Healthcare Professional Jobs in West Virginia

Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..

Description The Senior Clinical Business Professional manages all aspects of a ... budget. The Senior Clinical Business Professional work assignments involve moderately complex ... Responsibilities The Senior Clinical Business Professional..

Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..

... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... Responsibilities The Care Management Support Professional contributes to administration of the ... improvement. The Care Management Support..

Description The Senior Compliance Professional will help to reach compliance program objectives by ensuring compliance with governmental regulations and laws, assessing risks and providing guidance to business areas. Responsibilities The Senior ..

Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..

Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..

Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..

Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..

... with qualifying ASD diagnoses. Provide professional and courteous service to all ... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of a ... case management, clinics and/or..

Description The Senior Market Finance Professional collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex ..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..

Description The Senior Quality Improvement Professional will focus organizational efforts on ... quality improvement. Senior Quality Improvement Professional work assignments involve moderately complex ... Responsibilities The Senior Quality Improvement Professional..

Job ID 21000GVTAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

... The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge ... The Utilization Management Behavioral Health Professional 2 work assignments are varied ... The Utilization Management Behavioral Health..

Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..

Description SeniorBridge is hiring a remote, Full-Time Scheduling Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We provide concierge care management, private duty nursing, and personal care assistance ..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..

Job Information Humana Senior Accreditation Professional in Charleston West Virginia Description ... Virginia Description The Senior Accreditation Professional works in a team environment ... Home Anywhere The Senior Accreditation Professional..

... your personal attention and kindness, professional insight, and a generosity of ... the global leader in dialysis healthcare, we form bonds that enable ... the best possible outcomes and..

Job ID 21000FMNAvailable Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Miletree Center is a 62 bed nursing facility offering sub-acute and long term care. Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care ..