• Utilization Management

    CVS Health (Charleston, WV)
    clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
    CVS Health (11/19/25)
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  • Senior Decision Support Consultant

    Highmark Health (Charleston, WV)
    …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
    Highmark Health (11/14/25)
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  • Provider Success Consultant Sr. West…

    Elevance Health (Charleston, WV)
    Provider Success Consultant Sr. West Virginia (Value-Based) JR173669 **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... unless an accommodation is granted as required by law._ The **Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based… more
    Elevance Health (11/19/25)
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