• Field - Based Remote

    AmeriHealth Caritas (Charleston, SC)
    …other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Field - Based Remote Behavioral Health Case ... and clinical knowledge to identify issues, gaps in care, and barriers to care. The Field - Based Remote Behavioral Health Case Worker develops a plan of… more
    AmeriHealth Caritas (12/19/24)
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  • Licensed Case Manager - Behavioral Health

    Molina Healthcare (Cayce, SC)
    **Job Description** Licensed Social Worker Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...health case management, disease management, managed care settings. + Field - based case management or home health experience.… more
    Molina Healthcare (12/14/24)
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  • Social Worker - Behavioral Health Case…

    Molina Healthcare (Wade Hampton, SC)
    **JOB DESCRIPTION** Social Worker Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state ... 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 (12/20/24)
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  • Behavioral Health Case Manager RN - South…

    Molina Healthcare (SC)
    **JOB DESCRIPTION** RN Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South ... 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 (12/18/24)
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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 (01/08/25)
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  • Insider Threat Management Principal( remote

    Humana (Columbia, SC)
    …+ Bachelor's degree or higher in Cybersecurity, Information Technology or a related field is preferred. Remote /WAH requirements: + WAH requirements: Must have ... integrates threat intelligence, threat actor research, proactive threat hunting and behavioral analysis. This role involves leading collaboration with key enterprise… more
    Humana (01/22/25)
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  • Clinical Transformation Consultant ( Remote

    Highmark Health (Columbia, SC)
    …in identifying and facilitating change in the form of industry standard evidence- based best practice improvement opportunities that are required to accelerate the ... + Carry out the required consultative services via on-site field work, as well as, via various modes of...+ Plan and facilitate the implementation of provider site based projects and initiatives overseeing the acceleration and dissemination… more
    Highmark Health (12/13/24)
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  • Care Manager RN - Weekends ( Remote )

    Highmark Health (Columbia, SC)
    …provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of pertinent regulatory and compliance guidelines ... 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- Based Teaches/trains others regularly Occasionally Travel regularly from the office… more
    Highmark Health (01/07/25)
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  • Care Manager

    Centene Corporation (Columbia, SC)
    …Nursing and 2 - 4 years of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted… more
    Centene Corporation (01/19/25)
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  • Lead Recreation Therapist

    Veterans Affairs, Veterans Health Administration (Columbia, SC)
    …evaluation of patient treatment services. She/he independently applies evidence- based best practice therapeutic interventions. Demonstrates advanced practice skills ... (NCTRC); OR, A bachelor's degree or higher in any field from an accredited college or university and must...in the interpretation of foreign educational credentials May qualify based on being covered by the Grandfathering Provision as… more
    Veterans Affairs, Veterans Health Administration (12/04/24)
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  • Senior Software Engineer - ML Engineer - AI…

    Highmark Health (Columbia, SC)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** **_ Entirely Remote Work From Anywhere Role! _** Are you passionate about building intelligent ... to build intelligent systems that can learn and make predictions or decisions based on data. You'll be responsible for designing, developing, and deploying machine… more
    Highmark Health (11/04/24)
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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 (01/09/25)
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  • Associate Director, Diversity and Inclusion…

    Takeda Pharmaceuticals (Columbia, SC)
    …for the co-creation and implementation of diversity and inclusion strategies based on disease demographics and population data. + Accountable for supporting ... expert counsel for issue resolution. **Education & Competencies (Technical and Behavioral ):** + BS degree or international equivalent required, advanced degree is… more
    Takeda Pharmaceuticals (01/17/25)
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  • Associate Director, Data Configuration Engineer

    Takeda Pharmaceuticals (Columbia, SC)
    …processes + Experience working with cross-functional teams on visual needs **EDUCATION, BEHAVIORAL COMPETENCIES AND SKILLS:** + Bachelor's degree plus minimum of 8+ ... computer science, statistics, biostatistics, mathematics, biology or other health related field or equivalent experience that provides the skills and knowledge… more
    Takeda Pharmaceuticals (12/19/24)
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  • Senior Technical Engineer - Mulesoft

    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 ... experience in implementing integrations with Web services / SOAP / RESTful/ file- based integration patterns and use of different Mule connectors (Kafka, Google Pub… more
    Highmark Health (01/22/25)
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  • Senior Technical Engineer - Senior Cloud Engineer

    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 ... and maintainable + Experience designing, building, and deploying scalable cloud- based solution architectures through automation tools likeTerraform or Ansible for… more
    Highmark Health (12/18/24)
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  • Medical Record Retrieval Specialist

    Highmark Health (Columbia, SC)
    …- 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote - based Office based Teaches / trains others Occasionally Travel ... Prior health care and/or health insurance experience, or related field + Proficiency in Microsoft Office Tools:Outlook, Excel, Word,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (12/18/24)
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  • Senior Information Governance 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 ... + Bachelor's degree in Accounting, Finance, Business Administration/Management, or related field or relevant experience and/or education as determined by the company… more
    Highmark Health (01/17/25)
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  • Chief Actuary - HMIG

    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 Management, Finance, Actuarial Science, or 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 (12/20/24)
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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 (11/27/24)
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