- CVS Health (Charleston, WV)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- Elevance Health (Charleston, WV)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Travelers Insurance Company (Charleston, WV)
- …throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, litigation management, negotiation and resolution) including ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engages… more
- Travelers Insurance Company (Charleston, WV)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- Summary This position serves as a Manager Position in the Material Division of the Logistics Service in the VA HealthCare System responsible for the inventory and ... equipment in the assigned area(s). Responsibilities Duties: This position serves as a Manager Position in the Material Division of the Logistics Service in the VA… more
- CDM Smith (Charleston, WV)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Charleston, WV)
- …Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals. ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Charleston, WV)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Collaborates with sales staff to create proposals in ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Charleston, WV)
- …are used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex calculations to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more