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 Clinical Quality – RN?    Ensures compliance with contract requirements for clinical quality management (CQM) to ensure quality care for Veterans. Identifies and evaluates potential quality issues and prepares summaries for further review and analysis. Supports activities of peer review and quality and safety committees. Reviews discharge summaries and consultation reports for compliance with clinical quality and contract requirements.

Linux System Engineer Sr. 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.    

Sr. Claims Data Analyst 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 Sr. Claims Data Analyst?     Manages and performs internal department and/or subcontractor operations claims data control oversite and activities to include data compilation, analysis, and reporting. Able to combine data from multiple sources and research various systems to develop operations reports. Identifies process improvement opportunities based on analysis and audit results.  Develops and provides training based on the identified opportunities.  Holds meetings with the internal departments and/or subcontractors to provide audit findings/results and collaborates to minimize claims processing errors. Trends/tracks and reports on all quality related issues.

Are you qualified?    Education & Experience Required - High School diploma or GED - One year experience in a customer service role with performance metrics - Experience using Microsoft Office products and the Internet Preferred - Healthcare industry experience to include knowledge of health services - Contact center experience to include call center chat messaging - Military experience focusing on service delivery More about working at TriWest Healthcare Alliance   We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: - Medical, dental and vision coverage - Generous paid time off - 401(k) Retirement Savings Plan (with matching) - Short-term and long-term disability, basic life, and accidental death and dismemberment insurance  Equal Opportunity Employer   TriWest Healthcare Alliance is an equal employment opportunity employer. All qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.   Are you ready to make a difference in the lives of our nation’s heroes?

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 Medical Director?    Oversees and participates in clinical quality reviews, peer review, and provider interactions. Works closely with and oversees clinical staff reviewing potential quality issues and appropriateness of care. Develops provider and system-based corrective action plans as needed. Chairs and coordinates quality and other committee meetings as assigned. Documents reviews of clinical quality and appropriateness of care in the medical management system. Collaborates with VA, network providers, and TriWest staff to assure timely, appropriate and high quality care. Uses data to facilitate and optimize the delivery of health care services. Interacts directly with beneficiaries, as indicated, to assure a high level of satisfaction.

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 Representative?    Handles inbound phone calls from Veterans, VA and other customers. Performs claims research and resolution regarding both institutional and professional claims.  Reviews claims and responds to Veteran questions regarding billing issues. Works in a detailed, fast-paced, and repetitive production environment. Interacts with customers in a professional, formal manner where the focus is on completing the task pleasantly and with high quality and accuracy.

THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES.   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.   Are you our next Direct Contracting Manager?

Tribal Health 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 Tribal Health Manager?

This position is located in Anchorage, Alaska; all applicants must currently reside in Alaska.   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.   Are you our next Direct Contracting Manager?

Contract QC Analyst at TriWest Healthcare Alliance - Phoenix    THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES.   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.

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 Director, Provider Data & Management?

Manager, Reporting and Dashboard at TriWest Healthcare Alliance   THIS POSITION IS POSTED EXTERNALLY BUT IS ONLY FOR QUALIFIED TRIWEST INTERNAL EMPLOYEES.   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.   Manages the the Reporting and Dashboard team, with direct responsibility for self service, routine, and ad hoc report delivery. Monitors operational and contractual performance and proactively engages TriWest leadership as performance trends are observed. Serves as a key member of Data Governance program, as well as other internal committees. Drives the continued evolution and customer engagement with Tableau and other reports, driving the organization to make data-based decisions. Primary purpose is to support TriWest in its effort to effectively and efficiently meet contractual objectives.  

Important Notice to All Candidates - Please Read   IMPORTANT! We’ve been made aware of a possible recruiting scam. Please read this important message to protect your personal information while applying for a career at TriWest.   Should you be contacted about an employment opportunity at TriWest, please be aware that TriWest recruiters will never communicate with any employment candidate or any other member of the public through a "@gmail" email address or conduct business in a Google Hangout.   Thank you for your interest in joining our team. TriWest Healthcare Alliance Recruitment

Important Notice to All Candidates - Please Read   IMPORTANT! We’ve been made aware of a possible recruiting scam. Please read this important message to protect your personal information while applying for a career at TriWest.   Should you be contacted about an employment opportunity at TriWest, please be aware that TriWest recruiters will never communicate with any employment candidate or any other member of the public through a "@gmail" email address or conduct business in a Google Hangout.   Thank you for your interest in joining our team. TriWest Healthcare Alliance Recruitment

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 Director, Provider Data & Management?

This position is located in Anchorage, Alaska, all applicants must currently reside in Alaska.   Job Summary   Develops and maintains provider relationships within designated state/territory that TriWest is responsible for direct contracting. Manages network development activity with network providers and recruits new providers to meet business needs.   Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.   Facilitates resolution of escalated provider issues, and promotes TriWest Corporate initiatives.

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 Sr Project Manager?