
51 - 200 employees
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.
Selected: 🆕 Date Added.
🕒 2 days ago
Medicare Member Services Representative supporting Peak Health’s Medicare Advantage members and providers. Handling inbound and outbound calls, claims inquiries, and complex member issue resolution.
🇺🇸 United States – Remote
⏰ Full Time
🟢 Junior
✨ Representative
🚫👨🎓 No degree required
👻 Ghost score 10%
🕒 October 2
Medicare call center supervisor overseeing Peak Health member services representatives. Managing service levels, coaching, escalations, and CMS-compliant Medicare Advantage operations.
🕒 August 30
Managed care pharmacist overseeing Peak Health’s PBM operations and pharmacy benefit programs. Driving clinical quality, regulatory compliance, cost savings, and stakeholder collaboration.
🕒 August 14
Network Service Consultant developing provider relationships and educating stakeholders for Peak Health’s health insurance plans. Supporting credentialing, contracting, regulatory reporting, and network strategy.
🕒 July 2
Clinical Utilization Management Pharmacist performing drug utilization reviews and collaborating with pharmacy teams to ensure compliance and improvements. Requires pharmacy license and experience in clinical and managed care settings.