• Manager, Utilization Licensed Behavioral

    Humana (Columbia, SC)
    …**Required Qualifications** + Degree in Nursing or a Master's degree in a behavioral health-related field , such as Social Work, Counseling, or Psychology from ... caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support… more
    Humana (10/29/24)
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  • Licensed Social Worker - Behavioral Health…

    Molina Healthcare (Lexington, SC)
    **JOB DESCRIPTION** Licensed Social Worker Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in ... for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and...productivity is important. TRAVEL (up to 60%) in the field to do member visits in the surrounding areas… more
    Molina Healthcare (09/19/24)
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  • Value- Based Reimbursement Strategic…

    Highmark Health (Columbia, SC)
    …the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify and proactively ... models that support enterprise strategic initiatives that might fall outside of planned value- based reimbursement designs and/or to serve as a focus of innovation. +… more
    Highmark Health (10/10/24)
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  • Part-time/ Remote Medical Director…

    Highmark Health (Columbia, SC)
    …and consultation for care delivery and complex case management for our community- based palliative care program. In addition, this role will provide clinical ... area of specialization + 5 years experience as an actively practicing physician in field of specialty + 3 experience in all aspects of medical cost management, care… more
    Highmark Health (09/24/24)
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  • Clinical Operations Manager - Finance…

    Merck (Columbia, SC)
    …model does not apply to, and daily in-person attendance is required for, field - based positions; facility- based , manufacturing- based , or research- based ... Ability to lead a team of CTCs as applicable. ** Behavioral Competency Expectations:** + Problem solving is essential to...individual has ability to work effectively also in a remote virtual environment with a wide range of people.… more
    Merck (10/26/24)
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  • Pharmacy Network Administrator - Remote

    Prime Therapeutics (Columbia, SC)
    …every decision we make. **Job Posting Title** Pharmacy Network Administrator - Remote in the California market **Job Description Summary** Serves as the departmental ... and support; contract rollout and special mailings. + Serves as liaison to field staff for all assigned geographic locations utilizing knowledge of credentialing and… more
    Prime Therapeutics (10/22/24)
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  • Manager Complex Case Management - RN…

    Highmark Health (Columbia, SC)
    …Degree in Nursing **Substitutions** + 6 years of experience in the Healthcare field **Preferred** + Master's Degree in Nursing **EXPERIENCE** **Required** + 7 years ... - 25% **PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS** **_Position Type_** Office- Based Teaches/Trains others regularly Rarely Travels regularly from the office… more
    Highmark Health (10/24/24)
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  • Artificial Intelligence (AI) Consultant

    Highmark Health (Columbia, SC)
    …25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote - based Teaches / trains others Occasionally Travel from the office ... a week in the office and the remaining days remote .** **For candidates outside of this footprint, the role...degree in business, information technology, data science, or related field or relevant experience and/or education as determined by… more
    Highmark Health (10/02/24)
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  • Lead Architect - Cloud AI/ML/Software Solution…

    Highmark Health (Columbia, SC)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Entirely Remote Work From Anywhere Role! We are seeking an experienced AI/ML/Software Cloud ... Platforms team and drive the development of innovative AI (generative and predictive) based solutions for our enterprise stakeholders. As a member of the AI… more
    Highmark Health (08/13/24)
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  • Marketing Technologist

    Highmark Health (Columbia, SC)
    …0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type: Office- or Remote - based Teaches / trains others: Occasionally Travel from the office to ... marketing, business administration, technology management, management information systems or related field + OR Relevant experience and/or education as determined by… more
    Highmark Health (10/02/24)
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  • Director, Cloud Operations

    NASCO (Columbia, SC)
    …on AWS.The Director is responsible for the management and optimization of cloud- based systems to ensure they run smoothly, securely, and efficiently.You will be ... operations and requires hands-on leadership and collaboration, ensuring that NASCO's cloud- based applications not only meet but exceed expectations. You will have… more
    NASCO (10/16/24)
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  • Facilitator, Mid-Level, Federal Contracting…

    IMSolutions, LLC (Columbia, SC)
    …we are looking for.** + Bachelor's degree in business, design, psychology, behavioral science, management science, or other relevant field , experience working ... Facilitator, Mid-Level, Federal Contracting - Contingent Remote Full Time \#1213 - Client Services Mid...Assist client teams in developing implementation and action plans based on strategies developed in projects. + Engage prospective… more
    IMSolutions, LLC (08/28/24)
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  • Principal Software Engineer [Solutions Architect]

    Highmark Health (Columbia, SC)
    …+ Bachelor's Degree in Computer Science, Computer Engineering or closely related field Preferred + Master's Degree in Computer Science, Computer Engineering or ... related field **EXPERIENCE** **Required** + 9 years of proficiency in...25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Teaches / trains others regularly Frequently Travel regularly… more
    Highmark Health (10/02/24)
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  • Cyber Threat Intelligence Analyst

    Highmark Health (Columbia, SC)
    …- 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote - based Teaches / trains others Occasionally Travel from the office ... from known and emerging threat actors. Develops and documents, outcome based after actions discovered via threat intel analysis. **ESSENTIAL RESPONSIBILITIES** +… more
    Highmark Health (09/12/24)
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  • Director Product Management - Care Management

    Highmark Health (Columbia, SC)
    …- 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote - based Teaches / trains others Occasionally Travel from the office ... degree in Business Administration, Healthcare Administration, or a related field or relevant experience and/or education as determined by...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (11/02/24)
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  • User Experience Writer

    Highmark Health (Columbia, SC)
    …- 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote - based Teaches / trains others Occasionally Travel from the office ... Content Design, or Digital Content Creation in a relevant field **Substitutions** + 6 years of related and progressive...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (10/30/24)
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  • IT Customer Operations Consultant

    Highmark Health (Columbia, SC)
    …hybrid with 3 days on-site. Anyone outside of the 50-mile radius would be remote with periodic travel to a corporate location This job owns and manages relationships ... in Business Administration/Management, Information Technology, Information Systems or related field **Substitutions** + 6 years of relevant, progressive experience… more
    Highmark Health (10/23/24)
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