• Director , Clinical Quality

    Evolent (Columbia, SC)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Director , Clinical Quality is a pivotal role, spearheading continuous ... to enhance clinical outcomes and operational efficiency. Additionally, the Director , Clinical Quality will support a portfolio of performance initiatives… more
    Evolent (06/05/25)
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  • Director , Global Clinical

    Otsuka America Pharmaceutical Inc. (Columbia, SC)
    …and nutraceutical products for the maintenance of everyday health We are seeking a Director , Global Clinical Development (GCD) who will be responsible for the ... a global health-care market. The duties assigned to the Director , Global Clinical Development include the following:...quality . + ≥ 5 years of involvement in clinical research or drug development in an academic or… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Global Clinical

    Otsuka America Pharmaceutical Inc. (Columbia, SC)
    **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical ... global health-care market. The specific duties assigned to the Director , Global Clinical Development include the following:...quality . + ≥ 5 years of involvement in clinical research or drug development in an academic or… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • National Utilization Management Director

    Humana (Columbia, SC)
    …caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid builds strategies for ... development, engagement, best clinical practices and processes for clinical community within the enterprise. The Director , Clinical Strategy and Practice… more
    Humana (06/06/25)
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  • Senior Director , Global Clinical

    Otsuka America Pharmaceutical Inc. (Columbia, SC)
    …the clinical development activities in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a ... clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical...lock) are achieved on time and with the highest quality . + Developing and leading formal presentations of results… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Clinical Operations

    Bausch + Lomb (Columbia, SC)
    …global team members, other B&L departments (eg, R&D/Project Management, Clinical /Medical Affairs, Biometrics, Regulatory Affairs, Quality Assurance, ... Summary** **:** Is responsible for the implementation and oversight of clinical study operations by organizing and coordinating with other relevant parties… more
    Bausch + Lomb (06/07/25)
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  • Senior Director Clinical Account…

    Prime Therapeutics (Columbia, SC)
    …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (04/09/25)
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  • Medical Director - Medicaid N. Central

    Humana (Columbia, SC)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/14/25)
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  • Medical Director - Florida

    Humana (Columbia, SC)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (06/05/25)
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  • Medical Director - Care Plus - Florida

    Humana (Columbia, SC)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (04/24/25)
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  • Medical Director -Payment Integrity

    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 ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (06/06/25)
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  • Medical Director - OneHome

    Humana (Columbia, SC)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
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  • Field Medical Director , Interventional…

    Evolent (Columbia, SC)
    …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
    Evolent (04/30/25)
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  • Medical Director , MSK Surgery

    Evolent (Columbia, SC)
    …+ Responsible to assist with all types of audits including Interrater, Customer, Clinical quality , and/or confirmation of process changes. + Holds Field Medical ... a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding...+ In conjunction with other leaders, measures Field Medical Director productivity, quality , and telephone statistics +… more
    Evolent (05/20/25)
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  • Branch Director Temporary Assignment

    CenterWell (Columbia, SC)
    …achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ... of our caring community and help us put health first** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the following:… more
    CenterWell (06/06/25)
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  • Remote Medical Director - South Carolina

    Centene Corporation (Columbia, SC)
    …provider practice patterns, and adequacy of benefit/payment components. + Identifies clinical quality improvement studies to assist in reducing unwarranted ... Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit....variation in clinical practice in order to improve the … more
    Centene Corporation (05/24/25)
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  • Regional Field Director , RNS Program…

    United Therapeutics (Columbia, SC)
    …difference. The Regional Field Director , RNS Program Management serves as a director of all clinical field activities on the commercial non-promotional team. ... PAH disease state, disease progression, risk stratification, therapies, and clinical considerations. You are ultimately looking to work for...In addition, the Regional Field Director , RNS Program Management will: + Serve as the… more
    United Therapeutics (06/05/25)
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  • Field Medical Director , Vascular Surgery

    Evolent (Columbia, SC)
    …Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance...Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as… more
    Evolent (06/06/25)
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  • Field Medical Director , Cardiology

    Evolent (Columbia, SC)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... offer you a meaningful way to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values… more
    Evolent (05/16/25)
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  • Center Director (BCBA)

    Butterfly Effects (Columbia, SC)
    1370 Browning Rd suite 100, Columbia, SC 29210, USA | BCBA/ Clinical | SC - Columbia | Salary | 90,000-100,000 per year Base plus quarterly performance incentive | ... Full Time BCBA Director for Browning Center Take that next step and...onsite BCBA leader to direct and further develop the clinical and operational services in our ABA-based center supporting… more
    Butterfly Effects (05/25/25)
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