- CVS Health (Columbia, SC)
- …management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan ... consultation as needed. + Leads all major clinical, population health management, and quality improvement components of...health and substance use disorder services for this work-from- home position. There will be occasioinal travel based on… more
- CVS Health (Columbia, SC)
- …is a remote based (work from home ) role.** In this role has Medical Director (Behavioral Health ) you will: * Provide comprehensive behavioral health care ... Bring your heart to CVS Health . Every one of us at CVS ...and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care… more
- Humana (Columbia, SC)
- … quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral...as a focus on collaborative business relationships, value-based care, quality metrics, population health , and disease or… more
- Evolent Health (Columbia, SC)
- …to improve care quality , affordability and experience for people with complex health conditions. The Associate Director , Solution Strategy & Value will shape ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
- CVS Health (Columbia, SC)
- …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a ... Bring your heart to CVS Health . Every one of us at CVS Health ...remote based (work from home ) role. Candidates should reside in either FL or NC and… more
- Humana (Columbia, SC)
- … quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation). ... part of our caring community and help us put health first** The Medical Director actively uses...participate on project teams or organizational committees. **Work at Home Guidance** To ensure Home or Hybrid… more
- CenterWell (Columbia, SC)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Associate Director , Coding Education...Organization. You will oversee training strategy and execution, training quality assurance and data analytics for provider coding training.… more
- Evolent Health (Columbia, SC)
- …to improve care quality , affordability, and experience for people with complex health conditions. The Senior Director will shape the strategic direction of ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
- Cardinal Health (Columbia, SC)
- …oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and ... helping oncology practices navigate the future. As the Senior Director , Operations, you will be responsible for oversight of...Operations for Navista. This is a remote, work from home role with travel up to 70%. **Responsibilities** **Practice… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- CVS Health (Columbia, SC)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in... Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from… more
- Evolent Health (Columbia, SC)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a… more
- CenterWell (Columbia, SC)
- …leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy… more
- Humana (Columbia, SC)
- … quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. ... part of our caring community and help us put health first** The Medical Director relies on...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims ... and complexity ranging from moderate to substantial. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare… more
- CVS Health (Columbia, SC)
- …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a ... Bring your heart to CVS Health . Every one of us at CVS Health ...remote based (work from home ) role preferably resides in North Carolina and have a NC… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** Humana is seeking an Associate Director , Business Intelligence to support the Wisconsin ... Medicaid Market. The Associate Director , Business Intelligence solves complex business problems and issues...+ Five (5) years of experience working at a health plan or in the health care… more
- Humana (Columbia, SC)
- … quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. ... part of our caring community and help us put health first** The Medical Director actively uses...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Wellpath (Columbia, SC)
- …Overall, the Medical Director plays a critical role in ensuring the health and wellbeing of residents in a facility. **Key Responsibilities** + Oversees and ... * Employee Assistance Program (EAP) including free counseling and health coaching * Company paid life insurance * Tax...discounts * Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits… more
- Evolent Health (Columbia, SC)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value.… more