• Capture Lead , Medicaid Clinical

    Humana (Columbia, SC)
    …and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead initiatives developing ... experts to synthesize, assess, and translate state requirements into actionable go-to-market clinical strategy. The Lead will consult with growth partners to… more
    Humana (08/15/24)
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  • Strategy Advancement Lead - Clinical

    Humana (Columbia, SC)
    …their own contributions together with other key stakeholders from across the enterprise ( clinical , quality , operations , analytics, and business) and leading ... on opportunities to improve member health outcomes, member and provider experience, clinical quality , and savings to medical costs. The Strategy Advancement… more
    Humana (09/04/24)
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  • University Recruiting - Global Clinical

    Merck (Columbia, SC)
    …will engage with all levels within the CI organization to participate in and/or lead projects that support quality operations driving the efficient and ... will include one or more projects. These opportunities in Clinical Operations can provide you with great...limited to): + Support the CI team which oversees Clinical Quality Management System for trials conducted… more
    Merck (09/06/24)
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  • Clinical Program Manager, Content…

    HealthEdge Software Inc (Columbia, SC)
    …user experience, client needs and organizational and business priorities, while maintaining the clinical quality and standards of our product. Because you will ... and standardization projects (40%) + Collaborate with Director, Content Operations to review and evaluate tickets for clinical...and evaluate tickets for clinical risk or clinical improvement opportunities. + Lead the … more
    HealthEdge Software Inc (09/14/24)
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  • University Recruiting - Country Clinical

    Merck (Columbia, SC)
    …with company requirements and regulations are delivered and sustained. The Country Clinical Quality Manager (CCQM) has an important impact in achieving ... right company for your long-term goals. Our company's Global Clinical Trial Operations (GCTO) team is currently...to): + Support the US CCQM team which oversees quality operations for trials conducted by GCTO… more
    Merck (09/06/24)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Columbia, SC)
    …Care, you will ensure that quality patient care is delivered while maintaining clinical operations . As the facility leader, you will be part of a close-knit, ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...you may advance your career into an Area Team Lead or Director of Operations role. **Our… more
    Fresenius Medical Center (08/31/24)
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  • Utilization Management Strategy Lead

    Humana (Columbia, SC)
    … role works closely with internal and external stakeholders, such as clinical operations , markets, provider contracting, analytics to identify opportunity areas, ... associates. We seek to (1) ensure members receive safe, high- quality and cost-effective care in a timely manner, (2)...specific clinical categories + Work hand-in-hand with Clinical Strategy, Clinical Operations , Claims,… more
    Humana (09/19/24)
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  • Lead Medical Technologist Microbiology

    Veterans Affairs, Veterans Health Administration (Columbia, SC)
    …Knowledge of regulatory, licensing and accrediting agency requirements and statutes governing clinical laboratory operations in order to plan, implement or ... Summary The position is that of a Lead Medical Technologist for the Microbiology Section within...without prior notification. Duties includes: Implements and coordinates a quality assurance program for the Microbiology Section. Assures compliance… more
    Veterans Affairs, Veterans Health Administration (09/13/24)
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  • Lead Medical Technologist (Assistant…

    Veterans Affairs, Veterans Health Administration (Columbia, SC)
    …Knowledge of regulatory, licensing and accrediting agency requirements and statutes governing clinical laboratory operations in order to plan, implement or ... as-needed basis until positions are filled. Responsibilities As the Lead Medical Technologist (Assistant Ancillary Testing Coordinator/Assistant Laboratory Information… more
    Veterans Affairs, Veterans Health Administration (08/23/24)
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  • Director, IT Practice Operations - Navista

    Cardinal Health (Columbia, SC)
    …Strong skills in stakeholder management and internal evangelism of IT Operations /service principles. + Track record of identifying clinical /applications product ... about helping oncology practices navigate the future. The Director, IT Practice Operations will join forces with business and solution/product leaders to plan,… more
    Cardinal Health (08/24/24)
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  • Associate Director, Global Labeling Lead

    Takeda Pharmaceuticals (Columbia, SC)
    …Team (GRT) + Liaises with US Labeling Operations , EU Labeling Operations , Labeling Devices Lead and Labeling Compliance to ensure labeling objectives ... therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the development and implementation of… more
    Takeda Pharmaceuticals (07/18/24)
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  • Financial Analytics Lead

    Humana (Columbia, SC)
    …services. **Responsibilities:** The Value-Based finance team is seeking a Financial Analytics Lead . This individual will work across the business, and will be highly ... make recommendations to support critical business decisions and optimize outcomes. + Lead design and development of Power BI reporting and dashboards that provide… more
    Humana (08/31/24)
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  • Director Provider Quality Outcomes

    Highmark Health (Columbia, SC)
    …Partner to develop, implement and monitor interventions to improve the clinical STARS measures. Lead /participate in both departmental and interdepartmental ... cross-functional teams, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements… more
    Highmark Health (08/10/24)
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  • Behavioral Health Medical Director - Medicare

    Humana (Columbia, SC)
    …and present educational seminars on various behavioral health topics to the clinical operations team and healthcare organization. The Behavioral Health Medical ... develop procedures, processes, productivity targets and new delivery models maintaining efficient operations while ensuring attainment of quality of care and… more
    Humana (08/07/24)
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  • US CRM Field Inventory Analyst - Carolinas

    Medtronic (Columbia, SC)
    …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... district liaison for inventory topics between field-based employees (Sales Reps, Clinical Specialist, District Managers)/ Customers and the internal team (Global… more
    Medtronic (09/19/24)
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  • Behavioral Health Medical Director - Medicaid

    Humana (Columbia, SC)
    …Health Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... compliance and assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical more
    Humana (09/20/24)
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  • Senior Director, Solution Strategy & Value…

    Evolent Health (Columbia, SC)
    …on opportunities to increase solution value creation for customers - including clinical quality improvement, cost of care reduction, and provider/member ... as well as broad cross-functional collaboration with our teams in Product, Technology, Clinical , Operations , and Growth. This position will report to the VP,… more
    Evolent Health (08/16/24)
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  • Medicaid Senior Insurance Product Manager

    Humana (Columbia, SC)
    …PowerPoint **Preferred Qualifications** + MPH or MBA or similar higher-level education + Clinical operations and medical coding experience + Proven ability to ... lieu of Service packages that delight key customers and support sustainable health plan operations . + Lead product and benefit filing efforts with the regulatory… more
    Humana (09/06/24)
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  • Dental Office Manager

    Aspen Dental (Columbia, SC)
    …TAG U **How You'll Make a Difference:** As a **Dental Office Manager** , you will lead the office in all office operations in support of the doctors to help ... **Manager** , which at Aspen Dental we call an Operations Manager, you will have the opportunity to give...+ Consult with patients on treatment options provided by clinical team, verifying insurance payment and collection ensuring high… more
    Aspen Dental (09/12/24)
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  • Analytics Developer III

    Baylor Scott & White Health (Columbia, SC)
    …and prior experience. **KEY SUCCESS FACTORS** + Bachelor's degree in Statistics, Operations Research, Physics, Computer Science, Economics, Business, Clinical or ... multiple sources, examines data and creates metrics to drive clinical and operational performance improvement. Performs requirements definition, development,… more
    Baylor Scott & White Health (09/21/24)
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