- Elevance Health (Charleston, WV)
- ** Audit & Reimbursement Lead ** _This is United States, virtual based position._ **National Government Services** is a proud member of Elevance Health's ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Lead ** will support our Medicare Administrative Contract… more
- Elevance Health (Charleston, WV)
- ** Audit & Reimbursement III- Medicare Cost...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract… more
- Elevance Health (Charleston, WV)
- ** Audit & Reimbursement Senior** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's family ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Charleston, WV)
- ** Audit & Reimbursement Senior -** **Medicare Cost Report Audit ** **Locations:** _This is a United States based, virtual position._ **National Government ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior** , will support...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Charleston, WV)
- ** Audit & Reimbursement III- Medicare Cost...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract… more
- Elevance Health (Charleston, WV)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The **Nurse Audit Lead ** is responsible for leading a team of clinicians… more
- Elevance Health (Charleston, WV)
- …Admin** ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate ... reimbursement criteria. **How You Will Make an Impact:** +...and system edits to identify adjudication issues and to audit claims adjudication for accuracy. **Minimum Requirements:** Requires a… more
- Takeda Pharmaceuticals (Charleston, WV)
- …therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the development and implementation of ... Cross-Functional Team (GLOC) + In alignment with TAU/MPD Labeling Lead , coordinates the process to obtain labeling approval by...the organization and globally. + Knowledge of Health Authority audit process and ability to participate in partner /… more
- Elevance Health (Charleston, WV)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- HealthEdge Software Inc (Charleston, WV)
- …configuration, provider relations, medical management, medical economics, audit , compliance) related to implementation/consulting engagements, strategic user ... a moreholistic approachto payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based… more
- Haleon (Charleston, WV)
- …both insider and external risks and security risks. **Role Responsibilities** + Lead all aspects of architectural activities for a technology domain, or ... and own and define the architectural security standards for OT. The candidate will lead a team of domain specialists on this matter. + Analyzes, designs, and… more
- Walmart (South Charleston, WV)
- …**Be an Owner:** Communicates equipment, tools and supplies needs to TBC Lead ; tracking and monitoring returns and special orders; operating cash registers; ... working hands-on in the physical area; maintaining accurate inventory, audit , safety, and compliance standards; reporting TBC complaints, safety hazards,… more
- Revelyst (Charleston, WV)
- …external audit and provides supporting documentation as required + Lead , track and support Continuous Improvement opportunities + Other activities as required ... including: medical and dental, vision, disability and life insurance, 401K, PTO, tuition reimbursement , gear discounts and the ability to add value to an exciting… more
- Verint Systems, Inc. (Charleston, WV)
- …pricing strategy, administration, compliance, communications, implementation and evaluation. + Lead annual renewal and open enrollment processes, including obtaining ... pillars. + Responsible for all aspects of leave management, 401(k), tuition reimbursement , paid time off, annual holiday schedules and worker's compensation. +… more