- Highmark Health (Columbia, SC)
- …and various cross-functional teams, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, ... budgetary responsibility and authority. + Develop, implement and execute, the Provider STARs quality strategy, support/develop technology and data strategies… more
- CenterWell (Columbia, SC)
- …of our caring community and help us put health first** The Associate Director , Coding Education identifies opportunities to improve provider documentation and ... creates an education plan tailored to each assigned provider . The Associate Director , Coding Education requires...Organization. You will oversee training strategy and execution, training quality assurance and data analytics for provider … more
- Evolent Health (Columbia, SC)
- …operational improvement initiatives to improve performance, satisfaction, and clinical quality / outcomes . **Teamwork/Collaboration** - serves as a liaison between ... trust- **Required.** + Experience identifying and deploying initiatives across a provider network to drive clinical and financial outcomes - **Required.**… more
- CenterWell (Columbia, SC)
- …part of our caring community and help us put health first** The Associate Director , Advanced Practice Provider , NP is a leadership position that applies advanced ... education and clinical competencies to achieve optimal patient outcomes . The Associate Director , Advanced Nurse Practitioner, NP requires a solid understanding… more
- CenterWell (Columbia, SC)
- …leader will play a critical role in ensuring optimal patient care, high quality health outcomes , and improved cost and utilization in pharmacy-related care, ... our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing,… more
- Evolent Health (Columbia, SC)
- …a scheduled basis. + In conjunction with other leaders, measures Field Medical Director productivity, quality , and telephone statistics + In close partnership ... partners with health plans and providers to achieve better outcomes for people with most complex and costly health...the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a… more
- CVS Health (Columbia, SC)
- …- Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically ... activities across the PBM. In this role you may provide consultative clinical support to Account Management in support...Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM… more
- CenterWell (Columbia, SC)
- …a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- CVS Health (Columbia, SC)
- …to ensure the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider education regarding best clinical ... policies and procedures, and responsible health care expenditure to improve clinical outcomes . They will help lead continued quality improvement and evolution… more
- Verint Systems, Inc. (Columbia, SC)
- …opportunities. Learn more at_ _www.verint.com_ _._ **Overview of Job Function:** The Director , Services (" Director ") is responsible for supporting the delivery ... clients within an assigned geographic territory/segment. The over-arching goal of the Director is to drive profitable growth, maintain customer relationships and to… more
- Highmark Health (Columbia, SC)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provided to the interdisciplinary team in cooperation with the Executive Medical Director + Evaluate quality assurance and performance improvement plans and… more
- Sodexo (Orangeburg, SC)
- …Our successful candidate will lead and inspire our team on Sodexo's mission to provide quality facilities services and work within the small town culture to ... way. **Reporting directly to the District Manager, this Facilities Director will provide strong strategic senior level...and continually evaluate vendor pricing and services to ensure quality of work and savings for the college +… more
- Cadence Education (Lexington, SC)
- Job Description Preschool Director Lexington, SC We're hiring immediately!Cadence Academy Preschool, part of the Cadence Education family, is currently seeking a ... Preschool Director to bring your love of children and past...of passionate childcare professionals who combine their talents to provide an unparalleled level of care and compassion for… more
- Cayuse Holdings (Columbia, SC)
- …and government client missions, focused on minimizing risk through the delivery of quality outcomes . The Business Development Director - Department of ... Veterans, LLC is an SBA Tribal 8(a) certified technology and government solutions provider . We provide innovative solutions and delivery excellence across a… more
- Humana (Columbia, SC)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Marriott (Columbia, SC)
- …short term plans for the team to effectively utilize resources. + Monitors Service Provider and internal team's outcomes . + Reviews estimates of work effort for ... **Position Type** Management **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance domain. This role… more
- Evolent Health (Columbia, SC)
- …improve and drive consistency in product ROI methodology and value metrics, including quality , cost of care, and provider and member experience. **Qualifications ... partners with health plans and providers to achieve better outcomes for people with most complex and costly health...the capabilities that power our mission to improve care quality , affordability and experience for people with complex health… more
- Evolent Health (Columbia, SC)
- …opportunities to increase solution value creation for customers - including clinical quality improvement, cost of care reduction, and provider /member experience; ... partners with health plans and providers to achieve better outcomes for people with most complex and costly health...the capabilities that power our mission to improve care quality , affordability, and experience for people with complex health… more
- Cardinal Health (Columbia, SC)
- …value that supports the patient throughout the continuum of care. The Interim Director of Pharmacy will provide leadership on an interim/transitional basis in ... nationwide where your license is applicable. **_Responsibilities_** + The Interim Director of Pharmacy will provide leadership on an interim/transitional… more
- UKG (Ultimate Kronos Group) (Columbia, SC)
- Director , Partner Delivery Assurance **General Information** Ref #: 20240040264 Travel Amount Required: Up to 25% Job Type: Regular-Full Time Location: USA - USA - ... . Our HR, payroll, and workforce management solutions help organizations unlock happier outcomes for all. And our U Krewers, who build those solutions and support… more