• Audit & Reimbursement Senior

    Elevance Health (Charleston, WV)
    **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/17/24)
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  • Senior Vendor Management…

    Humana (Charleston, WV)
    …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...contractual issues and resolve discrepancies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
    Humana (09/27/24)
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  • Senior Transition Pharmacy Claims…

    Humana (Charleston, WV)
    …a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... payment. The Senior Pharmacy Claims Professional work assignments involve...and compliance and monitored regularly. Begin to influence department's strategy . Makes decisions on moderately complex to complex issues,… more
    Humana (09/06/24)
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  • Senior Enterprise Architect

    Humana (Charleston, WV)
    …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... deliver a perfect member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective and efficient execution… more
    Humana (09/10/24)
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  • Senior Portfolio Management

    Humana (Charleston, WV)
    …a part of our caring community and help us put health first** The Senior IT Portfolio Management Professional collaborates with the business portfolio team to ... align the IT portfolio and demand. The Senior IT Portfolio Management Professional work assignments...organizes and prioritizes projects and programs based on IT Strategy , strategic roadmap, available and prioritized budgets, changes schedules… more
    Humana (09/25/24)
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  • Senior Enterprise Architect

    Humana (Charleston, WV)
    …our caring community and help us put health first** Humana is seeking a Senior Enterprise Architect who is smart, curious and loves the challenge of solving problems ... across the organization at multiple levels. **Join Our Trailblazing Team as a Senior Enterprise Architect** At Humana, we're not just building systems; we're shaping… more
    Humana (08/08/24)
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  • Senior Financial Analytics Prof - Reserving

    Humana (Charleston, WV)
    …a part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
    Humana (09/26/24)
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  • Audit & Reimbursement Sr

    Elevance Health (Charleston, WV)
    …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/19/24)
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  • Audit & Reimbursement Lead

    Elevance Health (Charleston, WV)
    …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/17/24)
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  • Associate VP, Technology Solutions

    Humana (Charleston, WV)
    …us put health first** The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, ... VP, Technology Solutions works across business and IT to define effective strategy for executing and delivering critical initiatives. The Associate VP, Technology… more
    Humana (08/21/24)
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  • Director Contracts & Procurement

    Elevance Health (Charleston, WV)
    …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...National Government Services (NGS) and sits on the NGS Senior Leadership Team, reporting directing to the federal business'… more
    Elevance Health (09/21/24)
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  • Project Leader

    Elevance Health (Charleston, WV)
    …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
    Elevance Health (09/24/24)
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  • Outbound Tele Sales Agent, Primary Care- Remote

    CenterWell (Charleston, WV)
    …- Primary Care is responsible for winning back and re-engaging Medicare eligible patients through telephonic conversations. Proactively anticipates patients' needs ... with prospects and former patients. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.… more
    CenterWell (09/27/24)
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  • Director Cybersecurity Engineering(Metrics…

    Humana (Charleston, WV)
    …and unstructured data to insights at enterprise scale. * Architects and builds data lake strategy to house data in consistent framework and data model to be used for ... * Strong analytical and strategic thinking skills, with the ability to influence senior leaders across EIP. * Proven track record of successful collaboration in a… more
    Humana (08/29/24)
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  • Coding Educator - East Division

    Conviva (Charleston, WV)
    …training (learner feedback surveys) and from clinical leaders to pivot educational strategy and approach where needed. + The educator will create documentation ... minimum of one year experience as a CPC (Certified Professional Coder) certification through AHIMA or AAPC + A...with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding… more
    Conviva (09/19/24)
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  • Lead Product Manager

    Humana (Charleston, WV)
    …in class digital experiences for consumers and members and will also lead Senior Product Managers. You will collaborate with cross-functional teams to develop and ... and influences effectively across different levels of the organization. + Product Strategy : Collaborate with cross-functional teams to define the overall product … more
    Humana (09/27/24)
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  • Lead Google Cloud Solutions Engineer, Network

    Humana (Charleston, WV)
    …to ensure an integrated architecture across interdependent technologies. Works with senior executives to develop and drive segment or enterprise-wide functional ... Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter… more
    Humana (08/20/24)
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