THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES.   Claims Correspondence Quality Control Analystat TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Claims Correspondence Quality Control Analyst?

The Business Analyst Sr develops technical and business solutions for an industry-leader supporting healthcare needs of the nation’s Veteran and military members. Performs critical engagement in multiple, large-scale and cross-functional project management efforts as a member of a Project Team led by a Senior Project Manager using recognized project management knowledge and practices within a dynamic, fast-paced, customer facing Enterprise Project Management Office (ePMO). Develops, prepares and submits annual, quarterly, monthly comprehensive special program plans. Facilitates meetings, identifies, collects, organizes and prioritizes data requirements and business processes changes to meet project requirements.

Manager, Database Admin at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.  

In partnership with the Director, Provider Network Relations, is responsible for supporting customer satisfaction for all stakeholders of TriWest’s provider network to include: identifying strategies to resolve network subcontractor operational issues; oversee all staff recruiting, staff new hire orientation and ongoing training; managing and allocating resources and staff to support provider relations and education requirements, VA Medical Center (VAMC) education, and network subcontractor training; and participating in quality improvement projects throughout the organization. The Manager oversees and is responsible for activities related to provider relations and education and contract compliance and other assigned responsibilities; including, but not limited to, the achievement, motivation, and training of subordinate staff located at remote (out of state) sites and at the Corporate office. This position is also responsible for all aspects of tracking and reporting activities of all network subcontractors fulfillment of their specific statement of work.

Direct Contracting Manager at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

Training Specialist at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.  

Taking Care of Our Nation’s Veterans.   It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community. At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Program Integrity Specialist?     This position is under the general guidance of the Director, Corporate Compliance and reports directly to the Supervisor, PI Specialist.  The PI Specialist 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) and the Healthcare Finance Administration (HCFA); requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).  Complies with the Veterans Affairs Patient-Centered Community Care (PC3) and Veterans Choice Program (VCP) contracts 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, 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.

THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES. Provider Credentialing Specialistat TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Provider Credentialing Specialist?

THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES.   Provider Data Resolution Specialist at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Provider Data Resolution Specialist?

VA Provider Contracting and Education at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.  

Correspondence Clerk at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Correspondence Clerk?   The position serves as the primary receiving point for all incoming correspondence sent to the Customer Grievance and Congressional Relations department from internal and external sources. Ensures date-stamping and logging of workload in department’s correspondence tracking system (TRCTR) and other spreadsheets utilized for tracking non-VA-reported workload. Monitors receipt of incoming faxes. Produces reports out of tracking system and other tracking spreadsheets at the request of department director and manager. Performs printing of faxes and other documentation, photocopying and other duties as assigned. Maintains receipt and tracking of company “kudos” listing for reporting purposes.

Training Content Specialist at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.  

Direct Contracting Manager at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.  

THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES inTexas Supervisor, Claims Customer Service at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Supervisor, Claims Customer Service?

THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES in El Paso,TX   Claims Customer Service Team Lead at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Claims Customer Service Team Lead?  

Taking Care of Our Nation’s Veterans.   It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community. At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Manager, Provider Services Systems?     Reporting directly to the Director, Provider Data & Management, this position is responsible for oversight of the provider services systems, quality, training and documentation processes that support the operations of the Provider Services department. Represents Provider Services in related process redesign and quality projects aligned to the annual strategic plan.  Leads or participates in improvement projects, performs cost/benefit analysis. Executes projects from start to finish. Initiates joint problem-solving using data analysis tools, performance measurements, and decision-making processes.  Coordinates the integration of office operations and on-line systems.  Assists with staff training and developing staff to attain service-level requirements of the TriWest business and ensures compliance with TriWest policies and procedures.  Oversees implementation of system enhancement implementation and coordinates schedules and communications with department leaders within the organization.

Phoenix AZ & El Paso, TX   Claims Customer Service Rep at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Claims Customer Service Rep?   In order to apply, you must submit your current resume through PeopleSoft in an electronic format, and submit a completed Internal Interview Request form signed by your supervisor/manager to Human Capital. The form can be found on TriNet under Forms Repository/Human Capital.  

Phoenix Az & El Paso, TX   Claims Call Center Rep at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Claims Call Center Rep?   In order to apply, you must submit your current resume through PeopleSoft in an electronic format, and submit a completed Internal Interview Request form signed by your supervisor/manager to Human Capital. The form can be found on TriNet under Forms Repository/Human Capital.

This Position in Located in Phoenix, AZ   Project manager at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Project Manager?  

THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES.HAWAII Claims Customer Service Rep at TriWest Healthcare Alliance   Taking Care of Our Nation’s Veterans. It’s Who We Are. It’s What We Do.   Do you have a passion for serving those who served?   Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!   Our job is to make sure that America’s heroes get connected to health care in the community.   At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.   Are you our next Claims Customer Service Rep?