• Manager Provider Contract Development

    Highmark Health (Charleston, WV)
    provide process guidance for the development of value-based reimbursement agreements. + Provide support to the markets in all provider terminations including ... the staff and facilitates the development/editing and interpretation of provider contract language. Accountable for all contracts including multi-market facility… more
    Highmark Health (05/15/24)
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  • Investigations Consultant

    Highmark Health (Charleston, WV)
    professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Analyze and evaluate claim processes specific to professional , hospital, ambulatory surgical center, home health and durable medical… more
    Highmark Health (05/07/24)
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  • Manager Actuarial

    Highmark Health (Charleston, WV)
    …responsive service and understanding customer needs. Effectively present information and provide decision support to team members and executive management, ensuring ... valued and leveraged to achieve the vision and mission of the organization. Provide clear and consistent feedback. Actively listen to staff's concerns and ideas and… more
    Highmark Health (05/24/24)
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