- Evolent Health (Columbia, SC)
- …+ Serve as a product owner on an Agile development team for specialty utilization management scrum teams + Define, document, and communicate requirements for ... Evolent's next-generation utilization management solution based on stakeholder input...stakeholder teams through Technical Domain Forums (bringing all POs, Lead engineers, and stakeholders into a consistent forum to… more
- CVS Health (Columbia, SC)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- Humana (Columbia, SC)
- …sets, including medical coding and medical claims. + Experience with how utilization management (UM) and regulatory guidance can influence clinical strategies. ... and cost-effective care for our members. We are seeking a Clinical Investigation Lead to provide strategic direction to drive appropriate care, with the aim of… more
- Highmark Health (Columbia, SC)
- …+ Evaluate and perform impact analysis on major design options. + Lead and facilitate development of enterprise business solutions that combine knowledge of ... and gaps, technological options, and process facilitation techniques. + Lead /govern/drive/consensus on enterprise strategy development, including environmental analysis, opportunity… more
- Humana (Columbia, SC)
- …payer economics, and/or other specific healthcare areas such as EMR, Episode grouper, utilization management , value-based care, low value care etc. + Experience ... help us put health first** Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote). Healthcare is rapidly changing, and our members are living… more
- Humana (Columbia, SC)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Columbia, SC)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Columbia, SC)
- …in teams focusing on quality management or utilization management . **Additional Information** Reports to a Lead Medical Director. The Medical ... on project teams or organizational committees. Reports to a Lead Medical Director. **Required Qualifications** + MD or DO.... + Prefer Medical Oncology or Surgery specialties + Utilization management experience in a medical … more
- Black & Veatch (Columbia, SC)
- …Opportunity** The **Global Benefits Director** will have the opportunity to: + Lead the strategic design, development and delivery of all global benefits programs. ... our multiple plans, administrators, consultants and systems and create recommendations to lead the organization to one unified global benefit offering, process and… more
- Sutherland Global Services (Columbia, SC)
- …and analysis to identify target markets, understand buyer behaviors, and adapt lead generation strategies accordingly. 4. **Technology Utilization ** : Leverage ... closely with cross-functional teams including Industry Marketing, Sales Operations, and Product Management to align lead generation efforts with business goals… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review/case management /clinical/or combination; 2 of the 4 ... Initial interview will be with me and my Team Lead . Top candidates will also be requested for an...5 years nursing experience. Background in med/surg, previous case management experience preferred but not required. This is a… more
- Winland Foods (Columbia, SC)
- …enables positive results in equipment availability, performance, uptime, cost and utilization . Additionally, this position will work closely with other departments, ... OEE, while reducing annual direct manufacturing expenses. + Develop effective utilization of condition monitoring and other non-destructive testing methodologies (ie… more
- PagerDuty (Columbia, SC)
- …job alerts! PagerDuty is looking for an Strategic Software Sales Director who will lead a team of account executives to generate expansion business and ensure our ... customers. Your team is inspired by you because you lead by example, help them achieve their goals and...any of the following: modern SaaS, enterprise or infrastructure management , application development and management , security, and/or… more
- SHI (Columbia, SC)
- …implementing solutions within the customers managed platform or services under SHI's management . They must aim to achieve optimal system performance across all ... platforms. The engineer will collaborate with internal and external customers, lead IT projects, monitor performance, optimize environments, stay updated on industry… more
- Terracon (Columbia, SC)
- …and in a timely manner. Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the maintenance and cleanliness of ... protocol and in an orderly and efficient manner. + Assists Department Management during preparation of proposals and cost estimates for laboratory testing services… more
- Terracon (Columbia, SC)
- …and in a timely manner. Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the maintenance and cleanliness of ... protocol and in an orderly and efficient manner. + Works with Office Management during preparation of proposals and quotations for laboratory testing services to… more
- Verint Systems, Inc. (Columbia, SC)
- …pricing strategy, administration, compliance, communications, implementation and evaluation. + Lead annual renewal and open enrollment processes, including obtaining ... and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments for senior leadership, creating content for… more
- CVS Health (Columbia, SC)
- …a book of business via acquisition of new members using state-of-art lead generation platform supported by real time analytics. Upon acquisition the Telesales ... well as resolving any issues with respect to the utilization of the product. The position will be a...that the relevant information is captured in Customer Relationship Management system (CRM) **Accountabilities** : + Meeting sales goals,… more
- Meta (Columbia, SC)
- …world around them. Ultimately, we are improving AR/VR experiences through effective utilization of hardware resources ie optimization of code (app to system), ... various hardware blocks, as well as designing features to enable higher utilization of hardware. **Required Skills:** Software Engineer - OS Frameworks (Technical… more
- AECOM (Columbia, SC)
- …**The responsibilities of this position include, but are not limited to:** + Lead the South Carolina Water business in a manner that exemplifies AECOM's core ... of project opportunities as documented and managed in AECOM's client relationship management database + Assist in leading key pursuits, proposal reviews and… more