• Claims Care Associate

    Lincoln Financial Group (Columbia, SC)
    …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
    Lincoln Financial Group (09/18/24)
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  • Associate Director, Global Labeling Lead…

    Takeda Pharmaceuticals (Columbia, SC)
    …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
    Takeda Pharmaceuticals (07/18/24)
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  • Associate Director, Signal Detection…

    J&J Family of Companies (Columbia, SC)
    Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
    J&J Family of Companies (09/19/24)
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  • Coordinator, Managed Care II/CM-DM

    ManpowerGroup (Columbia, SC)
    **Title: Coordinator, Managed Care II** **Location:** **( Remote OR Hybrid)** **17 Technology Circle Columbia SC 29203 US** **Duration: 03+ Month's Contract** ... to $36.00/hr.** We are looking for a "Coordinator, Managed Care II" to join one of our Fortune 500...Collect and input data for clinical information flow and claims adjudication. **Patient Education and Advocacy (10%)** + Educate… more
    ManpowerGroup (10/01/24)
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  • Managed Care Coordinator

    US Tech Solutions (Columbia, SC)
    **Job Description:** + Remote /Hybrid (depends on the pace of the employee and validation of competency) -Training Onsite (Travel is covered/Reimbursed by Client) ... + Required to be onsite the 1st week of training and then will go remote , will provide equipment no more than 2 hours from the client location. Monday-Friday, 8:30am… more
    US Tech Solutions (09/24/24)
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  • Managed Care Coordinator UM II

    ManpowerGroup (Columbia, SC)
    **Title:** **Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for a " ... **Managed Care Coordinator UM II** "to join one of our...500 clients. **Note:-** + Training will be onsite & Remote after training **Job Responsibilities:** + Reviews and evaluates… more
    ManpowerGroup (09/19/24)
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  • Coordinator, Managed Care I

    ManpowerGroup (Columbia, SC)
    …appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Education:** + Associate Degree - ... **Title: Coordinator, Managed Care I** **Location: Columbia SC** **Duration: 06 Month's...Management (CM) experience + Training will be onsite & Remote after training **Job Responsbilities:** + Reviews and evaluates… more
    ManpowerGroup (09/12/24)
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  • Licensed Masters Social Worker

    US Tech Solutions (Columbia, SC)
    **Job Description:** + CONTRACT ONLY 1 week onsite training then COMPLETE REMOTE WILL HAVE TO COME IN PERIODICALLY FOR MEETINGS/CLASSES AS NEEDED + Interview VIA ... or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
    US Tech Solutions (09/19/24)
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  • Senior Business Intelligence Engineer

    Humana (Columbia, SC)
    …Science, finance, Statistics, Economics or related field + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... and Root Cause Analysis (RCA) experience **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this… more
    Humana (08/30/24)
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  • Medical Director - Grievances and Appeals

    Humana (Columbia, SC)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (09/17/24)
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