- Highmark Health (Charleston, WV)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to ... achieve Pharmacy Markets growth objectives. Organize and coordinate Pharmacy Markets activities to focus on the successful delivery of desired results. Monitor… more
- CVS Health (Charleston, WV)
- …successfully managing pharmacy and professional liability Risk claims. The Risk Analyst will be responsible to handle all aspects of claim resolution, including ... liability claims against CVS throughout the United States. The Risk Analyst will collaborate with multiple internal departments, legal counsel, and field… more
- Intermountain Health (Charleston, WV)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... scheduling, time and attendance, customer relationship management) + The staff Analyst is responsible for providing technical support, configuration, and maintenance… more
- Baylor Scott & White Health (Charleston, WV)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package includes… more
- Cardinal Health (Charleston, WV)
- …500. We currently have a career opening for a Reimbursement Solutions Analyst . **What Clinical Operations contributes to Cardinal Health** Clinical Operations is ... regimens as insurance indicates + Discuss medication options with pharmacy /physician and patient based on accessibility and availability (outpatient environment)… more
- Evolent (Charleston, WV)
- …**What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve ... + Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data regarding health plan cost & use and make recommendations based… more
- CVS Health (Charleston, WV)
- …ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to ... Bachelor's degree preferred/specialized training/relevant professional qualification. **Preferred Qualifications** + Healthcare/ pharmacy industry experience and knowledge of pharmaceutical products. +… more
- CVS Health (Charleston, WV)
- …it all with heart, each and every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's ... to develop and implement the annual audit plan for pharmacy task functions including intake, benefits verification, order scheduling,...Ability to be a mentor to less experienced Business Analyst and team members to drive compliance for best… more