Administrative Services Manager 1
State of West Virginia
FreshPosted Apr 10
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Posted: April 10, 2026 (0 days ago)
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Administrative Services Manager 1
State of West Virginia
Administration - PEIA
Location
West Virginia, 25305
Salary
$43,357 - $75,789
per year
Type
Full-Time
More Management & Supervision jobs →Closes
April 20, 2026
Job Description
Summary
This role involves supporting the Director of Insurance and Member Services at West Virginia's Public Employees Insurance Agency by handling administrative tasks like budgeting, vendor contracts, and medical claim appeals.
It focuses on ensuring smooth operations in insurance eligibility, customer service, and compliance with regulations.
A good fit would be someone with experience in administrative management, especially in healthcare or insurance settings, who is organized and detail-oriented.
Key Requirements
- Graduation from a regionally accredited college or university with a degree in a relevant field, or equivalent experience on a year-for-year basis
- Four years of full-time paid administrative or supervisory experience in a related area
- Experience working with vendors to resolve reconciliation report issues
- Ability to track and monitor Medicare Secondary Payer Reports
- Skills in completing RFPs and managing vendor contracts
- Knowledge of handling COBRA appeals and medical claim reimbursement appeals
- Proficiency in fee schedule research, implementation, and project management for system changes
Full Job Description
***This job opportunity is not in the classified service and is not covered by the WV Division of Personnel merit system.***
Department of Administration/Public Employees Insurance Agency (PEIA)/Kanawha
Co.- Works for the Director of Insurance and Member Services.
Under administrative direction, supports an organizational unit providing administrative and support services (i.e., budgeting, purchasing, personnel, business operations, etc.) in a division where operations, policy, work processes, and regulatory requirements of the unit are predictable and stable. Provides support with medical claim appeals including coding and bundling issues. Issue and manage requests for proposals for vendor contracts with PEIA. The scope of responsibility includes planning the operations and procedures; evaluating unit operation; developing budget needs; researching new procedures and improvements; interpreting statutes, regulations and policies. Supports Eligibility and Customer Service for PEIA. Performs related work as required.
Requirements
Tracking and monitoring Medicare Secondary Payor Reports.
Complete RFP’s and manage vendor contracts
COBRA appeals
Medical claim reimbursement appeals.
Fee Schedule research and implementation
Project Management and advisory for System Changes/upgrades
Qualifications
Training: Graduation from a regionally accredited college or university with a degree in the area of assignment.Substitution: Experience as described below may substitute for the training requirement on a year-for-year basis.
Experience: Four years of full-time or equivalent part-time paid administrative or supervisory experience in the area of assignment.
Special Requirement: A valid driver's license may be required.
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