Remote Jobs at Triwest Healthcare Alliance

Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Manages provider certification, credentialing, and data operations to ensure that the department meets regulatory requirements, accreditation standards, established goals, and performance metrics. Administers accreditation the processing of provider certifications, initial credentialing, re-credentialing, delegated credentialing, and provider demographic for direct and corporate contracted providers. Coordinates routine provider data reviews to ensure TriWest databases/systems have current and accurate provider information. Ensures timely research and resolution of provider cert ...