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Responsible for the development, implementation, education and maintenance of the URAC accreditation process for the TriWest Medical Management programs. This accreditation program demonstrates the organization’s commitment to upholding and improving outcomes for our beneficiary’s throughout the healthcare continuum. This individual will have a broad knowledge of the regulatory and accreditation landscape and function as a subject matter expert to ensure alignment and continued adherence to URAC standards across all programs.
**Veterans, Reservists, Guardsmen, and military family members are encouraged to apply**
Education & Experience
Key Responsibilities
.
Competencies
Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation.
Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.
Computer Literacy: Ability to function in a multi-system Microsoft suite of applications, TriWest Intranet, the Internet, and department software applications.
Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.
Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position.
Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.
High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow.
Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.
Technical Skills: Knowledge of TRICARE programs and benefits, Managed Care concepts, and healthcare principles and delivery systems, URAC utilization, case and disease management standards; utilization, case and disease management interventions, collaboration skills, legal and regulatory requirements, HIPAA privacy regulations, and proficient with Microsoft suite of applications.
Working Conditions
Taking Care of Our Nation’s Heroes.
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.
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:
TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.
Full Time
Ancillary Healthcare
$84k-114k (estimate)
02/13/2024
05/14/2024
triwest.com
PHOENIX, AZ
3,000 - 7,500
1996
$200M - $500M
Ancillary Healthcare
On a Mission to Serve TriWest Healthcare Alliance was formed in 1996 as the only company of its kind, with one sole purpose that continues today serving the health care needs of the military and Veteran communities. Since our founding in 1996, TriWest Healthcare Alliance has been On a Mission to Serve our nation's Veteran and military communities. For 17 years, we administered the Department of Defense TRICARE program. We have been proud to serve those who wear America's uniform, those who came before them, and their family members. Today, we are privileged to support the health care needs of... our nation's Veterans, offering access to quality provider networks and excellent customer service through the Department of Veterans Affairs (VA) Community Care Network Region 4 contract. Doing Whatever It Takes! not only is our corporate motto, it is a deep-rooted desire to go above and beyond for our customers, because we understand and honor them. We Respect the Military Culture. We Honor the Sacrifices Made. We are Committed to Providing the Service Our Customers Deserve. Our team members many of whom are Veterans or military family members are committed to providing superior service to our nation's heroes. The medical providers in our network and our business partners strive to continually support the military and Veteran communities and exceed customer expectations. TriWest offers a wide variety of career options in areas such as Project Management, Administrative, Patient Services, Medical Operations, IT, Finance, Business Development, Data Services, and Customer Service, and many more. Learn how you can make a difference in the lives of Veterans at https://www.TriWest.com/joinourteam. https://www.facebook.com/TriWest/ https://twitter.com/TriWest https://www.instagram.com/triwesthealthcarealliance/
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The job skills required for Accreditation Coordinator (Utilization Management Department) - REMOTE include Health Care, Analysis, Leadership, HIPAA, Project Management, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be an Accreditation Coordinator (Utilization Management Department) - REMOTE. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Accreditation Coordinator (Utilization Management Department) - REMOTE. Select any job title you are interested in and start to search job requirements.
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