Claims Management Resources Jobs in Buffalo, WV

Humana

Product Manager

Humana - Charleston,WV

Become a part of our caring community and help us put health first The Technical API Product Manager will support Humana's Unified API Catalog with a focus on fostering API adoption, reuse, analytics, and driving education...

GE Vernova

Lead I&C Hardware/FPGA Design Engineer (Remote Eligible, U.S.)

GE Vernova - Buffalo,WV

Job Description Summary The I&C hardware Engineer works within the I&C Engineering team and is responsible for designing and implementing I&C electronic hardware and software for I&C systems for Nuclear Power Plants. The I&C...

Abbtech Professional Resources

FIPS 140 Security Engineer-REMOTE

Abbtech Professional Resources - Buffalo,WV

FIPS 140 Security Engineer Columbia, MD You will get an exciting opportunity to work in the growing IT Security field in support of National defense. The products you will touch will be deployed into larger systems and/or deployments...

Cardinal Health

Case Manager

Cardinal Health - Charleston,WV

**_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business...

Highmark Health

Associate Medical Stop Loss Underwriter

Highmark Health - Charleston,WV

Company : HM Insurance Group Job Description : JOB SUMMARY This job pricies quotes and analyzes the structure of a contract for a group based on claims experience,...

FBI

FBI Special Agent: Behavioral Studies, Data Science & Statistical Analysis Background

FBI - Winfield,WV

JOB DESCRIPTION The position advertised has been exempted from the federal civilian hiring freeze. As an FBI special agent, you'll directly impact national security. By harnessing your background to transition into federal law enforcement, you can...

Molina Healthcare

Claims Business Analyst - QNXT - CA Remote

Molina Healthcare - Buffalo,WV

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed...

BrightSpring Health Services

Wraparound Facilitator- 2K Sign on

BrightSpring Health Services - Dunbar,WV

Our Company StepStone Family & Youth Services Overview The Wraparound Facilitator implements the Wraparound process for youth and families identified and referred to the agency for the Safe at Home West Virginia program. The goal...

FBI

FBI Special Agent: Behavioral Studies, Data Science & Statistical Analysis Background

FBI - Eleanor,WV

JOB DESCRIPTION The position advertised has been exempted from the federal civilian hiring freeze. As an FBI special agent, you'll directly impact national security. By harnessing your background to transition into federal law enforcement, you can...

Molina Healthcare

Sr. Risk & Quality Performance Manager (Remote)

Molina Healthcare - Buffalo,WV

Job Description Job Summary The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk & Quality Solutions (RQS) team and program...

Molina Healthcare

Sr. Program Manager - Healthcare Enrollment (Remote)

Molina Healthcare - Buffalo,WV

Job Summary Responsible for multiple Enrollment internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.

Molina Healthcare

Engineer, Big Data - Databricks/Python/SQL/Power BI - Remote

Molina Healthcare - Buffalo,WV

Job Description Job Summary Responsible for collecting, storing, processing, and analyzing large sets of data. The primary focus will be on choosing optimal solutions to use for these purposes, then...