• Medical Director - Southeast Region

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (09/10/25)
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  • Inpatient Medical Coding Auditor

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical records and assigns appropriate procedural terminology and ...protect member PHI / HIPAA information **Interview Format** As part of our hiring process for this opportunity, we… more
    Humana (09/24/25)
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  • Medical Director - Medicare Grievances…

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and...a remote position. **Scheduled weekly hours** **:** 40 hours (full- time ): four 10-hour workdays per week, either Friday-Monday or… more
    Humana (08/08/25)
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  • Medical Director - OneHome

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (09/27/25)
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  • Medical Director-Payment Integrity

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
    Humana (09/26/25)
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  • Medical Director - Claims Management

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
    Humana (09/17/25)
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  • Medical Director - Mid West Region

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and… more
    Humana (09/16/25)
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  • Medical Director - Northeast Region

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (07/25/25)
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  • Primary Care Physician Lead

    CenterWell (Anderson, SC)
    **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... Leadership of the Market + Spend a portion of time clinically-focused on direct patient care, with the remaining...of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while… more
    CenterWell (09/25/25)
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  • Physician

    CenterWell (Charleston, SC)
    **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... our PCP to see fewer patients and spend more time with those they do. **Responsibilities:** + Evaluates and...accordance with standards of care. + Follows level of medical care and quality for patients and monitors care… more
    CenterWell (09/19/25)
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