Clinical Denials Coord West Virginia University MedicineClinical Denials CoordMorgantown, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma; Currently enrolled in a BSN program and BSN completion within three (3) years of hire.
Project Manager West Virginia University MedicineProject ManagerBridgeport, WVMonitors all expenses for equipment, FF&E, construction, design, change orders, project scope changes, incurred by assigned projects to ensure the project remains within budget. Reviews/revises, with end users input, plans, specifications, drawings, etc., to be used for equipment/system modifications, installations, renovations and new construction projects.
Inpatient Hospital Coding Manager West Virginia University MedicineInpatient Hospital Coding ManagerMonongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Bachelor's degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR; Associate's Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR; In Lieu of Bachelor or Associate's Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager. Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments to achieve optimal practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
Sales Associate, Morgantown The Talbots IncSales Associate, MorgantownMorgantown, WVAt Talbots relationships are the key to our business, we hire individuals who bring new ideas to the table, understand smart risk taking and can enhance an already thriving culture. Achieve sales and service metrics in key measurable areas including: clientelling/outreach, appointment setting and Talbots Classic Awards.
UHC - Medical Staff Coordinator West Virginia University MedicineUHC - Medical Staff CoordinatorBridgeport, WVParticipates in Joint Commission, Office of Health Facility Licensure & Certification (OHFLAC) and Managed Care Organization (MCO) surveys as it relates to the credentialing and privileging of Physicians, Dentists, Licensed Independent Practitioners and Advanced Practice Professionals. The process includes, but is not limited to, new applications, provisional reviews, and biennial reappointments for members of the Medical Staff, Licensed Independent Practitioners and Advanced Practice Professionals as defined by the Hospital's Medical Staff Bylaws.
Senior Manager - Operations Readiness CVS Health CorpSenior Manager - Operations ReadinessWV$67,900–$182,549 / yearThe Senior Manager will partner closely with Operations Innovation and Technology teams, operational leaders, Change Management, and Training to ensure initiatives are operationally sound, ready for deployment, and successfully adopted across MWB teams. The Senior Manager - Operations Readiness will lead the Operations Readiness function within the MWB Business Operations Team, supporting the MWB organization by ensuring operational changes are effectively designed, prepared, and embedded into day-to-day execution.
Office Manager -PC West Virginia University MedicineOffice Manager -PCBridgeport, WVMust be highly skilled with computer systems used by both physician offices and hospitals to capture data accurately and consistently to permit an appropriate claim for payment to be completed as well as to appropriately capture other needed information. The incumbent oversees the daily operations of the medical office consistent with good business practices and in conformance to overall institutional practices, including personnel management, financials, budgets, accounts payable, accounts receivable, payroll and purchasing.
Financial Resource Coordinator West Virginia University MedicineFinancial Resource CoordinatorMorgantown, WVFrequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping and feeling are necessary body movements utilized in performing duties through the work shift. Projects a mature problem-solving response while dealing with interpersonal conflict, medically compromised individuals, dissatisfied patients and stringent time demands.
Lead Utilization Management Coordinator West Virginia University MedicineLead Utilization Management CoordinatorWVAssess all referred concurrent denials to determine appropriate next steps including, but not limited to, requesting peer to peer, determining need to change billing status, requesting additional clinical information from the Utilization Review RNs, and referring cases to the Clinical Appeals team. The Lead Utilization Management Coordinator (UMC) assists in driving the strategic oversight, execution, and mitigation of concurrent denials to secure timely authorizations, prevent costly and lengthy appeals, and optimize institutional reimbursement.
Supv Nursing-Eve-Night West Virginia University MedicineSupv Nursing-Eve-NightMorgantown, WVShift: Exempt/Non-Exempt: United States of America (Exempt). This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
NewEntry Level Sales Home Genius ExteriorsEntry Level SalesFairmont, WV$100,000–$300,000 / yearDitch the cold calls and step into a full-time, high-opportunity W-2 sales role where 90% of the work is done for you before you ever meet the customer. Home Genius Exteriors grew from $2.7M in sales our first year to over $292M in six short years!
Sales Associate 7-Eleven IncSales AssociateWVAs one would expect, cash handling, fuel transactions, cleaning, and stocking are part of the role with some food service positions specifically tasked with food prep and foodservice safety. 7-Eleven Franchisees are Independent Contractors who are solely responsible to control the manner and means of the day to day operation of their stores.
Detail Manager Morgantown Toyota MitsubishiDetail ManagerMorgantown, West VirginiaMoses Auto Group is the largest automotive dealer in the state, proudly standing as a multi-generational dealership for over 75 years and home to an iconic manufacturer portfolio leading the industry through purposeful innovation and creativity. Order, track, and manage shop supplies and product inventory ensuring availability of products.
Superintendent MEC Construction LLCSuperintendentFairmont, WVCommitted to the health and safety of all crew members and visitors to the site through proactively discussing any significant or unusual safety concerns or conditions with appropriate parties prior to the work, and in consistently reinforcing the Company's Health and Safety program and that of the client during the work week. An effective and diplomatic communicator with the company's engineering team and with all outside parties - the on-site representatives of the client and the engineering team, sub-contractors, trades, and vendors.
Ops Pharmacy Tech II West Virginia University MedicineOps Pharmacy Tech IIWVNationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) OR If applicant has two (2) or more years of pharmacy specific experience, must be obtained within 15 months of hire. Must possess current licensure as required by state board where services will be provided: MD: Pharmacy Technician Student Permit or Pharmacy Technician License through Maryland Board of Pharmacy.
Pharmacy Analyst 340B West Virginia University MedicinePharmacy Analyst 340BMorgantown, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Bachelor's degree in Information Technology, Business Management, Hospital Administration, Accounting, Finance or other related field, AND Two (2) years of experience in pharmacy or healthcare OR one (1) year of experience with pharmacy financial reporting. OR Associate degree in Information Technology, Business Management, Hospital Administration, Accounting, Finance or other related filed, AND Four (4) years of experience in pharmacy OR healthcare OR Three (3) year of experience with pharmacy financial reporting.
UHC - Sales Associate (Part-Time) West Virginia University MedicineUHC - Sales Associate (Part-Time)Bridgeport, WVWorks with customers on special orders and requests, maintains special order files and sales. Responsible for timely closing of the gift shop, ensures both gift shop and volunteer services office are locked and secure.
Lead Director, Commercial Member Experience CVS Health CorpLead Director, Commercial Member ExperienceWV$100,000–$231,540 / yearLead Director, Member Experience is responsible for shaping the experience strategy and portfolio presentation approach for new and enhanced payor-focused products and capabilities, with a particular emphasis on member-facing communications as a core part of the end-to-end experience. Serving as a cross-functional leader across product, design, marketing, and communications partners, this role sets strategic direction, priorities, and requirements while orchestrating aligned execution across teams.
Residency Program Administrator West Virginia University MedicineResidency Program AdministratorWVProvides educational and regulatory instruction to residents, faculty, staff, etc. for utilizing programs necessary to educational processes, such as E-Value for duty hour and portfolios, ACGME for case log reporting, ERAS for recruitment, and other specialty specific educational software. Review financial budgets, expectations and needs for the Educational Division, including analysis of resident data and completes semi-annual CMS Budget Control Sheets appropriately to maximize federal funding for residency training.
Trauma Nurse Coordinator West Virginia University MedicineTrauma Nurse CoordinatorBridgeport, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). This position is responsible for coordinating trauma care management across the continuum of trauma care, including planning and implementing of clinical protocols / practice management guidelines, monitoring care of in-hospital patients, and serving as a resource for clinical practice.