectOutreach CoordinatorNorth Las Vegas, NVFull timeThe DHRC Outreach Coordinator serves as a key public-facing representative of the Dolores Huerta Resource Center (DHRC), a one-stop, multi-generational resource hub dedicated to empowering individuals and families through accessible services, education, workforce opportunities, technology access, health and wellness resources, arts and culture programming, and stabilization support. This role strengthens DHRC's visibility, accessibility, and community engagement through hands-on outreach, tabling events, neighborhood partnerships, and public engagement activities while supporting contractual outreach deliverables established in partnership with the City of North Las Vegas.
NewProvider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystLas Vegas, NVRemoteFull 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.
ABA Clinical Reviewer TriWest Healthcare AllianceABA Clinical ReviewerLas Vegas, NVRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinker with the ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. General knowledge of TRICARE or other government health care programs; Knowledge in the application of clinical criteria: InterQual, ICD-10-CM, DSM, and CPT coding; Proficient with Microsoft Office.
General Education and Training Specialist United States Air ForceGeneral Education and Training SpecialistNV$50,460–$90,898 / yearYou must have completed a 4 year course of study leading to a bachelors from an accredited institution AND must have documented Superior Academic Achievement (SAA) at the undergraduate level in one of the following: a) Class Standing - upper third of the graduating class based on completed courses in the college, university, or major subdivision; b) Grade Point Average - 2.95 or higher out of a possible 4.0 as recorded on your official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of curriculum; OR 3.45 or higher out of a possible 4.0 based on the average of the required courses completed in your major field or the required courses in your major field completed during the final 2 years of your curriculum. Any individual who has completed a period of obligated service in a uniformed service of more than four years and was awarded a degree by an institution of higher education from a public or other non-profit institution not more than four years before the closing of this announcement meets the basic eligibility requirement to apply for the DHA Recent Graduates Program.
NewWelder U.S. Department of Homeland SecurityWelderBoulder City, NV$32.53–$37.94 / hourNational Service Experience (i.e., volunteer experience): Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social).Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. Military Spouses (if applicable) - You MUST submit verification of the marriage to the service member (i.e., a marriage license or other legal documentation verifying marriage) AND: (1) a copy of your spouses active military orders; OR (2) verification of your spouses 100% service-connected disability (VA Letter and/or DD-214); OR (3) verification of the service members death while on active duty (DD-1300/Death Certificate).
NewManager, Clinical & Business Insight TriWest Healthcare AllianceManager, Clinical & Business InsightLas Vegas, NVRemoteFull timeTechnical Skills: Strong knowledge of Microsoft Excel, Access, Preferred strong knowledge of Crystal Reports, SQL Reporting Services, and other query software; Knowledge of relational databases; Working knowledge of medical management systems; Working knowledge of referral and authorization systems; Working knowledge of healthcare; Working knowledge of medical coding, HIPAA regulations, claims processing, and healthcare reimbursement systems. • Drive improvements in cost efficiency, quality of clinical care, and effectiveness of clinical programs by performing data analysis to deliver actionable insights that are backed by empirical evidence.
Special Agent U.S. Department of Homeland SecuritySpecial AgentNV$48,854–$118,204 / yearYou are minimally qualified for the GL-07 Level starting base salary 48854 if you possess one of the following: A bachelors degree from an accredited college or university with Superior Academic Achievement (S.A.A.), which is based on: Class standing: Applicants must be in the upper third of the graduating class in the college, university, or major subdivision (such as the College of Liberal Arts or the School of Business Administration) based on completed courses. Grade-point average (G.P.A.): Applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 (B or better) as recorded on their official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum.