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4 Jobs

  • Case Manager RN- Field - Southern Region, WV

    CVS Health - Charleston, West Virginia
    ... the State to provide West Virginia's Medicaid population with top notch health care coordination and ... field teleworker position in West Virginia. Travel is required 50% of the time or more, in the South ...
  • Senior Market Development Professional - Dual Eligibles

    Humana - Charleston, West Virginia
    ... /Medicaid Duals product implementation, operations, contract compliance, and federal contract application ... meeting or exceeding corporate Medicare/Medicaid Duals performance benchmarks. Maintains ...
  • Medicare Grievances and Appeals Corporate Medical Director

    Humana - Charleston, West Virginia
    ... clinical experience Knowledge of the managed care industry including Medicare, Medicaid and or ... willing to obtain license, as required, for various states in region of assignment Board Certified in ...
  • Medical Director - Southeast Region

    Humana - Charleston, West Virginia
    ... size of region or line of business. The Medical Director conducts Utilization Management of the care ... internal associates, and possible participation in care management. The clinical scenarios predominantly ...