TriWest Healthcare Alliance

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Recruiting Location Phoenix, AZ
ID 2020-3067
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 2020-3060
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, Clinical Quality Data Analyst?     In this role, the Director is responsible for the analysis of clinical quality data sets to identify clinical quality trends and issues, and direct strategies to improve beneficiaries' clinical markers. This position is responsible for coordination with Data Management and vendors to ensure accuracy of medical management reports and with Provider Services to build scorecards.
Recruiting Location Phoenix, AZ
ID 2020-3038
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 Nashville, TN
ID 2020-3028
Job Summary     Supervises daily Behavioral Health Utilization Management (UM) operations and productivity including initial medical necessity review, continued stay review, discharge planning, and care coordination, and monitors individual staff caseloads and patient treatment plans to ensure delivery of timely and appropriate care. This position is responsible for assisting with staff training and auditing staff performance to ensure compliance with TriWest policies, UM related desk procedures, and accurate data entry and application of the Medical Management System. This position interacts with staff, Veterans and Veteran treatment facilities as the subject matter expert on UM program issues. This position also provides support to the non-clinical staff regarding UM related work.
Recruiting Location Phoenix, AZ
ID 2020-3026
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 2020-3023
Job Summary     The Pharmacy Program Manager is responsible for managing the operational relationship between TriWest and its dental subcontractor. The Program Manager will help to facilitate direction regarding network, communication, provider education and training, clinical quality, file exchange requirements (e.g. provider or eligibility files), claims integration and reporting. The Program Manager may assist with ensuring that the subcontractor fully understands and meets program requirements.      
Recruiting Location Phoenix, AZ
ID 2020-3012
This Position is located in Phoenix, AZ 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?
Recruiting Location Phoenix, AZ
ID 2020-3011
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 Nashville, TN
ID 2020-3003
Job Summary Supervises daily Behavioral Health Utilization Management (UM) operations and productivity including initial medical necessity review, continued stay review, discharge planning, and care coordination, and monitors individual staff caseloads and patient treatment plans to ensure delivery of timely and appropriate care.   This position is responsible for assisting with staff training and auditing staff performance to ensure compliance with TriWest policies, UM related desk procedures, and accurate data entry and application of the Medical Management System. This position interacts with staff, Veterans and Veteran treatment facilities as the subject matter expert on UM program issues. This position also provides support to the non-clinical staff regarding UM related work.
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
Recruiting Location Phoenix, AZ
ID 2020-2981
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 2020-2971
This Position in Located in Phoenix, AZ   Claims Reviewer 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 Reviewer?  
Recruiting Location Phoenix, AZ
ID 2019-2803
Job Summary Provides crisis intervention counseling and referral services for DSPO beneficiaries and other eligible beneficiaries through the 24-hour Behavioral Health crisis line. Conducts telephone triage for crisis calls and provides appropriate documentation for those calls.            
Recruiting Location Phoenix, AZ
ID 2019-2739
Work Location:  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 2019-2527
Job Summary   In partnership with the Director, Provider Relations & Education, is responsible for identifying provider education requirements and identifying strategies to provide the necessary provider education; staff recruiting, staff new hire orientation and ongoing training; managing and allocating resources and staff to support civilian provider relations and education requirements, VA Medical Center (VAMC) education, and network subcontractor training; manages development and distribution of provider communications and educational materials, including website content on TriWest.com/Provider and the network subcontractor portal.   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 scheduling, conducting, and support of provider webinars and seminars.