- Evolent (Columbia, SC)
- …Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Evolent (Columbia, SC)
- …. **Qualifications - Required and Preferred:** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- CVS Health (Columbia, SC)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as well ... as directing case management when necessary. The Medical Director will act as a business and clinical liaison to network providers and facilities if needed, to… more
- Evolent (Columbia, SC)
- …Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining ... culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Prime Therapeutics (Columbia, SC)
- …Specialty therapeutic classes working in partnership with Prime's Client Engagement team, Specialty strategy team, and Clinical Program Managers to ... and drives every decision we make. **Job Posting Title** Trade Client Relations Director Sr **Job Description** The Trade Client Relations Senior Director is… more
- CVS Health (Columbia, SC)
- …network. + Manage selection risk for pharmacies allowed in the network. + Drive clinical and cost interventions for medical and specialty pharmacy by leveraging ... more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Cardinal Health (Columbia, SC)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & ... new and existing member development, this role will deliver individualize and tailored program coverage to position Specialty Networks in creating value to the… more
- Evolent (Columbia, SC)
- …organization reporting directly to the Chief Medical Officer. The CCO will lead the Clinical Operations team and work with medical director leadership to ensure ... clinical integration and standardization, innovation in approaches to specialty care affordability, and advancement in patient impact and quality, including… more
- US Tech Solutions (Columbia, SC)
- … clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and ... in Psychology, or Counseling (for Div. 75 only). Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology,… more
- US Tech Solutions (Columbia, SC)
- …clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and ... proper processing of authorized or unauthorized services. **Experience:** + 4 years recent clinical in defined specialty area. Specialty areas include… more
- US Tech Solutions (Columbia, SC)
- … clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and ... services to both health care providers and members. **Experience:** + 4 years recent clinical in defined specialty area. **Skills:** + Working knowledge of word… more
- CenterWell (West Columbia, SC)
- …in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health ... the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more