Talent.com
Oak St. Health
Health Insurance Claims Specialist (Charleston, West Virginia)Oak St. Health • Charleston, WV, US
No longer accepting applications
Health Insurance Claims Specialist (Charleston, West Virginia)

Health Insurance Claims Specialist (Charleston, West Virginia)

Oak St. Health • Charleston, WV, US
30+ days ago
Salary
$21.10 hourly
Job type
  • Full-time
Job description

Project Operations Specialist

We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time.

The Aetna Better Health of West Virginia plan has a successful, 29+ year history of partnering with the state to provide West Virginia's Medicaid population with top notch health care coordination and service. The plan has also been chosen to provide care coordination to complex foster care children of the state.

Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health of West Virginia has successfully assisted the state in achieving high quality standards and outcomes for the Medicaid population across the state. The health plan truly embodies the commitment of West Virginians helping West Virginians. At Aetna Better Health of West Virginia, you can be the very best you can be, working with strong teams committed to helping our members and with opportunities for career growth. We will support you all the way!

The Project Operations Specialist is responsible for supporting the development, implementation and ongoing management of project(s).

Job Duties

  • Performs data collection, analytical research, and root cause analysis.
  • Identifies issues that may stall projects, addressing them within a timely manner.
  • Edits and maintains project-related materials.
  • Tracks and monitors progress against timeline and key milestones. May also track project-related financial expenditures.
  • Actively participates in the development of communications materials on project status to all impacted parties.
  • Actively participates in development of implementation plan to ensure all impacted parties (both up & downstream) are informed of next steps for completion.
  • May assist with project logistics including agendas, meeting arrangements, and minutes.
  • Performs other duties as assigned.

Required Qualifications

  • 3+ years of experience in health insurance and medical claims.
  • Resides in West Virginia.
  • Willingness to work a hybrid schedule (3 days in-office) in the Charleston, WV office.
  • 3+ years in general personal computer experience, including a demonstrated proficiency in personal computer, keyboard, mouse, multi-system navigation, and Microsoft Office Suite applications (Outlook, Word, Excel, Sharepoint, Teams, etc.).

Preferred Qualifications

  • 3+ years of experience in Medicaid.
  • Ability to communicate effectively with management and colleagues.
  • Ability to successfully and consistently collaborate within relevant work teams.
  • Strong verbal and written communication skills.
  • Excellent organizational and time management skills.
  • Proven track record meeting project dates and deadlines.
  • Associate's or Bachelor's degree.

Education

  • High school diploma or GED.

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $21.10 - $36.78

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Create a job alert for this search

Health Insurance Claims Specialist (Charleston, West Virginia) • Charleston, WV, US

Similar jobs

Contracting Specialist (Insurance)

IntegritySaint Albans, WV, United States
Full-time

Agent Pipeline, an Integrity company, is one of the most successful insurance marketing organizations in the United States.Albans, West Virginia, Agent Pipeline distributes a comprehensive mix of l... Show more

 • Promoted

Senior Specialist, Clinical Quality Assurance - Remote

West Virginia StaffingCharleston, WV, United States
Remote
Full-time

Quality Assurance Clinical Quality AuditorOur Research & Development Division Quality Assurance (QA) is an independent organization that provides quality focus at each critical stage of the pro... Show more

 • Promoted

Sales Leader, Retirement & Benefit Solutions

LifeWorks by TelusCharleston, WV, United States
Full-time

TELUS Health Leadership Opportunity.TELUS Health is empowering every person to live their healthiest life.Guided by our vision, we are leveraging the power of our leading edge technology and focusi... Show more

 • Promoted

Registered Nurse, RN

Cedar Ridge Center - WVSissonville, WV, United States
Full-time

We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.As a leading provider in the long-term care industry, we believe in fostering a co... Show more

 • Promoted

Caregiver

Village Caregiving, LLCMadison, WV, United States
Part-time

Village Caregiving - Charleston Caregiver Position.Village Caregiving - Charleston is seeking a compassionate and dedicated Caregiver to join our team on a part-time, hourly basis.As a Caregiver, y... Show more

 • Promoted

Team Member

Tractor SupplyRipley, WV, United States
Full-time

Overall Job Summary The Team Member is responsible for interacting with customers and team members, supporting selling initiatives and performing assigned tasks, while delivering a Legendary Custom... Show more

 • Promoted

Home Health Aide Email Blast

Home Care EvolutionDunbar, WV, United States
Full-time

Responsive recruiterReplies within 24 hoursBenefits:401(k)Dental insuranceFlexible scheduleHealth insuranceOpportunity for advancementPaid time offTraining & developmentVision insuranceBenefits... Show more

 • Promoted

Senior Claims Specialist - West Virginia

CorVelCharleston, WV, United States
Full-time

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards.This role works closely with case managers and attorneys, manages subrogation,... Show more

 • Promoted

Work From Home

Remote JobsRipley, WV
Remote
Full-time

Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work f... Show more

 • Promoted

Contracting Specialist (Insurance)

Integrity WindowsSaint Albans, WV, United States
Full-time

Contracting SpecialistAgent Pipeline, an Integrity company, is one of the most successful insurance marketing organizations in the United States, with a vast network of proud employees and satisfie... Show more

 • Promoted

Contracting Specialist

Integrity WindowsSaint Albans, WV, United States
Full-time

Contracting SpecialistAgent Pipeline, St Albans, WVFounded in 1988, West Virginia-based Agent Pipeline is one of the most successful insurance marketing organizations (IMOs) in the United States, w... Show more

 • Promoted

Hiring Now - Work from Home - No Experience

OCPARipley, West Virginia, us
$25.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

GM

Arby'sRipley, WV, United States
Full-time

Arby's Restaurant General Manager.Based in Northern Indiana, AES Restaurant Group, LLC is a proud franchisee of Arby's operating restaurants across 344 locations in 20 states.We're guided by our va... Show more

 • Promoted

60356 - Referral Specialist

Herbert J. Thomas Memorial Hospital Association dba Thomas HospitalsCharleston, WV, United States
Full-time

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full... Show more

 • Promoted

Call Center Agent (PT or FT)

American Red CrossSaint Albans, WV, United States
Full-time

Join the American Red Cross and Be a For for Good! If you are committed to changing the world one community at a time, while enjoying great pay and a flexible work schedule, ARC is for you! Current... Show more

 • Promoted

Information Technology Professional

US NavyMadison, WV, US
Full-time

Information Technology Professional (IT/CTN/IS).Information Systems Technicians, Cryptologic Technician Networks, and Intelligence Specialists keep the Fleet connected, informed, and secure by oper... Show more

 • Promoted

amazon warehouse associate $15+/ Hour (Sign on Bonus)!

AmazonRipley, WV
Full-time +1

Amazon warehouse associates hiring in your area.If you are looking for outstanding pay, flexible part-time, full-time and seasonal schedules, plus benefits for you and your family, the Amazon Logis... Show more

 • Promoted

Healthcare Claims Analyst - Remote

Fortuna BMCCharleston, WV, United States
Remote
Full-time

We are seeking a detail-oriented and motivated Healthcare Claims Analyst to join our team.In this role, you will be responsible for reconciling healthcare payments, posting claims, generating invoi... Show more

 • Promoted

Work-From-Home Product Quality Assurance - $45 per hour

Great LionSt. Albans, West Virginia
$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Assistant Manager

Arby'sRipley, WV, United States
Full-time +1

Arby's Restaurant Assistant Manager.Based in Northern Indiana, AES Restaurant Group, LLC is a proud franchisee of Arby's operating restaurants across 344 locations in 20 states.We're guided by our ... Show more