- Evolent (Columbia, SC)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** ... partners with health plans and providers to achieve better outcomes for people with most complex and costly health...change beyond the bedside? Evolent Health is seeking an ** Associate Medical Director - Cardiovascular Medicine** to… more
- Sumitomo Pharma (Columbia, SC)
- …. **Job Overview** The ** Associate Director , Medical ... launch strategy and guide the tactical implementation of Medical Affairs plans. The Associate Director will also collaborate with company outreach and patient… more
- CenterWell (Columbia, SC)
- …The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease prevalence ... IPA strategic partners to develop market-specific strategies to promote accurate clinical documentation, ensures all state, federal and internal policies and… more
- Merck (Columbia, SC)
- …around HSO field execution, serving as the key leadership interface between Medical Affairs, Outcomes Research (OR), and Commercial. + The US HSO Sr. PASL drives US ... and optimizes HSO Field Team readiness in support of clinical and pharmacoeconomic scientific exchange aligned to Global V&I...HSO FEP process in collaboration with US HSO Executive Director (HSO ED), US HSO Field Medical Alignment … more
- Evolent (Columbia, SC)
- …Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across ... as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to solve… more
- CenterWell (Columbia, SC)
- …of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with medication-related concerns ... prescribing, medicines optimization, reducing medicines waste and maximizing patient outcomes . In addition, will be responsible for encouraging the development… more
- US Tech Solutions (Columbia, SC)
- …skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy experience + A ... members to facilitate movement of authorization requests/ must have strong written clinical skills + About team: Fast paced, Interactive team works with multiple… more
- US Tech Solutions (Columbia, SC)
- …+ Reviews and evaluates medical or behavioural eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and ... requests or provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare… more
- Highmark Health (Columbia, SC)
- …overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance measures ... and/or review of member specific information to improve individual outcomes as an adjunct to health coaching. If acting...health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests;… more
- US Tech Solutions (Columbia, SC)
- …+ Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and ... requests or provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare… more
- CenterWell (West Columbia, SC)
- …Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated ... medical expertise with the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of cooperationin practice by… more