- Travelers Insurance Company (Columbia, SC)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives...Support: + Partners with the Field, Claim Resources and Senior Leadership to identify and improve Claim processes and… more
- Humana (Columbia, SC)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional (SVMP) is responsible for day-to-day operations and ... leaders to assist in market/product level execution and issue resolution. The ** Senior Vendor Management Professional (SVMP)** is responsible for day-to-day… more
- Humana (Columbia, SC)
- …a part of our caring community and help us put health first** The Senior IT Vendor Management Professional holds Humana's technology partners accountable via ... to focus on providing solutions to enable the perfect member experience. The Senior IT Vendor Management Professional is responsible for coordinating IT… more
- Humana (Columbia, SC)
- …Provider Payment Integrity for the Medicare line of business. The Senior Compliance Professional develops and implements compliance policies and procedures. ... a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior… more
- Humana (Columbia, SC)
- …Healthy Horizons is in search of a Senior Data and Reporting Professional who can contribute towards shaping the strategy for Florida's Long-term Care, ... search of a Senior Data and Reporting Professional who can contribute towards shaping the strategy...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Columbia, SC)
- …a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional tracks, analyzes, develops, and implements compliance… more
- Humana (Columbia, SC)
- …and program management, knowledge management, governance, and operational readiness. As a Senior Process Improvement Professional , you will partner with EABS ... how the latest information technologies can support business process re-engineering. The Senior Process Improvement Professional should be adaptable, able to… more
- Humana (Columbia, SC)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... million members? Are you IT Professional obsessed with a business-centric outlook? At the Humana...member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective… more
- Humana (Columbia, SC)
- …part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an ... providers and operational leaders, oversee its implementation and monitor outcomes. The Senior Coding Educator is responsible for creating and executing the risk… more
- J&J Family of Companies (Columbia, SC)
- Senior Manager, Hematology ABS Team - Johnson and Johnson Innovative Medicine - 2406201224W **Description** Johnson & Johnson Innovative Medicine, is recruiting for ... a Senior Manager, Hematology Area Business Specialist (ABS) Team located...the way cancers are treated. This position within Portfolio Strategy & Execution Team is part of the commercial… more
- Humana (Columbia, SC)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... deliver a perfect member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective and efficient execution… more
- CenterWell (Columbia, SC)
- …to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote ... clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations,… more
- Mathematica (Columbia, SC)
- …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and ... to make predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of...Building for Public Health Analysts in the Overdose Response Strategy , where the team designed, developed, and secured a… more
- Humana (Columbia, SC)
- …resolutions for data anomalies. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. ... of at least 3 actuarial exams + Meets requirements for Humana's Actuarial Professional Development Program (APDP) + Strong communication skills + Must be passionate… more
- Humana (Columbia, SC)
- …groups to define and advance Integrated Health architecture and technology strategy + Ensure Integrated Health application architecture aligns with the broader ... field + 8 or more years' experience as a senior developer in large IT projects + Strong experience...AWS Certified Solution Architect, Azure Solutions Architect, Google Cloud Professional Architect) + Experience with CI/CD pipelines and DevOps… more