• Associate Director , Medicaid

    Humana (Columbia, SC)
    …our caring community and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a ... and leading teams, and working in matrixed environments. The Associate Director , Medicaid Provider...subject matter expert on provider relations and provider engagement/performance improvement. + Provide oversight of… more
    Humana (10/10/24)
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  • Behavioral Health Medical Director

    Humana (Columbia, SC)
    …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...internal teaching conferences, and other reference sources * Learns Medicaid requirements and understands how to operationalize this knowledge… more
    Humana (09/20/24)
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  • Associate Director , Agile Coaching…

    Humana (Columbia, SC)
    …a part of our caring community and help us put health first** The Associate Director , Agile Coaching guides, educates, and mentors organizational leaders and ... and practices including Scrum, Kanban and Scaled Agile Framework (SAFe). The Associate Director , Agile Coaching requires a solid understanding of how… more
    Humana (09/26/24)
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  • Associate Director , Security…

    Humana (Columbia, SC)
    …a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security ... frameworks to ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in… more
    Humana (10/11/24)
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  • Medical Director - Acute Inpatient…

    Humana (Columbia, SC)
    …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (08/27/24)
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  • Medical Director - South Central

    Humana (Columbia, SC)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... 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
    Humana (09/27/24)
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  • Medical Director - Mid West Region

    Humana (Columbia, SC)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
    Humana (08/27/24)
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  • Director of Enterprise Solutions…

    Humana (Columbia, SC)
    …to provide equitable healthcare for all. HESI is seeking a Director of Enterprise Solutions and Transformation to provide strategic thought leadership; ... of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business… more
    Humana (10/16/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Columbia, SC)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
    Humana (10/08/24)
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  • Director , Product Management

    Humana (Columbia, SC)
    …load balancing and collaboration + Escalations unable to be resolved by the Associate Director of Product Management or Principal + Oversee the product ... part of our caring community and help us put health first** The Director , Product Management conceives of, develops, delivers, and manages products for customer use.… more
    Humana (10/16/24)
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  • Director , Technology Solutions

    Humana (Columbia, SC)
    …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...Effectively lead a high-performing team of associates consisting of Associate Directors, Lead Architects, Tech Leads, and more. +… more
    Humana (09/19/24)
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  • Client Success Partner (Client Service…

    Public Consulting Group (Columbia, SC)
    …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the ... PCG services. This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties and Responsibilities** _Clients_ + Own and… more
    Public Consulting Group (10/08/24)
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