- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Manager , Medical Coding in Payment Integrity leads a team that reviews clinical ... medical codes (eg, ICD-10-CM, ICD-10-PCS, DRG, APR-DRG) were billed. The Manager , Medical Coding works within specific guidelines and procedures; applies… more
- Intermountain Health (Columbia, SC)
- …, policies and procedures. This position works with the Risk Adjustment Coding Manager in developing, implementing, and improving processes and procedures ... knowledge. + Provides support to the Risk Adjustment Coding Manager for the development, deployment and...Provider Clinics, external contracted vendor staff, and the HCC Coding team in the transmission of medical … more
- Ryder System (Columbia, SC)
- …by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ The IT Application Development Manager is responsible for the leadership and management of ... leveraged by several Ryder applications, and the Electric Vehicle (EV) program. The Manager oversees the Scrum teams responsible for the development and support of… more
- SitusAMC (Columbia, SC)
- …will Manage a global team of full-stack JAVA developers and QA professionals. As the Manager of Software Development you will be part of a collaborative team that is ... software development life cycle, from conception to deployment. The Manager of Software Development is a hands on technologist...similar tools + Interest and ability to learn other coding languages as needed + Strong communication skills and… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director, Case Manager , Preventive Services, Subrogation, Quality of ... members and support each other. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Meta (Columbia, SC)
- …demonstrated progression in management responsibility. **Required Skills:** Software Engineering Manager , Product Responsibilities: 1. Be both highly technical and ... an effective people manager 2. Be a subject matter expert in a...interactions between servers and clients 12. 5+ years experience coding in one of the following languages: C++, Java,… more
- Meta (Columbia, SC)
- …progression in management responsibility. **Required Skills:** Software Engineering Manager , Product Infrastructure Responsibilities: 1. Be both highly technical, ... hands-on coder and an effective people manager 2. Communicate across functions and drive engineering initiatives...interactions between servers and clients 8. 5+ years experience coding in one of the following languages: C++, Java,… more
- Evolent Health (Columbia, SC)
- …precision, swiftly addressing variances and discrepancies. + Extensive knowledge in medical terminology, reimbursement, and coding . + Exemplary problem-solving ... the mission. Stay for the culture. **What You'll Be Doing:** The Marketing Development Manager (MDM) is the dedicated point of contact for each facility, acting as… more
- Cardinal Health (Columbia, SC)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... closely with them to address issues. + Prior people manager role capable of managing large teams with onshore/offshore...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Nutanix (Columbia, SC)
- …to you! Nutanix (NTNX) is looking for a passionate **Solutions Architect: Nutanix Cloud Manager ** who will play a critical and pivotal role in driving the sales & ... on AWS, Azure or GCP. + Experience in scripting, coding in Python, Java, Go, or NodeJS, and Linux...discretionary awards in addition to a full range of medical , financial, and/or other benefits (including 401(k) eligibility and… more
- Cardinal Health (Columbia, SC)
- …and pharmacy insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years ... to Word, Outlook and preferred Excel capabilities + Previous medical experience is preferred + Adaptable and Flexible, preferred...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Cardinal Health (Columbia, SC)
- …and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience ... to Word, Outlook and preferred Excel capabilities * Previous medical experience is preferred * Adaptable and Flexible, preferred...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- General Motors (Columbia, SC)
- …ethics and bias artifacts to comply with GM's AI policy. + **Hands-On Coding :** Write high-quality code, contributing directly to the development and deployment of ... variety of health and wellbeing benefit programs. Benefit options include medical , dental, vision, Health Savings Account, Flexible Spending Accounts, retirement… more
- Cadmus (Columbia, SC)
- …with choice-based survey design and management + Demonstrated experience using qualitative coding programs such as DeDoos and NVivo + Experience in the energy ... and job status, Cadmus offers an excellent benefits package to include: medical , dental, vision, company paid disability and life insurance, 401(k) program, paid… more
- CenterWell (Columbia, SC)
- …a part of our caring community and help us put health first** The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, ... maintaining examination rooms, and documenting information into the electronic medical records system. Collaborates closely with Physicians and Advanced Practice… more
- ManpowerGroup (Columbia, SC)
- …determinations. + Identify and refer cases to appropriate internal departments (eg, Medical Director, Case Manager , Quality of Care Referrals). + Participate ... clients. **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director, Case Manager , Preventive Services, Subrogation, Quality of ... healthcare needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Cardinal Health (Columbia, SC)
- …Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical /Pharmacy billing and coding is preferred + Important to have a strong ... or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services in… more
- Teradata (Columbia, SC)
- …applications like RAG and recommendation systems. This role reports directly to the manager of the ClearScape Analytics team, the core AI product group. **What Makes ... using analytics to solve product or business problems, performing statistical analysis, and coding (eg, Python, R, SQL). **What You'll Bring** + PhD or Master's in… more
- ManpowerGroup (Columbia, SC)
- …and Appeals Processing (40%):** + Examine and process claims and non- medical appeals following business/contract regulations and internal standards. + Verify correct ... coding of procedures and diagnosis codes before entering claims...guidelines. + Refer these issues to a lead or manager for resolution. + Promptly report suspected fraudulent activities… more