• Utilization Management

    CVS Health (Columbia, SC)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (10/26/25)
    - Related Jobs
  • Employee Assistance Program Management

    CVS Health (Columbia, SC)
    …+ Human Resource and/or Supervisory experience. + Case management , Utilization Review, or Utilization Management background preferred. **Education** ... Friday, 11:00 am to 8:00 pm Eastern Time.** The Consultant provides management consultation to corporate clients...clinical assessments and triage into care. Performs case management across scope of all types of management more
    CVS Health (11/01/25)
    - Related Jobs
  • Pharmacy Benefit Consultant

    Highmark Health (Columbia, SC)
    …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
    Highmark Health (08/26/25)
    - Related Jobs
  • Primary Care Physician Lead

    CenterWell (Seneca, SC)
    …on wellness, prevention, and early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well ... management + Providing direct education to clinicians around clinical protocols / disease + prevalence / appropriate levels...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D… more
    CenterWell (10/17/25)
    - Related Jobs
  • Consolidated Mail Outpatient Pharmacy (CMOP)…

    Veterans Affairs, Veterans Health Administration (Ladson, SC)
    …be responsible for multiple shifts of employees. Other duties as assigned by management . Clinical : Interfaces and coordinates CMOP activities with the ... and Federal Labor Unions, in coordination with the National Deputy Chief Consultant for PBM/CMOP. Responsibilities The CMOP Director is responsible for all programs… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
    - Related Jobs
  • Registered Nurse (RN) Navigator-Physician…

    Bon Secours Mercy Health (Greenville, SC)
    …whose primary function is that of expert practitioner, with essential educator, consultant , case management , and managerial role components. **MINIMUM REQUIRED ... and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **RN Navigator - St. Francis Cancer Center -… more
    Bon Secours Mercy Health (10/22/25)
    - Related Jobs