- Sumitomo Pharma (Columbia, SC)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position… more
- Prime Therapeutics (Columbia, SC)
- …fuels our passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** ... documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description**… more
- Prime Therapeutics (Columbia, SC)
- …our passion and drives every decision we make. **Job Posting Title** Contract Manager - NC Medicaid **Job Description Summary** Responsible for the ... documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description**… more
- Public Consulting Group (Columbia, SC)
- …. **Job-Specific Responsibilities** + Provide strong leadership on all Medicare/ Medicaid cost settlement and supplemental payment projects, effectively supervising ... and reports completed by team members. + Review applicable Federal and State policies and regulations associated with various audit types. + Develop peer-to-peer… more
- J&J Family of Companies (Columbia, SC)
- …problem solving and project management skills. + Understanding of national and state legislative, Medicare, Medicaid , and private payer initiatives affecting ... Field Reimbursement Manager , CAR-T - Northeast Region - 2406206269W **Description**...and external office staff regarding the Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy changes, formulary status… more
- Prime Therapeutics (Columbia, SC)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Manager - Remote **Job Description** We are hiring for two Pharmacy Network ... Managers to join our team! The Pharmacy Network Manager is responsible for development and management of Prime's retail, mail, specialty and quality-based pharmacy… more
- HealthEdge Software Inc (Columbia, SC)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Humana (Columbia, SC)
- …community and help us put health first** We are seeking a visionary Product Manager to lead our Product Security and DevSecOps initiatives. In this critical role, ... our strategy + Partner with cross-functional teams to ensure compliance with industry standards and regulations (eg, SOC 2,...contractors who live and work from home in the state of California will be provided payment for their… more
- Highmark Health (Columbia, SC)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... and pricing changes made by health plans, CMS and/or the states' Medicaid programs. **ESSENTIAL RESPONSIBILITIES** + Lead in working with customers, Software… more
- Molina Healthcare (Columbia, SC)
- …Registered Nurse who lives in South Carolina and must be licensed for the state of South Carolina. Supervisor will support Case Managers supporting our Medicaid ... position that will allow you to anywhere within the state of SC May travel to office for leadership...regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees… more
- Fresenius Medical Center (Orangeburg, SC)
- …and in compliance with regulations set forth by the corporation, state , and federal agencies. Responsible for the setup and operation of hemodialysis machines. ... state specific certification as defined by Center for Medicaid /Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization… more
- Fresenius Medical Center (Manning, SC)
- …and in compliance with regulations set forth by the corporation, state , and federal agencies. Responsible for the setup and operation of hemodialysis machines. ... state specific certification as defined by Center for Medicaid /Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more