- Humana (Charleston, WV)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across… more
- Cardinal Health (Charleston, WV)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles… more
- CVS Health (Charleston, WV)
- …claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Consults cross-functionally with other ... + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program,… more
- CVS Health (Charleston, WV)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team....a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- Genesis Healthcare (Daniels, WV)
- …potential and work-life balance flexibility! We are seeking an employed Attending Physician/ Medical Director for split position between our Pine Lodge Center located ... in Daniels, WV. This is a Dual Role Attending Physician/ Medical Director. It is clinical in nature. Call is...improving health outcomes among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and… more
- Bowman (Charleston, WV)
- …complex assignments, tasks, and execution. Work is frequently reviewed by more senior staff to ensure application of sound techniques and principles. Review work ... that may arise as it relates to disputes, or claims + Act as liaison between operations and many...payable, financials, timesheets, etc. + Assist with annual financial audit preparation as needed. **Success Metrics and Competencies** +… more