- Lincoln Financial Group (Columbia, SC)
- …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
- Humana (Columbia, SC)
- …determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage all aspects of a ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Takeda Pharmaceuticals (Columbia, SC)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- J&J Family of Companies (Columbia, SC)
- Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
- US Tech Solutions (Columbia, SC)
- …+ Required to be onsite the 1st week of training and then will go remote , will provide equipment no more than 2 hours from the client location. Monday-Friday, 8:30am ... provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
- ManpowerGroup (Columbia, SC)
- …appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Education:** + Associate Degree - ... **Title: Coordinator, Managed Care I** **Location: Columbia SC** **Duration: 06 Month's...Management (CM) experience + Training will be onsite & Remote after training **Job Responsbilities:** + Reviews and evaluates… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + CONTRACT ONLY 1 week onsite training then COMPLETE REMOTE WILL HAVE TO COME IN PERIODICALLY FOR MEETINGS/CLASSES AS NEEDED + Interview VIA ... or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
- Humana (Columbia, SC)
- …health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Columbia, SC)
- …put health first** Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using ... of action. About Our Team The Provider Intelligence and Claims Analytics (PICA) team is a blend of experts...business outcomes and decisions **Additional Information** This role is " remote /work at home" and can be based anywhere in… more
- Humana (Columbia, SC)
- …objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality). Humana is seeking a ... understanding of physician networks, physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based… more
- NASCO (Columbia, SC)
- …and system issues, plus research and resolution of Model Office and Production issues so claims can be paid accurately and timely + Provides support to NASCO and the ... others being over the phone. (required if person is remote ) + Minimum 8 years of proven experience in...mentoring System Engineers. + In-Depth knowledge of the Health Care industry + Extensive working knowledge of and capabilities… more
- Humana (Columbia, SC)
- …Science, finance, Statistics, Economics or related field + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... and Root Cause Analysis (RCA) experience **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this… more
- Humana (Columbia, SC)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more