- Evolent Health (Columbia, SC)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology , Field Medical Director you will be a key member of the ... Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- J&J Family of Companies (Columbia, SC)
- Johnson & Johnson is currently seeking a Director of US Commercial Marketing to join our Abiomed Team. This role is a remote position within the continental United ... managing teams, with solid business acumen and knowledge of medical device market environment is required. + A bachelor's...MBA degree is preferred. + Marketing experience in the cardiology space is strongly preferred. + Very strong powerpoint… 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
- ManpowerGroup (Columbia, SC)
- …resources to support review determinations and make necessary referrals to the Medical Director , Case Manager, Preventive Services, Subrogation, Quality of Care ... Description:** **Position Overview:** The role involves reviewing and evaluating medical or behavioral eligibility regarding benefits and clinical criteria, applying… 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 ... the right fit for the team. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… 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
- 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
- Evolent Health (Columbia, SC)
- …at Evolent will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client ... clinical team, which includes our Nurse, Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively with other Clinical Operation Leaders… more