WVU Medicine

Role Description Responsible for securing patient data based upon comprehensive data elements, financial education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third party claims management. A Clinical Pharmacy Technician will work independently gathering and submitted patient information with oversight of a pharmacist as needed. They will be responsible for performing pharmacy related functions in compliance with departmental policies and procedures that provide optimal pharmaceutical care. Qualifications - High school diploma or Equivalent. - Must possess current licensure as required by state board where services will be provided: - MD: Pharmacy Technician Student Permit or Pharmacy Technician License through Maryland Board of Pharmacy - OH: Pharmacy Technician Trainee License or Certified or Registered Pharmacy Technician License through Ohio Board of Pharmacy - PA: Pharmacy Technician Trainee or Pharmacy Technician License through the Pennsylvania Board of Pharmacy - WV: Pharmacy Technician Trainee or Pharmacy Technician License through West Virginia Board of Pharmacy - Remote Workers Only: Must additionally hold Pharmacy Technician Trainee License or Pharmacy Technician License issued by state of residence. - Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) OR if applicant has two (2) or more years of pharmacy specific experience, must be obtained within 15 months of hire. Requirements - Associates degree OR Post high school education in a science field of study OR graduate of a pharmacy technician training program. - Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) upon hire. Core Duties and Responsibilities - Drafts various correspondence letters and sends to referral source when necessary. - Gathers and documents patient demographics, insurance information, needs assessment, patient history, and other data as needed. - Initiates refill/follow up calls and schedules delivery as needed. - Provides information and answers to patient/caregiver questions and refers to clinician when appropriate or requested. - Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department. - Contacts insurance company or employer to determine eligibility and benefits for requested services. - Maintains patient records in a timely and complete manner. - Assists the pharmacist with the process of filling and labeling the prescriptions. - Calculates initial measurements for compounds and maintains compounds logs. - Provides monographs and other required medication guides with each prescription. - Maintains proper storage of medications (i.e. security, temperature controlled items, etc.). - Demonstrates the knowledge and skills necessary to communicate to the infant, pediatric, adolescent, adult and/or geriatric patient per the established age-specific education/standard. - Works with coordinators and manager to develop and attain quarterly objectives. - 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. - Assists in the training of pharmacy technicians. - Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions. - Certain duties cannot be assigned to Pharmacy Technicians because these duties can only be performed by pharmacists. These restrictions are regulated at state and federal levels and must be followed closely: - Only pharmacists can receive oral prescriptions from prescribers or prescribers’ authorized designees. - Only pharmacists can consult with prescribers or prescribers’ designees about patients’ prescriptions. - Only pharmacists can provide confidential patient information to other health professionals or insurance companies. - Only pharmacists can check medications before dispensing them to patients. - Only pharmacists can consult with patients about prescribed medication use and other health issues. - Only pharmacists can recommend over-the-counter medications. Physical Requirements - While performing the duties of this position, the employee is required to walk and stand or sit for long periods of time. - Must be able to lift 30 pounds and must be able to push 50 pounds. - Dexterity required to finger, handle, and reach. Working Environment - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Skills and Abilities - Must be able to use computers and software applications. - Knowledge of drugs, drugs dosing, side effects, indications, contraindications and proper administration preferred. - Knowledge of rules, policies and regulations related to the disbursal of pharmaceutical drugs preferred. - Must be able to work accurately, efficiently, and safely in a fast-paced environment. - Must be polite and respectful when communicating with staff, physicians, patients and families. - Must demonstrate flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs. - Must be able to communicate effectively verbally and in writing and place high emphasis on customer service. Additional Job Description - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) - Company: UNTWN Uniontown Hospital - Cost Center: 230 UNTWN Pharmacy - Address: 500 W Berkeley Street, Uniontown, Pennsylvania Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law.

Role Description Lead efforts to design, innovate, and implement solutions as needed to improve systems and processes. Advocate for customers to understand business needs and identify improvement/productivity opportunities. Possesses critical thinking skills to assess analytical needs and determine the appropriate course of action. Manage successful relationships across project teams and facilitate the development of optimal solutions. Use of performance improvement, project management, cost accounting, industrial engineering, and technological skills will be employed to work with all levels of WVUHS management and medical staff. Continuous learning of current database structure and business intelligence tools are required to confer with customers and other members of the application teams. Effectively communicate across all levels of the organization. Qualifications - Master’s degree in Information Technology/Computer Science, Engineering, Business Management, Business Administration, Accounting, or Hospital Administration, OR 4 years of data analytics experience required. - This position will require an EPIC official designation of “Proficient” within the new hire probationary period. Requirements - 1 year experience working with relational database structures including design, testing, troubleshooting problems and/or training. - 1 year of experience in data analysis and/or health care planning background. - 1 year of experience with reporting tools such as Crystal Reports. - Experience with Structured Query Language (SQL/Oracle) and/or Business Objects. - Internal employees must meet all mandatory competencies in current position in order to qualify for promotion within IT. Preferred Qualifications - Familiarity of applications to be supported preferred. Core Duties and Responsibilities - Maintains a thorough understanding of the database structure and business intelligence tools to create required analytical solutions. - Serves as first point of contact for data analytics and process improvement. - Performs data analysis and creates queries, programs, and automation. - Uses analytical methods to ensure reported data is meaningful and accurate. - Demonstrates technical ability in data analytics using various systems and tools such as Tableau, Microsoft Office Suite, and SAP products. - Attends courses in performance improvement activities, system design, technical training, statistical analysis, and other appropriate subjects. - Leads data requirements gathering for problem identification, resolution, and solution design. - Provides analytical insights from data to drive strategic business decisions. - Project Coordination - Identifies need for cross-functional teams to ensure projects are completed. - Reviews, identifies, and documents any issues, barriers, or risks and brings them to management’s attention. - Provides Project/Task Coordination Services to customers as assigned. - Manages workload and balances quality of work with deadlines to fulfill user expectations and project goals. - Manages expectations and engages management to review/resolve any potential changes to project scope, expected deliverables, etc. - Implements changes while adhering to the change control policy and procedures for the project in order to deliver a successful solution to the customer. - Communicates to all parties the natures, significance, and risk factors of corresponding projects. - Participates in post-implementation review of projects. - Gathers customer requirements to understand business needs and translate into actionable solutions. - Team Building - Participates in training and professional development sessions. - Offers assistance and support to co-workers. - Contributes to building positive team spirit and cohesiveness. - Balances team and individual responsibilities. - Works proactively and cooperatively in group problem-solving situations. - Engages peers/employees in improving the quality of the work. 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. 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. Skills & Abilities - Ability to handle and maintain confidential information. - Ability to work well under high stress conditions. - Ability to work independently or cooperatively as a team member. - Ability to adapt to various workloads and assignments. - Ability to work with multi-disciplinary groups and facilitate meetings. - Must have reading and comprehension ability. - Must be able to type. - Must be able to read and write legibly in English. - Possess good oral and written communication skills. - Ability to prioritize tasks. - Must have independent decision-making ability. - Ability to work in a fast-paced and rapidly changing environment. - Must be flexible. Additional Job Description Experience with Epic Systems and a hospital system background are desired. Scheduled Weekly Hours 40 Shift Exempt/Non-Exempt: United States of America (Exempt) Company SYSTEM West Virginia University Health System Cost Center 5816 SYSTEM IT Health Plan

Role Description To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding/MS-DRG assignment, severity of illness and risk of mortality for each medical record. Must code inpatients and/or interventional RAD cardiology/radiology 90% of current FTE status. Responsible for the coding of the highly complex patient classes i.e. inpatient, interventional, etc. Qualifications - High School Diploma or Equivalent. - Current HIM or Coding Certification through one of the following: - American Health Information Management Association (AHIMA) - American Academy of Professional Coders (AAPC) - Three (3) years of hospital inpatient coding or interventional radiology (IRAD) hospital coding experience. Requirements - Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. - Codes inpatient and/or IRAD 90% of current FTE status. - Reviews and accurately interprets medical record documentation from all hospital accounts to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10-CM, ICD-10-PCS, CPT, or modifier codes for each diagnosis and procedure that is identified (inpatient and IRAD). - Ensures appropriate MS-DRG assignment based on accurate ICD-10-CM and ICD-10-PCS coding assignment and medical record documentation. - Assigns hospital codes to a variety of patient classes (i.e. I/P, IRAD, etc.). - Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. - Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. - Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. - Contacts physicians or any persons necessary to obtain information required for accurate code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. Physical Requirements - Must be able to sit for long periods of time. - Must have visual and hearing acuity within the normal range. - Must have manual dexterity needed to operate computer and office equipment. Working Environment - Standard office environment. - Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. - May require travel. Skills and Abilities - Must be able to concentrate and maintain accuracy during constant interruptions. - Must possess independent decision-making ability. - Must possess the ability to prioritize job duties. - Must be able to handle high stress situations. - Must be able to adapt to changes in the workplace. - Must be able to organize and complete assigned tasks. - Must possess excellent written and verbal communication skills. - Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) - Company: SYSTEM West Virginia University Health System - Cost Center: 538 SYSTEM HIM CDI

Role Description Responsible for managing patient account balances including accurate claim submission, compliance with all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Employs excellent customer service, oral and written communication skills to provide customer support and resolve issues that arise from customer inquiries. Supports the work of the department by completing reports and clerical duties as needed. Works with leadership and other team members to achieve best in class revenue cycle operations. Qualifications - High School diploma or equivalent. - One (1) year medical billing/medical office experience (preferred). Requirements - 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 professional 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. Benefits - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company Description - Company: SYSTEM West Virginia University Health System - Cost Center: 544 UHA Patient Financial Services

Role Description Responsible for accurate and timely resolution of patient’s billing concerns and for implementing collection policies and procedures. Responsible for interviewing and counseling patients for payment arrangements and/or charity assistance and other assigned duties. Works with patients to resolve account balances. Qualifications - High school diploma or equivalent. - One (1) year experience in a healthcare setting. - One (1) year previous customer service experience. Requirements - Accurately posts data (payments, adjustments) as needed. - Communicates problems hindering work flow to management. - Resolves patient billing and third party payer concerns. - Interviews & Counsels patients for payment arrangements and/or charity assistance. - Answers patient questions quickly, accurately, and courteously. - Accurately identifies and screens Medicare charity within established guidelines. - Rebills accounts as necessary. - Works with patients to resolve account balances. Physical Requirements - Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift. - Visual acuity must be within normal range. - Must be able to exert in excess of 50 lbs. of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. - Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment. Working Environment - Exposed to high stress and constant interruptions. - Normal business office surroundings. Skills and Abilities - Professional Interactions at all times. - Excellent oral and written communication skills. - Knowledge of medical terminology preferred. - Knowledge of ICS-9 and CPT coding preferred. - Ability to use tact and diplomacy in dealing with others. - Demonstrated customer service relations. - Analytical skills necessary for problem solving. - Knowledge of Fair Debt Collection Act. - Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting. - General knowledge of third party payers, collection laws, and collection procedures required. - Excellent telephone communication skills. - Working knowledge of computer including Microsoft Word and Excel. - Demonstrates the knowledge and skills necessary to communicate to all patients per the established age specific education/standard. - Maintains current knowledge of Medicare reimbursement process and audit regulations. - Understands the UB92/1500 bill forms contents and EOMB’s. - Ability to understand written and oral communication. Additional Job Description - Scheduled Weekly Hours: 40 - Shift: Day (United States of America) - Exempt/Non-Exempt: United States of America (Non-Exempt) - Company: SYSTEM West Virginia University Health System - Cost Center: 656 SYSTEM Customer Service

Role Description This position functions in a complex payer credentialing environment with changing health care rules, regulations, and laws under the leadership of the Director of Professional Services. Responsible for the timely, efficient, and accurate economic credentialing and provider enrollment of eligible West Virginia United Health System, WVU Health Sciences Eastern Division, and WVU Health Sciences Charleston Division medical billing providers and facilities with contracted managed care and governmental plans. - Continuous contact with internal and external customers including physicians, other healthcare providers, administrators, support staff, and payor representatives. - Responsible for communicating provider participation information to stated internal and external customers through established processes to allow for appropriate patient scheduling and reimbursement for services rendered. - Ensures compliance with regulatory agencies and maintains a working knowledge of statutes and laws that affect the credentialing/enrollment process. - Works collaboratively and gives support to the credentialing process. Qualifications - High School Diploma or equivalent. - Two (2) years of health care industry experience. Requirements - Health care industry experience in professional billing, physician’s office, or credentialing preferred. Core Duties and Responsibilities - In collaboration with hiring/onboarding personnel, serve as a concierge to guide the providers through the economic credentialing/enrollment and recredentialing/revalidation process (managed care/Medicare/Medicaid/NPPES/I&A). - Based on information from provider enrollment vendor, develop, maintain, and monitor credentialing/enrollment database with applicable effective dates to ensure an active status among contracted managed care payers, Medicare, Medicaid, and other governmental plans. - Ensure licenses and certifications are accurate and active among all markets. - Track and monitor the return of registration packets and alert hiring managers and/or recruiters of issues. - Develop, manage, and utilize a standard set of reports to track the registration process and communicate the status and successful enrollment to appropriate Vice Presidents, Administrators, Directors, Managers, and billing units in an effort to manage the start date and prevent loss of revenue when possible. - Regularly coordinate with IHS Vice Presidents, Administrators, Directors, and Managers to obtain information for new facilities, practice locations, providers, and services to be added under existing contracts for smooth revenue collection and contract compliance. - Act as an educational resource related to enrollment of facilities, practice locations, and various provider types and be available for consultation to internal and external clients. - Analyze problems and draw accurate conclusions regarding provider enrollment and credentialing issues. Proactively identify and troubleshoot issues affecting provider payment, then resolve, provide recommended solutions, or forward more complex issues onto appropriate person(s) for handling. - Work collaboratively with Director of Professional Services, Manager, Professional Services, and Supervisor of Managed Care regarding day-to-day operations and special projects. - Maintain a high level of confidentiality in all aspects of the position. - Must have a basic understanding of messenger model network and managed care contracting as related to the credentialing process. - Must have a basic knowledge of credentialing policies, regulatory requirements, and accreditation standards. 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. Working Environment - Standard office environment. Skills and Abilities - Strong analytical, problem-solving, time management, planning, and organizational skills with excellent attention to detail and accuracy. - Ability to function independently with minimal supervision in a demanding and fast-paced environment. - Intermediate skill level in Microsoft Word, Excel, Access, Outlook. - Ability to establish and maintain effective working relationships with providers, staff, and other agencies; provide a positive service attitude when dealing with internal and external customers. Additional Job Description - M-F 8:00AM-5:00PM, Remote - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) - Company: SYSTEM West Virginia University Health System - Cost Center: 649 SYSTEM Managed Care and Payer Relations

Role Description The Associate Data Scientist will support the development, analysis, and validation of data-driven models and analytical solutions that improve healthcare operations and patient outcomes at WVU Medicine. Working alongside data scientists, ML engineers, and clinical analysts, this role applies foundational data science and statistical skills, contributes to data pipelines and exploratory analysis, and helps translate healthcare data into meaningful insights. This is an entry-level to early-career role for candidates who have curiosity about healthcare data and how analytical insights can improve patient care. Qualifications - Bachelor’s degree in Data Science, Statistics, Mathematics, Computer Science, or a related quantitative field AND 2 years of professional experience in data science or healthcare analytics. - OR Master’s degree in a related quantitative field and 1 year of professional experience or equivalent demonstrated through academic projects, independent work, or a portfolio in data science or healthcare data analysis, business intelligence, or healthcare reporting. - Certifications or coursework in data science, statistics, or analytics tools and platforms (preferred). Requirements - Hands-on experience with statistical modeling or machine learning. - Familiarity with data visualization libraries or business intelligence tools. - Demonstrated experience or equivalent project work writing SQL queries to extract, join, filter, and transform data from relational databases. - Experience or equivalent project work using data to identify trends, patterns, or anomalies. Core Duties and Responsibilities - Support data collection, cleaning, preprocessing, and exploratory analysis to prepare datasets for modeling and reporting. - Assist in building, evaluating, and validating statistical and machine learning models using Python. - Support data collection, cleaning, and preprocessing to ensure datasets are accurate, complete, and ready for analysis and modeling. - Assist in feature engineering and selection by identifying, transforming, and evaluating variables from raw healthcare data. - Perform exploratory data analysis to identify patterns, trends, and anomalies in healthcare operational and clinical datasets. - Apply foundational statistical methods including regression, classification, and clustering to analyze healthcare data and surface actionable insights. - Support feature selection by analyzing variable distributions, correlations, and statistical significance. - Document analytical processes, data definitions, model assumptions, and findings clearly and thoroughly. - Participate in team ceremonies including standups, sprint planning, and project reviews. - Monitor model and report outputs for accuracy, relevance, and drift. - Stay current with advancements in data science, statistical methods, and analytical tools relevant to healthcare operations. - Must pass Electronic medical record system Proficiency or Certification and continue maintaining it. Physical Requirements - Primarily sedentary office or remote work environment. - Prolonged periods working at a computer workstation. Working Environment - Normal office environment or remote work setting. Skills and Abilities - Proficiency in Python and SQL for data querying, manipulation, and basic analytical modeling. - Foundational knowledge of statistical analysis and the ability to apply common methods such as regression, clustering, and classification to real data. - Ability to work with structured, unstructured, balanced, and imbalanced data including data cleaning, transformation, and exploratory data analysis. - Foundational understanding that patient data is sensitive and must be handled responsibly. - Comfort working collaboratively in team settings, including structured or Agile-style workflows. - Understanding of SQL and data processing. Additional Job Description - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt: United States of America (Exempt) - Company: SYSTEM West Virginia University Health System - Cost Center: 576 SYSTEM IT Artificial Intel Analytics - Address: 1 Medical Center Drive, Morgantown, West Virginia

Role Description The Advance Practice Professional (APP) is an individual with clinical skills and medical skills, with an expertise in telemedicine. The APP completes comprehensive patient health evaluations (including biological, social and psychological assessments, co-morbid conditions, overall disposition, and guardian(s)); in collaboration with the appropriate clinical/faculty team. The APP assesses, and coordinates the educational and psychosocial needs of the patient and caretakers via telemedicine technology, taking into account the privacy of the patient as it relates to the parent(s), guardians, and the designated caregivers. The APP develops and reviews the plan of care with the other members of the clinical team, participates in directing that care, and coordinates discharge planning/and or follow-up (as applicable). The APP participates in the education of residents and medical/nursing students and performs diagnostic procedures and therapeutic procedures. Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable. Such service may include, but are not limited to: Qualifications - Graduate of a CCNE accredited nursing program with Master’s Degree in Nursing. - National Certification by one of the recognized APRN Certification Centers. - Licensure or eligibility for licensure as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia. - BLS Certification required with additional Advanced Life Support training at the discretion of the department. - Telemedicine experience preferred. - Eligible new graduates will be considered. - Bachelor’s Degree as Physician Assistant or Master’s Degree as Physician Assistant required. - Graduate of an ARC-PA approved Physician Assistant (PA) training program required. - Certification by the National Commission for Certification of Physician Assistants required. - Must be licensed or eligible for licensure by the WV Board of Medicine. - BLS Certification required with additional Advanced Life Support training at the discretion of the department. - Telemedicine experience preferred. - Eligible new graduates will be considered. - Master’s Degree as Physician Assistant preferred. Requirements - Manages comprehensive and individualized care for patients and their families via telemedicine technology. - Completes telemedicine consults and ongoing evaluations. - Completes integrated assessments; communicating the information with the clinical team in the department of Community Practice. - With the collaboration of designated faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate. - Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice. - Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients. - Performs succinct comprehensive clinical evaluations via telemedicine technology and documents findings in medical record. - Facilitates patient discharge and or follow-up with appropriate services for telemedicine patients necessary for outpatient follow-up appointments in the clinic (as applicable). - Develops a comprehensive individualized plan of care for patients, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary. - Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification. - Identifies unstable or complex patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting. - Recognizes emergency situations and initiates effective emergency care. - Evaluates patients and serves as a coordinator for follow up procedures and tests in the ambulatory setting (as applicable). - Assists in the collection of outcome measures (as applicable). - Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families. - Demonstrates the ability to utilize equipment in a safe manner. - Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings. - Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community. - Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn. - Updates own knowledge base throughout the year. - Completes all identified clinical competencies. - Serves as a resource person for staff caring for the patient. - Provides educational programs to professional and paraprofessional personnel in area of expertise. - Participates in community programs, distribution of literature, as appropriate in area of expertise. - Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient’s medical record following approved hospital/UHA policies and compliance standards for documentation. - Collaborates with other leaders and staff to effectively achieve patient outcome based improvements in care. - Provides leadership in the development and implantation of changes in the telemedicine practice that positively impacts patient outcomes. - Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support. - Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model. - Promotes and practices innovation of the expanded role in the delivery of care to patients and families throughout the inpatient hospitalization, and the ambulatory setting, as applicable. - Participates and provides leadership for committees and task forces. - Documents hours and submits billing reports, as appropriate. - Reviews and interprets care data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary. - Participates in clinical trials and research studies with the Principal Investigator. - Assists Faculty, Administrators and Directors in the collection of outcome measures. - Other duties/projects as assigned. Benefits - Heavy/Hard Work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, repetitive movements, standing, walking, and sitting for periods of time, use of telemedicine equipment weighting 40+ pounds. Company Description West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Role Description Help design and build a health plan from the ground up as an Intake Coordinator. Reporting to the Health Plan Manager of Utilization Review, the Intake Coordinator will be an integral member of the health plan’s medical management team. This team member will serve as the point-person for all inbound requests for utilization review from providers and pharmacies. The Intake Coordinator will utilize technology to push data to internal stakeholders for decision making. - The Intake Coordinator is a collaborative member of the Medical Management team. Qualifications - High School diploma or equivalent with one (1) year of working in healthcare and one (1) year of customer service experience, or a Bachelor's degree. - Preferred: Associate Degree in a related healthcare field. - Preferred: Two (2) plus years of healthcare and customer service experience. Requirements - Obtains requests from providers via phone, fax, or provider portal. - Understands and utilizes software systems to determine member plans and requirements. - Builds the case in the utilization management system. - Determines cases that may require additional notification to the member, provider, and/or pharmacist. When needed, contacts the member or provider by phone to obtain the information. - Ensures accuracy of data entry to prevent downstream errors. 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. Working Environment - Standard office environment. Skills and Abilities - Excellent written and oral communication. - Problem solving capabilities to drive improved efficiencies and customer satisfaction. - Attention to detail. - Proficiency with Microsoft Office. Additional Job Description - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt - United States of America (Non-Exempt) - Company: PHH Peak Health Holdings - Cost Center: 2403 PHH Medical Management

Role Description Actively participate in the design, innovation, and implementation of solutions as needed to improve systems and processes. Assists customers in identifying reporting/data extraction solutions to meet functional needs, streamline or assist with operations, and ensure patient safety and confidentiality. Possesses critical thinking skills to assess analytical needs and determine the appropriate course of action. Use of performance improvement, project management, cost accounting, industrial engineering, and technological skills will be employed to work with members of the department as well as customers from other departments. Continuous learning of current data base structure, and business intelligence tools are required to confer with customers and other members of the application teams. Qualifications - Bachelor’s degree in Information Technology/Computer Science, Engineering, Business Management, Business Administration, Accounting, or Hospital Administration OR 4 years of data analytics experience. - This position will require an EPIC official designation of “Proficient” within the new hire probationary period. Requirements - Master’s degree in Information Technology/Computer Science, Engineering, Business Management, Business Administration, Accounting, or Hospital Administration (preferred). - Experience working with relational data base structures including design, testing, troubleshooting problems and/or training. - Experience in data analysis and/or reporting. - Experience with Structured Query Language (SQL/Oracle) and/or business intelligence tools. Core Duties and Responsibilities - Gains a thorough understanding of the database structure and business intelligence tools to create required analytical solutions. - Serves as first point of contact for data analytics and process improvement. - Performs data analysis and creates queries, programs and automation under direction of an experienced analyst. - Gathers requirements and prepares analysis based on information from internal and external sources to evaluate and demonstrate enterprise effectiveness and efficiency. - Uses basic analytical methods to ensure reported data is meaningful and accurate. - Develops technical ability in data analytics using various systems and tools such as Tableau, Microsoft Office Suite, and SAP products. - Attends courses in performance improvement activities, system design, technical training, statistical analysis, and other appropriate subjects. - Provides assistance in problem identification, resolution, and solution design for a variety of business needs under the direction of an experienced analyst. - Project Coordination- Reviews, identifies and documents any issues, barriers, or risks and brings them to management’s attention. - Manages workload and balances quality of work with deadlines to fulfill user expectations and project goals. - Manages expectations and engages management to review/resolve any potential changes to project scope, expected deliverables, etc. - Implements changes while adhering to the change control policy and procedures for the project in order to deliver a successful solution to the customer. - Communicates to all parties the natures, significance and risk factors of corresponding projects. - Participates in post implementation review of projects. - Assists team with customer requirements gathering. - Team Building- Participates in training and professional development sessions. - Offers assistance and support to co-workers. - Contributes to building positive team spirit and cohesiveness. - Balances team and individual responsibilities. - Works cooperatively in group problem-solving situations. Skills and Abilities - Ability to handle and maintain confidential information. - Ability to work well under high stress conditions. - Ability to work independently or cooperatively as a team member. - Ability to adapt to various workloads and assignments. - Ability to work with multi-disciplinary groups and facilitate meetings. - Must have reading and comprehension ability. - Must be able to type. - Must be able to read and write legibly in English. - Possess good oral and written communication skills. - Ability to prioritize tasks. - Must have independent decision-making ability. - Ability to work in a fast paced and rapidly changing environment. - Must be flexible. Additional Job Information - Scheduled Weekly Hours: 40 - Shift: Exempt/Non-Exempt: United States of America (Exempt) - Company: SYSTEM West Virginia University Health System - Cost Center: 525 SYSTEM IT Strategic Analytics