Job Posting Submissions
Submit your open positions using the form below. Each listing will be posted for 90 days. To extend or update your posting, please submit a new form after the 90-day period.
Current open roles:
Insurance Claims Specialist
WVU Medicine
Full-time
Posted 11/9/2026
Position Description:
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
- High School diploma or equivalent.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
- One (1) year medical billing/medical office experience.
CORE DUTIES AND RESPONSIBILITIES:
The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
- Submits accurate and timely claims to third party payers.
- Resolves claim edits and account errors prior to claim submission.
- Adheres to appropriate procedures and timelines for follow-up with third party payers to ensure collections and to exceed department goals.
- Gathers statistics, completes reports and performs other duties as scheduled or requested.
- Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.
- Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up.
- Contacts third party payers to resolve unpaid claims.
- Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.
- Assists Patient Access and Care Management with denials investigation and resolution.
- Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
- Attends department meetings, teleconferences and webcasts as necessary.
- Researches and processes mail returns and claims rejected by the payer.
- Reconciles billing account transactions to ensure accurate account information according to established procedures.
- Processes billing and follow-up transactions in an accurate and timely manner.
- Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital billing.
- Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.
- Maintains work queue volumes and productivity within established guidelines.
- Provides excellent customer service to patients, visitors and employees.
- Participates in performance improvement initiatives as requested.
- Works with supervisor and manager to develop and exceed annual goals.
- Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.
- Communicates problems hindering workflow to management in a timely manner.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to sit for extended periods of time.
- Must have reading and comprehension ability.
- Visual acuity must be within normal range.
- Must be able to communicate effectively.
- Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.
WORKING ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Office type environment.
SKILLS AND ABILITIES:
- Excellent oral and written communication skills.
- Working knowledge of computers.
- Knowledge of medical terminology preferred.
- Knowledge of business math preferred.
- Knowledge of ICD-10 and CPT coding processes preferred.
- Excellent customer service and telephone etiquette.
- Ability to use tact and diplomacy in dealing with others.
- Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.
- Ability to understand written and oral communication.
Required Qualifications:
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
- High School diploma or equivalent.
PREFERRED QUALIFICATIONS:
EXPERIENCE:
- One (1) year medical billing/medical office experience.
Apply:
Value-Based Care Manager
WV Department of Health
Full-time
Posted 10/5/2026
Position Description:
Smart Care Catalyst is a critical initiative under the West Virginia Rural Health Transformation Program (RHTP), dedicated to transforming rural healthcare delivery through technology, innovation, and sustainable financial models. The Smart Care Catalyst program focuses on modernizing infrastructure, reducing administrative burdens, and fundamentally shifting how we pay for healthcare—moving from volume to value to ensure quality and sustainability across West Virginia. The Value-Based Care Manager (Smart Care Catalyst Program Manager) is a crucial role for driving tech-enabled innovation and regulatory relief (Pillar 1) while simultaneously spearheading the transition to value-based payment models across the state’s healthcare ecosystem (Pillar 2). The ideal candidate will have a financial background and significant experience with value based payment models (AHEAD, ASPIRE, etc.).
General Program Management
Strategic Leadership: Provide overall strategic direction and leadership for the Smart Care Catalyst initiative.
Stakeholder Engagement: Cultivate strong relationships with hospital administrators, clinic leadership, insurance payors, state health agencies, and technology vendors.
Data & Performance Monitoring: Utilize data and analytics to measure the impact of grants and value-based models, ensuring continuous improvement and accountability.
Pillar 1: Technology-Enabled Innovation and Efficiency
Grant Program Management: Design and administer technology and productivity grant programs to help modernize small, rural hospitals and clinics.
Shared-Service Development: Establish and manage shared-service collaboratives, enabling group purchasing and improving administrative efficiency for participating organizations.
Administrative Relief: Partner with healthcare providers and regulatory bodies to identify and implement strategies that reduce administrative burden and improve overall operational stability.
Pillar 2: Value-Based Care Transformation
Model Co-Creation & Incentivization: Lead the co-creation and implementation of standardized value-based payment models in collaboration with various payors (e.g., private insurers, Medicare, Medicaid) to align incentives around quality and sustainability.
Provider Support and Transition: Develop and execute support programs, resources, and technical assistance to assist rural providers in successfully transitioning to and thriving within value-based payment models.
Quality & Outcome Alignment: Ensure that payment models are designed to incentivize high-quality care, improved patient outcomes, and long-term financial sustainability for rural health systems.
Required Qualifications:
- Bachelor’s degree in a related field, such as Public Health, Healthcare Administration, or Business Administration.
- A minimum of 5 years of professional experience in healthcare administration, health policy, value-based care, or program management.
- Familiarity with health information technology (HIT), EMR/EHR systems, regulatory environments, and policies impacting rural clinics and hospitals.
- Strong understanding of healthcare finance and payment models, the mechanics of value-based purchasing, and quality incentive programs, experience with grant management, and knowledge of health IT and regulatory environments.
- The ideal candidate will have a financial background and experience with managed care organizations (MCOs) and value-based payment models.
- Experience with value-based payment models (AHEAD, ASPIRE, etc.) is highly desirable.
Preferred Qualifications:
Core Competencies: Communication: Excellent communication skills to clearly articulate complex financial models, technology solutions, and strategic goals to various audiences.
Change Management: The capacity to effectively manage and drive significant change across a conservative industry, specifically shifting traditional fee-for-service models to value-based care.
Partnership Building: Ability to cultivate strong, trust-based relationships with external vendors, community partners, and regulatory bodies.
Collaboration & Persuasion: Ability to build consensus among diverse and sometimes competing stakeholders and influence partners to adopt new technologies, workflows, and payment models that may require resource investment or operational changes.
Project Management & Organization: Ability to oversee complex, multi-faceted initiatives, ensuring alignment of goals, resources, timelines, and budgets.
Decision Making & Problem Solving: Strong analytical skills to use data and performance metrics to guide strategic decisions, identify challenges, and implement effective solutions.
Commitment to the Governor’s mission of “Stronger Lives, Healthier Choices, and a Better West Virginia.”
About the Organization:
Ready to make a profound impact where it matters most? Join the West Virginia Department of Health and become a driving force behind our groundbreaking Rural Health Transformation Program. With nearly $199 million in federal backing, you won’t just be filling a role—you will be pioneering a connected care grid, expanding life-saving mobile health units, and directly reshaping the economic and physical well-being of entire communities. If you are looking for a career that blends bold infrastructure innovation with deep, purpose-driven service, this is your chance to build a healthier tomorrow for West Virginia.
Additional Information:
This is an exempt (at-will) position under the Department of Health. Compensation will be commensurate with executive-level public service, experience, and qualifications. This position includes full state benefits and travel reimbursement for statewide engagement.
This position is a full-time, term-limited appointment for a period of up to four (4) years and is contingent upon the award and continued availability of federal funding through the Rural Health Transformation Program. Continued employment beyond the project period is not guaranteed.
Apply:
Email [email protected]