Top 280 Geography Jobs in West Virginia

Senior Claim Benefit Specialist - Remote
CVS Health —West Virginia
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Medical Claim Analyst
CVS Health —West Virginia
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
9d
Executive Assistant
CVS Health —West Virginia
- $22.59 - $58.85 an hour
- Overtime
- Remote
- Microsoft Outlook
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Charleston, WV
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —West Virginia
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Health insurance
- Dental insurance
Senior Analyst, Actuarial
CVS Health —West Virginia
- $64,890 - $158,620 a year
- Full-time
- Remote
- Mid-level
- 3 years
- SQL
- Health insurance
- Dental insurance
Quality Practice Liaison (Must be licensed in Arizona or Multi-State)
CVS Health —West Virginia
- $54,095 - $155,538 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Configuration Management Senior Analyst
CVS Health —West Virginia
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Health insurance
- Dental insurance
8d
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —West Virginia
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Resource Coordinator
Brown Edwards —Charleston, WV
- $60,000 - $80,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Profit sharing
- Health savings account
(Hybrid) Brownfield Redevelopment Project Manager – Design & Planning - WV Water Research Institute
West Virginia University —Morgantown, WV
- Full-time
- Public speaking
- English
- Mid-level
- Paid holidays
- Health insurance
Healthcare Encounter Senior Analyst
CVS Health —West Virginia
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Manager Digital Product
CVS Health —West Virginia
- $83,430 - $222,480 a year
- Full-time
- Remote
- 6 years
- HIPAA
- Master's degree
- Health insurance
- Dental insurance
Director, Competitive Intelligence
CVS Health —West Virginia
- $100,000 - $231,540 a year
- Weekends as needed
- Remote
- Microsoft Word
- 7 years
- Microsoft Excel
- Health insurance
- Dental insurance
Senior Manager – Operations Readiness
CVS Health —West Virginia
- $67,900 - $182,549 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
5d
Sr Lab Technician
Ecolab Inc. —Martinsburg, WV
- $28 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Employee stock purchase plan
Lead Director, Commercial Member Experience
CVS Health —Charleston, WV
- $100,000 - $231,540 a year
- Full-time
- Hybrid work
- Bachelor's degree
- Organizational skills
- Fair chance
- Health insurance
- Dental insurance
11d
Pharmacy Network Manager (Aetna)
CVS Health —West Virginia
- $54,300 - $159,120 a year
- Full-time
- Remote
- Bachelor's degree
- Fair chance
- Senior level
- Health insurance
- Dental insurance
Call Center Representative – Medicaid Member Support
Conduent State Healthcare, LLC —West Virginia
- $16 an hour
- 8 hour shift
- Remote
- 18 years or older
- Computer literacy
- Medical office experience
- Paid training
- Paid holidays
Manager - Cyber Resilience
CVS Health —Charleston, WV
- $83,430 - $222,480 a year
- Full-time
- High school diploma or GED
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance

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geography jobs near west virginia

Senior Claim Benefit Specialist - Remote

CVS Health -
West Virginia

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Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

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.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

geography jobs in west virginia

Senior Claim Benefit Specialist - Remote

Medical Claim Analyst

Executive Assistant

Investigator, Special Investigations Unit (Meritain Health)

Business Analyst, Regulatory Reporting Solutions (Remote)

Senior Analyst, Actuarial

Quality Practice Liaison (Must be licensed in Arizona or Multi-State)

Configuration Management Senior Analyst

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Resource Coordinator

(Hybrid) Brownfield Redevelopment Project Manager – Design & Planning - WV Water Research Institute

Healthcare Encounter Senior Analyst

Manager Digital Product

Director, Competitive Intelligence

Senior Manager – Operations Readiness

Sr Lab Technician

Lead Director, Commercial Member Experience

Pharmacy Network Manager (Aetna)

Call Center Representative – Medicaid Member Support

Manager - Cyber Resilience

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