Coding Auditor-Educator West Virginia University MedicineCoding Auditor-EducatorMonongalia County, WVEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, WV$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
Life Safety Code Specialist West Virginia University MedicineLife Safety Code SpecialistWheeling, WVol>Conduct actual Life Safety Code assessments/building inspections for healthcare buildings utilizing the NFPA IOI (2012 ed) and, Audits that include fire safety evaluation systems, the Joint Commission's Physical Environment compliance reviews, Life Safety Building Maintenance Programs (BMP), and other requirements as determined by the Referenced Publications of NFPA JOI Life Safety Code. Success in this role requires active knowledge and utilization of Life Safety Code and Health Care Facilities Code (NFPA 101 and 99), effective workflow and workload management, and working knowledge of regulatory reporting requirements with focus on timeliness, thoroughness, and accuracy.
Hospital Coding Spec II West Virginia University MedicineHospital Coding Spec IIOhio County, WVCertification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
Provider Engagement Manager - West Virginia Clover Health Investments CorpProvider Engagement Manager - West VirginiaCharleston, WV$129,000–$150,000 / yearSupport Provider Recruitment Activities as Product SME: Partner with CA GTM team to execute a provider onboarding and training best practices, with a focus on devising strong in-office workflows and working closely with practices (including clinical + non-clinical staff) to drive effective adoption of the platform. You have a Proven ability to build collaborative relationships with clinicians and staff to drive operational change, and to translate operational data into actionable performance metrics and scorecards that help primary care physicians achieve improved clinical and financial outcomes.
Records Management Manager Tygart CenterRecords Management ManagerFairmont, West Virginia$18–$20 / hourEnsures accurate and current diagnostic coding to ensure appropriate billing of patient care.*Create medical records for all new patient admissions.*Perform routine audits of medical records upon patient admission through discharge to monitor compliance with policies regarding documentation, physician visits, timeliness.*Maintain the electronic diagnosis list. Qualifications: *High school degree or equivalent required; college degree strongly preferred or commensurate experience required.*Certification in ICD coding or working knowledge of ICD coding is required.*At least 3 years of experience with records management is required. Responsibilities: The Record Management Manager is responsible for coordinating the maintenance, security, and storage of all written and electronic records within the nursing center, to include patient health information, employee/personnel files, administrative files, and business office records, in accordance with federal and state regulations and the organization's records management program..
Senior Engineering Manager - Developer Tooling CVS Health CorpSenior Engineering Manager - Developer ToolingWV$106,605–$284,280 / yearThe Senior Engineering Manager - Developer Tooling is a hands-on engineering leadership role responsible for the team that delivers and operates our new enterprise CI platform - GitHub Enterprise, GitHub Actions, and JFrog Artifactory - used by tens of thousands of developers across CVS Health. 3+ years operating one or more enterprise CI or CD platforms (e.g., GitHub Actions, Jenkins, Octopus Deploy, UrbanCode Deploy), with working familiarity across source control and artifact repository tooling such as GitHub Enterprise and JFrog Artifactory or Nexus.
Quality Assurance Manager TekSynapQuality Assurance ManagerClarksburg, West Virginiali>The manager establishes automated and manual testing frameworks that validate large scale data ingestion, processing accuracy, and system interoperability across integrated services such as multimedia processing, forensic tools, and evidence review applications. This strengthens national security and investigative outcomes by combining advanced analytics, cloud technologies, and Agile delivery to give investigators faster, more reliable insight into complex digital evidence.
Facilities Manager Jones Lang LaSalle IncFacilities ManagerBeckley, WVWhether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Create a safe work environment for staff by ensuring adherence to all safety/infection control policies and procedures/practices to include but not limited to the wearing of appropriate protective clothing and gear and the proper handling of contaminated equipment and tools.
NewAcademic Lab Manager & CHO - Department of Chemistry West Virginia UniversityAcademic Lab Manager & CHO - Department of ChemistryMorgantown, WVp>'',''Jun 22, 2026'',''Jun 22, 2026'',''Non-Classified'',''Non-Classified'',''Exempt'',''Exempt'',''Yes'',''Yes'',''Full-time'',''Full-time'',''false'',''378932'',''378932'',''true'',''378932'',''false'',''Submission for the position: Academic Lab Manager & CHO - Department of Chemistry - (Job Number: 29727)'',''false'',''378932'',''false'',''true''. From the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures.
Field Reimbursement Manager - Kidney (Capitol - WV, VA, MD) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (Capitol - WV, VA, MD)West Virginiaul>Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Branch Manager Airgas IncBranch ManagerCraigsville, WVThis is evident not only through our competitive compensation but also through a comprehensive benefits package that includes medical, dental, and vision plans, short-term and long-term disability, life and accidental death and dismemberment (AD&D) insurance, Employee Assistance Program (EAP), pre-tax commuter transportation benefit, parental leave, vacation, sick time, floating holidays, jury duty and funeral/bereavement leave, and paid holidays for all eligible full-time employees. Airgas, an Air Liquide company, is a leading U.S. supplier of industrial, medical and specialty gases, as well as hardgoods and related products; one of the largest U.S. suppliers of safety products; and a leading U.S. supplier of ammonia products and process chemicals.
Construction Manager Beckley WV Lumos Networks Corp.Construction Manager Beckley WVBeckley, WV$74,340–$92,925 / yearp>About Segra: Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry leading service and reliability. The CM establishes relationships and infrastructure to support new markets, acts as primary interface with local jurisdictions for franchises, with utilities for pole attachment and conduit agreements, with each state's one-call system, DOH/DOT, Railroad companies, and other utility owners.
Software Engineering Manager ParsonsSoftware Engineering ManagerUs, West VirginiaTo learn more about recruitment fraud and how to report it, please refer to https://www.parsons.com/fraudulent-recruitment/. The Federal Solutions segment delivers resources to our US government customers that ensure the success of missions around the globe.
Software Engineering Manager (Evergreen) Parsons CorpSoftware Engineering Manager (Evergreen)WV$125,100–$225,200 / yearDiagnosing and developing technical solutions related to software issues discovered during internal testing or by customers using deployed systems. We promote a culture of excellence and close-knit teams that take pride in delivering, protecting, and sustaining our nation''s most critical assets, from Earth to cyberspace.
Manager HSC Electrical Maintenance - Facilities Management West Virginia UniversityManager HSC Electrical Maintenance - Facilities ManagementMorgantown, WVFrom the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures. '',''Apr 1, 2026'',''Apr 1, 2026'',''Non-Classified'',''Non-Classified'',''Exempt'',''Exempt'',''Yes'',''Yes'',''Full-time'',''Full-time'',''false'',''375833'',''375833'',''true'',''375833'',''false'',''Submission for the position: Manager HSC Electrical Maintenance - Facilities Management - (Job Number: 29218)'',''false'',''375833'',''false'',''true''.
Field Reimbursement Manager - US Central Inspire Medical Systems Inc.Field Reimbursement Manager - US CentralCharleston, WVRemote$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Salary$160,000—$190,000 USDBENEFITS AND OTHER COMPENSATION.
Cell Therapy Market Access Manager - Great Lakes Bristol-Myers Squibb CoCell Therapy Market Access Manager - Great LakesCharleston, WV$199,040–$241,185 / yearWork cross functionally within the Cell Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations, Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team, and other matrix teams as needed to ensure Market Access product objectives are met. Note: As this position requires operation of a Company-provided vehicle, candidates must meet the requirements of "Qualified Driver," as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver's license in good standing issued by your state of residence, and 3) a driving risk level deemed acceptable by the Company.
Manager - HSC Construction Trades West Virginia UniversityManager - HSC Construction TradesMorgantown, WVem> Self-motivated/ability to function with minimal supervision/direction and lead by example Ability to manage a cross functional work team comprised of skilled trades personnel to complete assignments, tasks and repairs on schedule and within budget Knowledge building maintenance with respect to daily operations, repairs, alterations, and renovations Ability to function in highly stressful situations and extreme temperature environments. From the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures.
LN Concerts, Design Manager Live Nation Entertainment IncLN Concerts, Design ManagerWVRemote$120,000–$150,000 / yearLive Nation takes into consideration a candidate's education, training, and experience, as well as the position's work location, expected quality and quantity of work, required travel (if any), external market and internal value, including seniority and merit systems, and internal pay alignment when determining the salary level for potential new employees. These businesses allow Live Nation Media & Sponsorship to create strategic music marketing programs that connect more than 1,200 sponsors with the 145 million fans that attend Live Nation Entertainment events each year.
LN Concerts, Architectural Design Manager Live Nation Entertainment IncLN Concerts, Architectural Design ManagerWV$116,000–$145,000 / yearLive Nation takes into consideration a candidates education, training, and experience, as well as the positions work location, expected quality and quantity of work, required travel (if any), external market and internal value, including seniority and merit systems, and internal pay alignment when determining the salary level for potential new employees. These businesses allow Live Nation Media & Sponsorship to create strategic music marketing programs that connect more than 1,200 sponsors with the 145 million fans that attend Live Nation Entertainment events each year.
Operations Manager - WVU Extension West Virginia UniversityOperations Manager - WVU ExtensionMorgantown, WVFrom the groundbreaking R1 research at our flagship campus in Morgantown to the career-oriented programs at WVU Potomac State in Keyser, and the technology-intensive programs at WVU Tech in Beckley, the contributions of WVU employees resonate across the state, touching lives and shaping futures. '',''Apr 22, 2026'',''Apr 22, 2026'',''Non-Classified'',''Non-Classified'',''Exempt'',''Exempt'',''Yes'',''Yes'',''Full-time'',''Full-time'',''false'',''376573'',''376573'',''true'',''376573'',''false'',''Submission for the position: Operations Manager - WVU Extension - (Job Number: 29340)'',''false'',''376573'',''false'',''true''.
HV Assistant Commissioning Project Manager (Remote - Travel Required) SOLV Energy LLCHV Assistant Commissioning Project Manager (Remote - Travel Required)WVRemote$92,091–$115,114 / yearp>Job Description Summary: The Assistant Commissioning Manager supports the planning, execution, and oversight of testing and commissioning activities for SOLV Energys High Voltage (HV), Battery Energy Storage Systems (BESS), and Photovoltaic (PV) projects. In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting.
Assistant Commissioning Project Manager, BESS SOLV Energy LLCAssistant Commissioning Project Manager, BESSWV$92,091–$115,114 / yearp>Job Description Summary: The Assistant Commissioning Manager supports the planning, execution, and oversight of testing and commissioning activities for SOLV Energy's High‑Voltage (HV), Battery Energy Storage Systems (BESS), and Photovoltaic (PV) projects. In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting.
Assistant Commissioning Project Manager, PV SOLV Energy LLCAssistant Commissioning Project Manager, PVWV$92,091–$115,114 / yearp>Job Description Summary: The Assistant Commissioning Manager supports the planning, execution, and oversight of testing and commissioning activities for SOLV Energy's High‑Voltage (HV), Battery Energy Storage Systems (BESS), and Photovoltaic (PV) projects. In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting.
HV Senior Commissioning Manager SOLV Energy LLCHV Senior Commissioning ManagerWVRemote$130,620–$173,724 / yearp>In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. The HV Senior Commissioning Manager works closely with technical and subject matter experts, manages the core commissioning team, and coordinates project stakeholders to ensure a smooth transition from commissioning to closeout.
Office Manager - Radiology (SMG) West Virginia University MedicineOffice Manager - Radiology (SMG)WVAs designated delegate, works directly with providers to complete any travel and/or purchase reimbursements in WorkDay; also registers providers for conferences and/or makes travel arrangements (hotel/flight/etc.) using department credit card on behalf of the provider. The Office Manager is the key contact in a community Emergency Department/Hospital Medicine/Intensivist Department, supporting all efforts for the Physicians and Advance Practice Professionals (APPs), as well as the liaison to Community Hospital Departments that interact with the Medical Director and Providers.
NewProject Manager, Services (Remote) SOLV Energy LLCProject Manager, Services (Remote)WVRemote$108,496–$135,620 / yearp>In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. SOLV Energy is a leading provider of infrastructure services to the power industry, designing, building and maintaining utility scale solar, battery storage and high voltage substation projects nationwide.
Project Manager McCarl's Inc.Project ManagerParkersburg, WVDemonstrate skills critical for managerial success, including leadership, decisiveness, flexibility, sound business judgement and developed personal, analytical and communication skills. The Project Manager is McCarl's day to day, direct customer representative, responsible for bottom line results in safety, quality, productivity, profit, and client relationships.
Patient Safety Manager West Virginia University MedicinePatient Safety ManagerMorgantown, WVThe manager will promote interdisciplinary collaboration and teamwork to ensure excellence in patient centered care in these locations related to core focus areas of regulatory compliance, infection prevention, patient experience, patient safety, high reliability, quality assurance, and clinical quality improvement. Works collaboratively with adult and pediatric teams from Population Health, Ambulatory services, Nursing Services, Surgical Services, Inpatient services, and ancillary services such as pharmacy, nutrition, and environmental services.
Global Product Manager Illinois Tool Works IncGlobal Product ManagerWV$80,800–$121,200 / yearThe role drives revenue growth, maintains strong margins where possible through unique/owned designs, mitigates risks from market saturation and direct-from-China competition, and ensures products remain simple, compliant, and low-maintenance to minimize technical support calls. Manage supplier relationships with key Chinese partners (e.g., Easthigh, Charder, CZNewton, Suofei, etc.), including price negotiations, quality improvements, lead time management, new product development, and proactive identification of next-generation suppliers to maintain cost competitiveness and quality.
Onsite Safety Manager NscaleOnsite Safety ManagerPoint Pleasant, West Virginiap>We are seeking an experienced and hands-on Onsite Safety Manager to lead Health, Safety, and Environmental (HSE) delivery across the Monarch Compute Campus construction site — a 2,250+ acre, multi-gigawatt build comprising three hyperscale data center buildings, 864 Caterpillar reciprocating gas engines, switchgear and substation infrastructure, and supporting gas and water systems. Reporting to Nscale's construction leadership, you will own the day-to-day site HSE program, partner closely with EPC and trade contractors, and ensure that every worker — from civil crews to commissioning engineers — goes home safe, every day.
Assistant Manager Muriale's Italian RestaurantAssistant ManagerFAIRMONT, WVThe Assistant Manager is responsible for assisting the General Manager with the effective management and execution of operations including planning support, scheduling, inventory, compliance with alcohol service polices, cleaning, safety, guest service, employee training and supervision, troubleshooting, closing duties, invoicing, and any other tasks assigned by management. By being an active participant in event service create an environment that promotes quality and teamwork while supporting the mission and interests of Muriales Italian Kitchen and About Food.
MV/HV Safety Manager (Remote) SOLV Energy LLCMV/HV Safety Manager (Remote)WVRemote$107,467–$134,334 / yearIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. SOLV Energy is a leading provider of infrastructure services to the power industry, designing, building and maintaining utility scale solar, battery storage and high voltage substation projects nationwide.
Project Cost Controls Manager, PV South Central SOLV Energy LLCProject Cost Controls Manager, PV South CentralWVRemote$125,768–$167,272 / yearp>Position Responsibilities and Duties: The Project Cost Controls Manager reports directly into the Director of Project Controls and works cross-functionally with Accounting, FP&A, Operations Project Management Office (PMO) and Operations team on portfolio cost-control, forecasting and cost reporting, as well as measuring and reporting project earned value analysis. Job Description Summary: The Project Cost Controls Manager works under the guidance of our Project Controls Director and in partnership with our Operations Team and Financial Planning and Analysis Department to establish and manage processes that will monitor, report and control project costs across the enterprise.
Mechanical Project Manager (Government / HVAC Mechanical Retrofit / Installation) Southern CoMechanical Project Manager (Government / HVAC Mechanical Retrofit / Installation)Clarksburg, WVHe/she is responsible to assist in the training Project Supervisors, Project Foremen and Technicians and to set an example of excellence in work and attitude that will favorably affect all personnel on the project. This will include timely updates to clients, PowerSecure Executives, sub-contractors, agents of code enforcement/permitting, engineers, architects, and employees across various trades.
Restaurant Assistant Manager Eat n ParkRestaurant Assistant ManagerMorgantown, WVFull timeShare this job with a friend or search all careers at ENPHGSmiles.com. Eat'n Park Hospitality Group represents a diverse family of brands that span 14 states across more than 150 locations and with nearly 10,000 team members.
Operations Manager Mitsubishi Heavy Industries LtdOperations ManagerBridgeport, WVp>Purpose of the role: MHIRJ's network of service centers, support offices and parts depots are positioned in important aviation hubs in the U.S. The Operations Manager is responsible for the performance of all aircraft maintenance work packages, delivering on schedule and budget obligations for assigned aircraft, and serves as the primary point-of-contact for customers during the maintenance process. Serve as customer primary point-of-contact in daily communications, coordinating, and follow-up for items such as time/labor/material quotes, preliminary invoices, progress updates, customer approval and debrief on work packages, resolution of squawks, and warranty issues.
Assistant Store Manager Full Time Buff City Soap FranchiseAssistant Store Manager Full TimeMorgantown, WVThe Assistant Store Manager helps drive store performance, fosters superior client service, and maintains operational excellence to meet or exceed established productivity goals. I further understand that any material omissions, false, misleading or otherwise incorrect statements made on this application or during the pre-employment process may be grounds for cancellation of this application or, if I am employed at the time it is discovered, my immediate termination.
Regional Sales Manager Advanced Monitored Caregiving Inc.Regional Sales ManagerCharleston, WVThe Regional Sales Manager (RHT) is a strategic, revenue-impacting leader responsible for complete territory sales management, customer support and long-term value realization across AMC Health’s provider and payvider portfolio and management of other Sales Directors-RHT. Working collaboratively on RHT growth strategies at a provider level that delivers on the goals of the Rural Health Transformation Program, including objective goals for sustainability, increased access to care and quality measures.
LPN Case Manager -- Resource Center for Case Mgmt -- General Hospital Charleston Area Medical Center Health System IncLPN Case Manager -- Resource Center for Case Mgmt -- General HospitalCharleston, WVul>Post High School Diploma or Certificate Program (Required) Substitution: minimum of 2 years clinical experience with additional experience in case management, care management, utilization management, home health, skilled nursing, or other post-acute setting to meet minimum 5 years of experience. Efficiently coordinate patient needs to assure high quality patient care, reduce length of stay and resource utilization and ensure reimbursement drawing on a broad clinical and systems management knowledge base.
Operations Manager Ulta Beauty IncOperations ManagerCharleston, WVThe OM leads a team of Task Associates and the Merchandise Manager (MM), and is responsible for supporting the management of the operations of a retail store, including realignments, planograms and inventory life cycle-related processes (e.g., cycle counts, damages, testers, Return To Vendors (RTV), Destroy in Field (DIF) and inventory adjustments). We bring possibilities to life through the power of beauty each and every day in our stores and online with more than 25,000 products from approximately 500 well-established and emerging beauty brands across all categories and price points, including Ulta Beauty's own private label.
General Manager Ulta Beauty IncGeneral ManagerCharleston, WVWe bring possibilities to life through the power of beauty each and every day in our stores and online with more than 25,000 products from approximately 500 well-established and emerging beauty brands across all categories and price points, including Ulta Beauty's own private label. Execute the Guest Engagement Leader program flawlessly through business ownership, associate coaching, and leading a helpful and friendly guest experience to drive business results across all Annual Performance Goal (APG) metrics for the store.
Sales Manager Ulta Beauty IncSales ManagerBeckley, WVWe bring possibilities to life through the power of beauty each and every day in our stores and online with more than 25,000 products from approximately 500 well-established and emerging beauty brands across all categories and price points, including Ulta Beauty's own private label. Execute the Guest Engagement Leader program flawlessly through business ownership, associate coaching and leading a helpful and friendly guest experience to drive business results across all Annual Performance Goals (APGs) metrics for the store.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesWV$103,400–$149,430 / yearp>Preferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
NewAssistant Retail Manager Full Time Sun Tan CityAssistant Retail Manager Full TimeHuntington, West VirginiaFinally, I understand that this application is current for only 90 days, and at the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. By submitting an application, each applicant represents and warrants that they have read and fully understand the foregoing information, that they are seeking employment under these conditions,and that their application submission will be their electronically signed application form. Compensation: $15.00 - $20.00 per hour . For more information on how to avoid hiring fraud, please visit our https://glowbrands.com/hiring-fraud-alert/ webpage for more information..
Care Manager RN - (Remote) Highmark IncCare Manager RN - (Remote)Working at Home, WVRemotep>This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Retail Manager in Training Full Time Sun Tan CityRetail Manager in Training Full TimeBeckley, West VirginiaFinally, I understand that this application is current for only 90 days, and at the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. By submitting an application, each applicant represents and warrants that they have read and fully understand the foregoing information, that they are seeking employment under these conditions,and that their application submission will be their electronically signed application form. Compensation: $15.00 - $20.00 per hour . For more information on how to avoid hiring fraud, please visit our https://glowbrands.com/hiring-fraud-alert/ webpage for more information..
Lead Project Manager - Dunbar, WV Service Electric CompanyLead Project Manager - Dunbar, WVDunbar, WVSpecializing in transmission, distribution, substation, storm restoration, and technical services., our rapid expansion follows our growing reputation for delivering safe, quality, and on-time projects to all our customers. is responsible for overseeing large-scale, high-impact projects and mentoring multiple levels of project managers.
Manager Digital Product CVS Health CorpManager Digital ProductWV$83,430–$222,480 / yearp>This role requires exceptional collaboration skills, as the Product Manager will work intimately with cross-functional teams including data engineering, software engineering teams, business intelligence, and various business stakeholders. Minimum of 6 years professional experience including 4 or more years specifically in product based roles, with a significant focus on data products or platforms (governance, catalog, quality, or analytics platforms preferred).