- Elevance Health (Charleston, WV)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …to patients Ensures competence of medical staff and each of its members to provide care to the young, middle, older and geriatric patients served Encourages ... This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which...cost Flexible Spending accounts Pre-taxed Federal Long Term Care Insurance TSP matching 5% and Pre-tax contributions Child… more
- IMSolutions, LLC (Charleston, WV)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Lumen (Charleston, WV)
- …fixed price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Manages large budgets and complex ... (PMO). BIM is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN)...cost /spend plans. Provides guidance and direction to assigned Program… more
- Lumen (Charleston, WV)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… more
- Humana (Charleston, WV)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Intermountain Health (Charleston, WV)
- …business owners accountable to our pre-identified goals and objectives. + Provide regular updates on category performance, strategic initiatives, and market trends ... further develop and strengthen the department. + Support Business Stakeholder in Contract Lifecycle Management of assigned contract portfolio. + Support Sourcing… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …provides Radiology & Nuclear Medicine subspecialty services, inpatient, outpatient, and emergency care to the Veterans. The Imaging Service is one of the largest ... Prescribe exam protocols and modify as needed for specific clinical indications. Provide oversight of technical image quality with feedback to technologists. … more
- Sedgwick (Charleston, WV)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Baylor Scott & White Health (Charleston, WV)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- Elevance Health (WV)
- …and to promote effective use of resources. Ensures medically appropriate, high-quality, cost -effective care through assessing the medical necessity of inpatient ... contracts. + Ensures member access to medical necessary, quality healthcare in a cost -effective setting according to contract . + Consult with clinical reviewers… more
- Healthfirst (WV)
- …in medical terminology, medical coding (CPT4, ICD9 or ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices. + ... into functional requirements, specified to an appropriate level of detail. + Provide expert support to the claims configuration process in addition to providing… more
- Healthfirst (WV)
- …in medical terminology, medical coding (CPT4, ICD9 or ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices. + Previous ... assist with determining best approach for configuring benefits offered including member cost shares, deductibles and out-of-pocket maximums. + Assist in the setup of… more
- Intermountain Health (Charleston, WV)
- …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies,… more
- Sedgwick (Charleston, WV)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Charleston, WV)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- CDM Smith (Fairmont, WV)
- …matches construction plans. Identifies deficiencies in constructed structures. Reviews contract terms and conditions. Ensures construction timelines, costs, and ... materials are in compliance with contract terms and conditions. Provides technical guidance and training...the work of more junior staff. Documents deficiencies, expected cost overruns, materials issues and any other related construction… more
- IBM (Rocket Center, WV)
- …the formulation of price strategy and price-to-win in conjunction with prime contract and project leads, review prime solicitation packages, and draft subcontract ... proposals and write subcontract price analysis narratives for prime contract proposals. * Utilize IBM procurement systems, process task...Price (FFP), Firm Fixed Price Level of Effort (FFPLOE), Cost Plus Fixed Fee (CPFF); Term and Level of… more
- IMSolutions, LLC (Charleston, WV)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more
- RES (Charleston, WV)
- …a workplace where everyone feels heard and respected, and extending our culture of care so that every individual can reach their full potential. We want you to ... The Project Accountant I position provides accounting, project controls, and job- cost support to clients, project managers, and operation managers. This job… more