- CommuniCare Health Services Corporate (Martinsburg, WV)
- Mobile Executive Director / Nursing Home Administrator (NHA) CommuniCare Health Services is a fast-growing provider of long term care with over 130 ... experienced leader to assume the position of Mobile Executive Director . This Mobile Executive Director position covers...needed (regional and overnight) + License as a Nursing Home Administrartor (NHA)in West Virginia + At least five… more
- Highmark Health (Charleston, WV)
- …and providers across the network. + Attend meetings as appropriate, including medical director meetings, QI committee and subcommittees, as assigned. + ... the evaluation and credentialing of organizational providers, including hospitals, home health agencies, SNFs, etc. Work closely...There are a variety of external contacts that the Medical Director would be anticipated to regularly… more
- Humana (Charleston, WV)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Elevance Health (Charleston, WV)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… more
- Sanofi Group (Charleston, WV)
- …& Outcomes (MVO) team member (Senior Manager, Associate Director or Director ) serves as the medical scientific lead for population-based healthcare decision ... Identify, develop and maintain credible scientific partnerships with key medical , pharmacy, quality & health economics/outcomes/analytics healthcare… more
- Elevance Health (Charleston, WV)
- …to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ... **Clinical Operations Medical Director ** **Utilization Management of ...medical necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer-to-peer… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Charleston, WV)
- … health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (Maternal-Child Health ) who will lead teams of nurses ... responsible for maternal and child services care management. The Associate Director , Care Management (Maternal-Child Health ) works within specific guidelines… more
- BrightSpring Health Services (Dunbar, WV)
- …mortality reviews are completed within five days of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review ... Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In- home Pharmacy Solutions, Telecare and Remote Support,… more
- Cardinal Health (Charleston, WV)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- CommuniCare Health Services Corporate (Bridgeport, WV)
- …Family of Health Care Companies is currently recruiting a Regional Director of Finance to supervise business office policies, billing, collection, and other ... Regional Director of Finance - Long Term Care The...QUALIFICATIONS/EXPERIENCE REQUIREMENTS + 5 years previous experience with nursing home billing required. + Must possess thorough understanding of… more
- Evolent Health (Charleston, WV)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- CenterWell (Charleston, WV)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- CenterWell (Charleston, WV)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
- Humana (Charleston, WV)
- …with mandated and corporate policies regarding other departmental areas such as medical management, utilization management, population health and quality. + May ... part of our caring community and help us put health first** Humana Healthy Horizons in Virginia is seeking...Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (LTSS/ABD) who will lead teams of… more
- Nutanix (Charleston, WV)
- NUTANIX - Senior Director , Global Cloud Economics Hungry, Humble, Honest, with Heart. About Us Nutanix is a global leader in hybrid multi-cloud solutions, making ... hybrid and multi-cloud environments. The Opportunity The Nutanix Senior Director - Worldwide Cloud Economist team is a senior...an industry best benefit package including 100% paid company health insurance as well as other very robust benefits,… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Associate Director of Contractor Workforce Management will drive a best-in-class ... flexibility in job focus \#LI-PH1 **Additional Information** _Work at Home Guidance_ _To ensure Home or Hybrid...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more