TriWest Healthcare Alliance

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Recruiting Location Phoenix, AZ
ID 2021-3363
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.
Recruiting Location Anchorage, AK
ID 2021-3362
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, Operations?    This position manages daily operations and staff with a focus on delivering timely, accurate and exemplary customer service. The Manager will oversee staff handling phone and chat inquiries regarding all aspects of TriWest’s Veterans' Administration Community Care Network contract and other managed care programs, including information and assistance with program eligibility, authorizations for care, and claims. The Manager will lead the staff to promote and support, in collaboration with other TriWest departments, a positive culture of service, increasing operational effectiveness, and accountability. In leading assigned staff, the Manager will also guide their activities associated with training, quality assurance, reporting and monitoring of performance metrics, and cross-functional departmental communication with the goal of achieving contract standards, annual goals and objectives.
Recruiting Location Honolulu, HI
ID 2021-3361
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.  
Recruiting Location Phoenix, AZ
ID 2021-3360
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.  
Recruiting Location Phoenix, AZ
ID 2021-3359
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.  
Recruiting Location Anchorage, AK
ID 2021-3358
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 Customer Service Representative?    Provides outstanding customer service related to Veteran care through the Community Care Network (CCN) in a fast-paced contact center. Responds to inbound calls and chat messages regarding authorizations for medical and behavioral health care, provider status and availability, or claims payment and status. Accurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. May make outbound calls to schedule appointments based on Veteran or VA request. Resolves administrative eligibility discrepancies through account research and review.
Recruiting Location Anchorage, AK
ID 2021-3357
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.
Recruiting Location El Paso,TX
ID 2021-3356
Manager, 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.    
Recruiting Location Phoenix, AZ
ID 2021-3352
THIS POSITION LOCATIONS ARE  AZ, TX. and WA   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.  
Recruiting Location Phoenix, AZ
ID 2021-3351
THIS POSITION IS for  AZ, TX, and WA.   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.
Recruiting Location Phoenix, AZ
ID 2021-3349
Job Summary 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 2021-3348
Job Summary Provides and develops processes for reports, analysis and metrics to support recommendations regarding provider network accessibility and capacity against demand for services across a vast geography and wide array of services. Plays a key role in the development and maintenance of the demand capacity tool that is used to help analyze network accessibility/capacity and for managing requests for additional providers to address gaps. Provides analytical support and supports internal customers with network assessments and corrective actions to address deficiencies. Produces outcome and program reports and suggests strategies and recommendations for improvement. Initiates and maintains department corrective action plans.
Recruiting Location Phoenix, AZ
ID 2021-3347
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.    
Recruiting Location Phoenix, AZ
ID 2021-3338
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?  
Recruiting Location Honolulu, HI
ID 2021-3337
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?
Recruiting Location Alaska
ID 2020-3296
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?
Recruiting Location Phoenix, AZ
ID 2020-3247
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
Recruiting Location Phoenix, AZ
ID 2020-3245
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