- Elevance Health (Charleston, WV)
- …Elevance Health office locations. **Open to any Elevance Health office**_ The ** Provider Reimburse Admin ** ensures accurate adjudication of claims, by ... translating medical policies, reimbursement policies, and clinical editing policies into effective and...or any combination of education and experience, which would provide an equivalent background. _A coding certification is required… more
- Humana (Charleston, WV)
- …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
- Humana (Charleston, WV)
- …caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements for an organization that provides... Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. **Typical responsibilities, but not limited… more
- Elevance Health (Charleston, WV)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement III- Medicare Cost Report Audit** _This is...other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents, or other… more
- Elevance Health (Charleston, WV)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** :...other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents, or other… more
- Elevance Health (Charleston, WV)
- …and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement Senior** **Location:** This is a virtual position;...or any combination of education and experience which would provide an equivalent background. + **_This position is part… more
- Elevance Health (Charleston, WV)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** , will support our Medicare Administrative Contract (MAC) ... **Audit & Reimbursement Senior -** **Medicare Cost Report Audit** **Locations:**...or any combination of education and experience which would provide an equivalent background + **_This position is part… more
- Elevance Health (Charleston, WV)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with ... of Health and Human Services). Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on… more
- Cardinal Health (Charleston, WV)
- …registration, business office, finance, practice operations etc.) to facilitate contract administration and execution + Support clinic and admin departments ... This role's primary focus is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it relates to managed… more
- Nelnet (Charleston, WV)
- …Embedded framework, building reports while also making enhancements to the PBI Admin (Release) Application and Client Application. You will also have the opportunity ... Embedded applications, including building visualizations and the Client and Admin applications + Write code and automated tests for...and automated tests for new features + Review and provide feedback on development pull requests + Provide… more
- HealthEdge Software Inc (Charleston, WV)
- …regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite ... of system functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine and prioritize the… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... in all areas. Some of the responsibilities are as follows: Administrative : Program Development Resource Management Quality Assurance Direct Supervision Leadership:… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... care, as needed. Responding to emergency situations by providing airway management, administration of emergency fluids and drugs, and using basic or advanced cardiac… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... for participating in all aspects of the Optometry program, including clinical, administrative & academic components. Duties may include but are not limited to:… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …lighting arrangements and safety factors. Remove foreign bodies from the eye. Provide patients undergoing eye surgeries, such as cataract and laser correction with ... necessary. Prescribe therapeutic procedures to correct or conserve vision. Provide vision therapy and low vision rehabilitation. Planning, coordinating, and… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... medications and treatments prescribed by a licensed or otherwise legally authorized provider . The nurse's primary commitment is to the patient, whether an… more
- HealthEdge Software Inc (Charleston, WV)
- …(eg, claim life cycle/workflow, network contracting, payment/policy configuration, provider relations, medical management, medical economics, audit, compliance) ... a moreholistic approachto payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based… more
- Highmark Health (Parkersburg, WV)
- …providers (PCP) and facilities enrolled in the Organization's value based reimbursement programs, clinical care models, and continuous improvement models. The ... and Medicaid HEDIS to strategies designed to promote the Organization's value based reimbursement PCP and facility programs. The incumbent acts as a highly skilled… more
- HealthEdge Software Inc (Charleston, WV)
- …regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite ... solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique… more
- HealthEdge Software Inc (Charleston, WV)
- …shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans, and provider contracts. The complete suite ... our integrated solutions suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique… more