
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
🔥 0 minutes ago
Improve your chances of getting an interview by checking your resume score before you apply.

10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
• Act in coordination of the SNP Clinical team to provide ongoing coordination of care to members • Assist in ensuring compliance with CMS SNP Model of Care (MOC) expectations • Support members in guiding through Health Risk Assessment completion • Conduct timely follow-ups with members and/or their designated caregivers • Educate members on DSNP supplemental benefits and assist with access • Facilitate scheduling of PCP visits and preventive screenings • Document accurately to ensure coordination of members’ care needs
• High School diploma or equivalent • One (1) year of working in a healthcare or managed care setting • One (1) year of customer service experience • Excellent written and oral communication • Demonstrated knowledge of CMS regulatory and contractual documents • Proficiency with Microsoft Office products
• Health insurance • Retirement plans • Paid time off
Apply Now🔥 16 minutes ago
Provider Contracting Professional negotiating and executing behavioral health provider contracts for Virginia Medicaid. Engaging with providers and analyzing contracts' financial impacts while supporting Humana's healthcare services.
🔥 16 minutes ago
Field Service Coordinator at Humana assessing member's needs and guiding toward appropriate resources. Involves ongoing assessments and collaboration with care teams for optimal member outcomes.
🔥 52 minutes ago
Community Resource Coordinator supporting members with healthcare resources and care management. Requires connectivity with community resources and travel within Kansas.
🔥 1 hour ago
Retail Execution Specialist driving sales growth by amplifying Advanced Hydration brands on shelves. Engaging with consumers and store personnel to maximize presence and customer experience.
🔥 1 hour ago
Payment Accuracy Specialist at Cotiviti auditing and validating healthcare claims with a focus on data integrity. Collaborating with a recovery team to improve healthcare payment integrity and accuracy.
🇺🇸 United States – Remote
💵 $25 - $29 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor