TriWest Healthcare Alliance

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Recruiting Location Phoenix, AZ
ID 2020-3195
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.
Recruiting Location Phoenix, AZ
ID 2020-3194
Location: Phoenix, AZ   Are you a driven and independent individual? Do you have healthcare and/or project management experience? Do you expect great results out of yourself and others? If so, we might be a fit. TriWest Healthcare Alliance has been on a Mission to serve our nation’s Veterans and their families since 1996. We are an evolving team of professionals that will do “Whatever it Takes” to serve our nation’s heroes in partnership with the VA. We are looking for talented individuals with a unique blend of skills to advance our organization through project management.    Responsible for directing, managing and supporting large, complex, cross-functional projects, programs and portfolio initiatives for a an industry-leader supporting the healthcare needs of the nation’s Veterans and military members. The Director will lead the Enterprise Project Management Office (ePMO) which is highly supported by corporate leadership with professional development growth space. The work environment is project management rich, activities are dynamic, fast paced and extremely interesting. The Director manages cross-functional, enterprise-wide projects, programs and portfolios as well as works with functional departments in a consultative manner to support and monitor/report individual projects. The ePMO applies recognized project management knowledge and skills with the full support of corporate project sponsors. The Director of the ePMO has responsibility for the overall leadership, coordination and management for implementation and sustainment of the office processes and functions. Defines and maintains standards for project management; provides coaching, teaching, mentoring and oversight leadership; develops and manages compliance with project management standards; and coordinates risk and change communications across stakeholders and project owners. Supervises a highly skilled ePMO staff of program managers and business analysts. Position reports to the Vice President, Planning and Program Management.
Recruiting Location Phoenix, AZ
ID 2020-3193
Business Intelligence Analyst 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.     The Business Intelligence Analyst is customer focused and facilitates turning data into information to drive business processes and monitoring. The position collaborates to ensure relevant analysis and complete, timely reporting is provided to meet TriWest business needs and Veteran’s Administration’s Healthcare requirements. Facilitates meetings, identifies, collects, organizes and prioritizes data requirements and business processes changes to meet reporting requirements. Clarifies complex business issues and recommends solutions. Advocates business process improvement through data analysis, process change and technology application.
Recruiting Location Phoenix, AZ
ID 2020-3191
Position Located in Phoenix, AZ   Supervisor, Claims Support 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 Support?
Recruiting Location Phoenix, AZ
ID 2020-3190
This Position is located in Phoenix, AZ   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?
Recruiting Location Phoenix, AZ
ID 2020-3188
Manager, Systems Engineering 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.   Utilizes balanced knowledge and approach against technical, people, and process tracks. Provides guidance of high performing technical team, which supports extremely complex, highly secured environment. Team provides server and application support functions in highly virtual environment. Manages team with expert knowledge of Windows systems design based on Microsoft best practices. Participates in and coordinates efforts for the design, architecture, implementation, and maintenance of highly available / highly secure computing environment.
Recruiting Location Phoenix, AZ
ID 2020-3186
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 Support Specialist?     This position is under general guidance of the Director, Corporate Compliance and reports directly to the Supervisor, PI Specialist. The PI Support Specialist is responsible for providing claim processing and administrative support for Program Integrity (PI) investigations, law enforcement requests for information, other internal/external Fraud, Waste and Abuse (FWA) case development activities. The PI Support Specialist utilizes healthcare billing, claim processing, and medical record knowledge, in addition to research skills, to review and process of medical/surgical and behavioral health claims according to protocol directions established by PI Specialist. The PI Support Specialist captures savings and recoupment calculations, and reports on PI provider flag efficiencies. The PI Support Specialist compiles claim data, provider contracts, bank accounts, patient files (including, but not limited to medical records and claim images) and other information necessary to respond to law enforcement subpoenas related to FWA investigations.  The PI Support Specialist accurately records case referrals, claim activity, and law enforcement information requests, and assists the PI Supervisor with departmental reporting requirements. Ensures strict compliance with court appearance deadlines and HIPAA Privacy Rules.
Recruiting Location Phoenix, AZ
ID 2020-3184
This Position is located in Phoenix, AZ   Applicants: Shift requires Thursday, Friday and Saturday 7a-7p   Crisis Clinical – Web Based 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 Crisis Clinical – Web Based?
Recruiting Location Phoenix, AZ
ID 2020-3183
Sr Workload Reporting Analyst 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 Sr Workload Reporting Analyst?
Recruiting Location Phoenix, AZ
ID 2020-3182
Recruiting Location Phoenix, AZ
ID 2020-3175
Do you bring creativity and innovative, ‘out-of-the-box’ ideas to your work?  Do you have healthcare and/or quality experience?   How about Lean or OpEx?  If so, we might be a fit.  TriWest Healthcare Alliance has been on a Mission to serve our nation’s Veterans and their families since 1996.  We are an evolving team of professionals that will do “Whatever it Takes” to serve our nation’s heroes in partnership with the VA.  We looking for a dynamic change agent to help us reinvent and reinvigorate our processes while establishing and driving and a best-in-class quality culture.   Reporting to the Director of Quality and Process Improvement, spearheads the development of quality improvement programs, manages Quality Improvement operations and staff, and coordinates administrative quality data and information for quality committees and the Board of Directors.  Performs complex analysis and leads resolution to operational problems.  Decision making is focused on implementing practical, timely solutions.  Assesses the impact of quality improvement initiatives across TriWest.  Collaborates and develops consensus with senior leadership and staff at all levels.  Communicates and collaborates cross-functionally with a broad scope of project plans and risk management activities.  Operates with a thorough understanding of healthcare business processes, URAC and ISO standards.  Participates in new program development as necessary.
Recruiting Location Phoenix, AZ
ID 2020-3171
Job Summary   Develops and maintains provider relationships within states TriWest is responsible for direct contracting. Manages network development and supervises network contracting staff in region. 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.        
Recruiting Location Phoenix, AZ
ID 2020-3158
Job Summary   Directs multiple large TriWest projects, working closely with program managers, project managers and business leaders to understand and report quality and performance issues and address systemic concerns. Diagnoses and implements solutions. Conducts quantitative and qualitative analysis and assessment of TriWest programs, processes, and outcomes. Utilizes quantitative tools and techniques to perform data-based analysis. Utilizes consulting and facilitation approaches for qualitative assessments.   Produces complete and informative, reports, describes options in terms of cost/benefit, and makes recommendations to leadership and/or user groups for process/program improvement and/or decision-making. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines. Works quickly and thoroughly to perform analyses, report results, produce deliverables and support implementation on time.
Recruiting Location Phoenix, AZ
ID 2020-2992
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, Benefits & Wellness?     Do you find satisfaction in leading the overall direction and administration of company benefits, leave of absence and workers' compensation and related benefit programs?  Our Manager, Benefits & Wellness will develop and recommend new and/or improved programs and plans while ensuring compliance with all federal, state and local regulations and laws.  Do you thrive on challenge and take your responsibilities seriously?  Are you looking for a job that is meaningful and rewarding?     If you enjoy problem solving, building relationships, and delivering customer service in a collaborative environment, we have a position for you