- CenterWell (Columbia, SC)
- …a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it is ... completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project… more
- Humana (Columbia, SC)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- Humana (Columbia, SC)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- CenterWell (Columbia, SC)
- …records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program ... a part of our caring community and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Columbia, SC)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid , and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Cardinal Health (Columbia, SC)
- …chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts. + Demonstrates knowledge of financial processes, systems, ... getting the right things done. The Accounts Receivable Team Lead performs day-to-day AR functions with the goal of...company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Oversees appeals… more
- Humana (Columbia, SC)
- …project leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid , Group , Specialty, etc. + Development level ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Prime Therapeutics (Columbia, SC)
- …account management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group ) Every employee ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to… more
- Option Care Health (Columbia, SC)
- …and hospitals (Commercial Insurance, Medicare Part B & D, Fee for Service Medicaid , Managed Medicaid ) Due to state pay transparency laws, the full range for ... and improve the sales presentations of the chronic therapies sales team and lead by example by demonstrating success in creating new business. + Collaborates with… more
- Oracle (Columbia, SC)
- …one visualization tool like BO or Tableau + Healthcare experience with Medicaid / Medicare Claims Reporting **Expectations** + Perform other responsibilities as ... needs. Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients… more