2w
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Provider Performance Specialist
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
3+ YOEBachelor's in related field or equivalent experience and 3 years healthcare payer/provider/managed care experience; knowledge of HEDIS/Stars, Medicaid/Medicare Advantage, quality improvement, and provider workflows.
Microsoft Excel
1mo
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IDD Waiver Family or Respite Provider
Wheeling, West Virginia, United States
FieldPart Time
Must be at least 18 years old, pass a background check, and be approved under the IDD Waiver Program to provide waiver services in clients' homes.
3mo
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MHN Chief Advanced Practice Provider
Huntington, West Virginia, United States
OnsitePart Time
7+ YOE3+ MgmtLead APP integration, recruitment, credentialing, and program development for advanced practice providers.
1mo
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Director, Contract Strategy & Provider Engmt
United States or Alaska or Hawaii or Maine or Mississippi or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or West Virginia or Wyoming
$142k-$178k/yr RemoteFull Time
7+ YOE3+ MgmtBachelor's degree or equivalent, 7+ years PBM/health plan/pharmacy network experience, provider contracting expertise, 3+ years leadership, strong reimbursement/claims knowledge, compliance orientation, and stakeholder engagement skills.
1mo
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Program Supervisor
Wheeling, West Virginia, United States
$16/hr FieldMultiple Commitments Available
1+ YOESupervise caregivers and implement Individual Service Plans (ISPs); perform staff hiring, training, scheduling and oversight; provide direct support including medication administration and community transport. Requires HS diploma, 1 year related experience, age 18+, and a valid driver's license with vehicle registration and insurance.
2w
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Oncology Program Facilitator
Parkersburg, West Virginia, United States
OnsiteFull Time
High school diploma required (associates preferred). Provides administrative and clerical support, coordinates cancer conference, maintains tracking, produces minutes; Microsoft and database software experience and familiarity with medical terminology.
6d
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Assistant Program Coordinator
Charleston, West Virginia, United States
$17-$18/hr OnsiteFull Time
1+ YOEHigh school diploma/GED and 1 year related experience; Microsoft Office proficiency; ability to handle cash, interact with public, and pass criminal background check; must provide legal work documentation and speak English.
Microsoft Office
2w
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Advanced Practice Provider (NP or PA) - Neurosurgery OP(Casual) - 7141
Huntington, West Virginia, United States
OnsitePart Time
Graduate of an approved NP or PA program with current West Virginia license; BLS and ACLS required; 3–5 years' experience preferred; strong communication and clinical examination skills.
3w
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APP- High Risk Breast Program
Norfolk or North Carolina or Nevada or South Carolina or South Dakota or Tennessee or Texas or Virginia or West Virginia or Wisconsin
OnsiteFull Time
Provide comprehensive assessment, risk-based management, prevention, surveillance, education, and longitudinal follow-up for individuals at elevated breast cancer risk; enrollment in a high-risk genomic cancer risk assessment course is required.
2w
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Program Supervisor (In-Home)
Saint Clairsville or Zanesville or Steubenville or Wheeling
FieldFull Time
Master's in human services, professional human services license, supervisor certification within 12 months, valid driver's license and auto insurance, required clearances, experience providing clinical services to at-risk children and families; English/Spanish fluency preferred.
EHR
2mo
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Remote Clinical Therapist – Intensive Outpatient Program
Morgantown or West Virginia
RemotePart Time
2+ YOELicensed clinician in West Virginia (LPC/ALPC/LCSW/LICSW/LMFT/psychologist), Master\u0002s degree required, experience facilitating groups and providing individual therapy, strong documentation and virtual care skills; 2+ years preferred.
ASAM criteria, DSM-5-TR
1w
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Therapist - Safe at Home/CSED Wraparound Program
Beckley, West Virginia, United States
FieldFull Time
Master's-level licensure required; provide trauma-informed psychotherapy, maintain records, travel to client homes, and participate in multidisciplinary teams.
Microsoft Office, Electronic Health Record, Teams
5d
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Grants Specialist
Kanawha County, West Virginia, United States
$45k-$75k/yr OnsiteFull Time
1+ YOEBachelor's degree; minimum 1 year experience in child welfare casework, grants, accounting, finance, or program administration; ensures grantee compliance and provides technical assistance.
1w
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Project Control IV
Charleston, West Virginia, United States
OnsiteFull Time
6+ YOEProvide and direct project controls functions including planning, scheduling, cost management, performance analysis, reporting, and supervising project control specialists.
1mo
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Virtual Reimbursement Manager
Huntington, West Virginia, United States
FieldFull Time
2+ YOEBachelor's degree and 2+ years reimbursement or managed care experience; knowledge of access, coverage and reimbursement including Medicare Parts B & D; ability to educate provider offices and communicate payer changes.
1mo
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Senior Analyst Claim Reporting and Special Services
Hartford or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or United States
$47k-$112k/yr HybridFull Time
2+ YOE2+ years processing claims through ACAS, knowledge of Aetna claim and provider systems, project coordination and root-cause analysis skills, data analysis ability, strong communication and composure under pressure.
Aetna claim and provider systems, ACAS, USQA reporting, Microsoft Excel, Microsoft Word, Microsoft Access
1mo
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Physical Therapy Assistant (PTA)
Dunbar, West Virginia, United States
$25-$30/hr OnsiteFull Time
Graduate of an accredited PTA program and licensed/eligible for state licensure; provide and implement PT programs, deliver therapy treatments, and follow recovery plans in a facility setting.
Medbridge
6d
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Expanded Mental Health Grant Social Worker (contingent upon receiving grant funding)
Berkeley Springs, West Virginia, United States
OnsiteFull Time
Provide and supervise school-based mental health services, implement ESMH programs and EBPs, complete assessments (CANS), data collection, and ensure program compliance with grant and SHAPE requirements.
Epi Info, SHAPE
1mo
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Assistant Professor- Faculty Dentist
Huntington, West Virginia, United States
OnsiteFull Time
Provide comprehensive dental care in ambulatory and hospital settings; supervise and teach residents and students; participate in scholarly activity and program accreditation.
2d
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Registered Nurse, RN
Cheat Lake, West Virginia, United States
$37-$40/hr OnsiteFull Time
Licensed by the State Board of Nursing, CPR required, graduate of an approved nursing program; provides nursing assessments, medication administration, and care planning.
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