- Elevance Health (Charleston, WV)
- …of one of our Elevance Health office locations. The ** Provider Reimbursement Admin (** ** Evaluation and Management Coding/Auditing)** ensures accurate ... adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement … more
- Public Consulting Group (Charleston, WV)
- …planning, procurements, program development, quality improvement, financial and reimbursement strategies, operational support, evaluation , product development ... strategic planning, procurements, program development, quality improvement, financial and reimbursement strategies, operational support, evaluation , product development… more
- Cadmus (Charleston, WV)
- **Overview** **What You'll Be Doing** Cadmus seeks an Associate for Energy Efficiency Evaluation and Market Studies to join our Program Evaluation & Performance ... written reports of findings. This role will lead market research activities, provide guidance to junior staff, implement strict quality control and quality… more
- Cadmus (Charleston, WV)
- …contribute to clean energy transition and climate solutions through the administration of federal grants funding decarbonization strategies. You will support grant ... You'll be working in a team-oriented environment providing program administration , financial tracking, technical, communications, and policy review and analysis… more
- Cadmus (Charleston, WV)
- …to the clean energy transition and climate solutions through the administration of federal grants funding decarbonization strategies. You will support grant ... You'll be working in a team-oriented environment providing program administration , financial tracking, technical, communications, and policy review and analysis… more
- Verint Systems, Inc. (Charleston, WV)
- …the health benefits strategy - including plan design, pricing strategy, administration , compliance, communications, implementation and evaluation . + Lead annual ... information sessions and communications, and communicating & testing benefits administration system requirements for execution. + Responsible for ensuring benefits… more
- HealthEdge Software Inc (Charleston, WV)
- …proprietary healthcare edits, including specifications, test plans, and user guides. + ** Provide continuous monitoring** and evaluation of the performance of ... holistic approach to payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based solution… more
- Guardian Life (Charleston, WV)
- …customer service, and the financial social and psychosocial implications of leave administration . The FML Claims Case Manager II administers claims within a variety ... to clinical resources for expected scope of the medical or rehab evaluation **Partnering** + Proactively communicates with client companies to review case management… more
- Cardinal Health (Charleston, WV)
- …performance. These products help monitor drug utilization, claims payment and denials, reimbursement trends, margins, and provide insights to identify revenue ... growing industry that supports the development, distribution, payment, and administration of specialty pharmaceuticals. Key therapeutic areas are Oncology and… more