• Healthcare Process Risk

    Grant Thornton (Columbia, SC)
    As a Process Risk Experienced Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand ... success. From day one, you'll be empowered by the Process Risk team to help clients take...of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare more
    Grant Thornton (10/14/25)
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  • Product Manager , Risk Adjustment…

    Datavant (Columbia, SC)
    …to realize our bold vision for healthcare . **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data strategy ... ability to ingest different data types and streamline the process to ingest both structured and unstructured data. You...SDLC + **Domain Expertise:** Well-versed in the key underlying healthcare data sources that support risk adjustment… more
    Datavant (08/20/25)
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  • Healthcare Regulatory Compliance…

    Fujifilm (Columbia, SC)
    …, anti-corruption, antitrust, anti-corruption, and anti-money laundering compliance risk analysis. Identify potential areas of compliance vulnerability and ... **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the… more
    Fujifilm (11/05/25)
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  • Sr. Account & Relationship Executive (Sr. Sales…

    Wolters Kluwer (Columbia, SC)
    **Sr. Account & Relationship Executive (Sr. Sales Executive , Risk & Controls Specialist, Audit & Assurance)- Remote (West Coast) R0052136 | CP/ESG TeamMate | WK ... the Role:** As a **Sr. Account & Relationship Executive (Sr. Sales Executive , Risk & Controls Specialist, Audit & Assurance** ), you will manage the most complex… more
    Wolters Kluwer (11/06/25)
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  • Market Risk Partner

    Highmark Health (Columbia, SC)
    …form of a deeper understanding of the client's trend drivers, changing risk composition, emerging trends, client profitability, rating method, industry changes, etc. ... scope, usefulness, and appropriateness of work.Routinely plan and organize work.Keep manager informed. + Use effective communication to present information and… more
    Highmark Health (10/30/25)
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  • Coding Team Lead, HCC Risk Adjustment…

    Datavant (Columbia, SC)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...error is correct or sends the rebuttal through the process if they agree the coder's initial coding was… more
    Datavant (11/07/25)
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  • Process Manager

    UNUM (Columbia, SC)
    …develop business cases for new business opportunities + Conducts feasibility studies, risk assessments and impact analyses to help determine the optimal business ... architecture may need to change/evolve to satisfy business model changes. Business and Process Analysis and Design + Facilitates and/or leads joint process more
    UNUM (11/06/25)
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  • Project Manager / Senior Project…

    Norstella (Columbia, SC)
    Project Manager / Senior Project Manager , Patient Engagement and Recruitment Company: Citeline Location: Remote, United States Date Posted: Nov 6, 2025 ... pharmaceutical, contract research organizations (CROs), medical technology, biotechnology and healthcare service providers, including the top 10 global pharma and… more
    Norstella (11/06/25)
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  • Senior Contract Manager

    Humana (Columbia, SC)
    …Enterprise Procurement and Supplier Management department. The Senior Contract Manager role involves drafting, reviewing, negotiating, and advising on supplier ... and the corporate functions whose job is to reduce risk . In addition, the position entails serving as a...within Eastern Standard Time zone hours The Senior Contract Manager is an experienced professional who will be responsible… more
    Humana (11/06/25)
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  • Client Coding Project Manager - Full Time…

    Datavant (Columbia, SC)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (10/09/25)
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  • Medicaid Product Manager - Clinical Intake

    Humana (Columbia, SC)
    …work experience + 2+ years of experience in product management, operations, or process improvement - Preferably in Medicaid or healthcare delivery. + Experience ... us put health first** The Medicaid Clinical Operations Intake Product Manager applies professional concepts, industry knowledge, and organizational policies to… more
    Humana (11/12/25)
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  • Manager , Fraud & Waste Investigation…

    Humana (Columbia, SC)
    …of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ... is complete, compliant and accurate to support optimal reimbursement. The Manager , Nurse Audit/Review works within specific guidelines and procedures; applies… more
    Humana (11/04/25)
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  • Vendor Account Senior Manager , Provider…

    CVS Health (Columbia, SC)
    …heart, each and every day. **Position Summary** The Vendor Account Senior Manager role encompasses ownership of managing relationships with third-party vendors to ... operational teams to align vendor services with business needs. + **Compliance & Risk Management:** + Ensure ongoing compliance through annual security risk more
    CVS Health (11/12/25)
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  • Sr. Program Manager - Mission Alignment…

    GovCIO (Columbia, SC)
    **Overview** GovCIO is seeking a Senior Program Manager to play a pivotal role in bridging clinical insight with strategic planning. This position ensures that every ... mission, legislative priorities, and desired health outcomes. The Senior Program Manager will integrate clinical expertise into program and product strategies,… more
    GovCIO (11/07/25)
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  • LPN - Member Health Assessor -South Carolina

    Molina Healthcare (Columbia, SC)
    …8:00AM to 5:00PM EST. - No weekends or Holiday **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Utilizes a collaborative process of assessment, planning, implementation and evaluation to engage, educate,… more
    Molina Healthcare (11/06/25)
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  • Project Manager II

    UNUM (Columbia, SC)
    …and adapting to different concerns and expectations of stakeholders. A professional project manager should be able to manage a project without extensive knowledge of ... in functional and non-functional business requirements for a system and/or process /workflow. + Oversees business requirements to meet expected business solutions and… more
    UNUM (10/30/25)
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  • Technical Project Manager (Remote)

    GovCIO (Columbia, SC)
    …projects. + Experience supporting executive summary presentations + Experience in risk management and mitigation strategies **Preferred Skills and Experience** + ... Experience in Department of Veterans Affairs project management + Experience in Healthcare IT project management + Project Management Professional - PMP Certified +… more
    GovCIO (11/04/25)
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  • AVP, Product Manager , Growth Journey

    UNUM (Columbia, SC)
    …us help others, and join Team Unum today! **General Summary:** The Product Manager serves as a business owner across all platforms/clients for one customer value ... and financial goals for their value stream/BDH and lead Product Owners, Process Improvement resources and Agile Teams to deliver customer delight. Product Managers… more
    UNUM (11/01/25)
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  • Manager , PVRM

    Sumitomo Pharma (Columbia, SC)
    …+ Work collaboratively with PV and cross-functional team members to manage the benefit/ risk profile of assigned products and ensure patient safety. + Assist in ... drug safety reporting requirements + Skills in signal detection, risk assessment, and safety data analysis + Proficiency with...Sumitomo Pharma America (SMPA) endeavors to make its application process accessible to all. If you would like to… more
    Sumitomo Pharma (10/30/25)
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  • Manager , Business Consultant

    CVS Health (Columbia, SC)
    …Business process , enterprise business project strategic planning and analysis, risk management, public health, process improvement (eg, Lean Six Sigma ... deep dive analytics to identify opportunities for innovation and process improvement + Performing root cause analysis and ad...the health section of the paper or listening to healthcare podcasts. You're interested in tracking how the industry… more
    CVS Health (11/08/25)
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