- 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
- 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 ... 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 ... members and support each other. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Public Consulting Group (Columbia, SC)
- …healthcare, finance, education, etc.), technical competencies (eg, big data, coding , and programming, project management, technical writing, cloud/SaaS services, ... leading ERP systems. + SAP tools- SAP Business Warehouse/Solution Manager /Business Objects/GRC/SuccessFactors/Work Manager Mobile/Mobile Platform/BTP + Third-party… 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
- Cardinal Health (Columbia, SC)
- …Place, Inflation Reduction Act and the Affordable Care Act preferred + Knowledge of Medical /Pharmacy billing and coding is preferred + Important to have a strong ... how far their products can go. **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… 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
- 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
- Teradata (Columbia, SC)
- …best practices for full software development life cycle + (SDLC), including coding standards, code reviews, source control management, build process, testing, and + ... roadmaps. **Who You'll Work With** Individual Contributor, Reports to Engineering Manager **What Makes You a Qualified Candidate** + Strong programming skills… 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
- CVS Health (Columbia, SC)
- …Through the company's more than 7,600 CVS/pharmacy stores; its leading pharmacy benefit manager serving more than 60 million plan members; and its retail health ... will be responsible for: Managing a high volume of medical claims that have denied by refuting the denials...and improve productivity and overall compliance Recognize and Identify coding deficiencies and exercise the appropriate action based upon… more
- ManpowerGroup (Columbia, SC)
- …adjustments and related reprocessing actions. + Reviews and adjudicates claims and/or non- medical appeals. Determines whether to return, deny or pay claims following ... to department guidelines. + Examines and processes claims and/or non- medical appeals according to business/contract regulations, internal standards and examining… 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