- Humana (Columbia, SC)
- …and external partners to complete fast paced and time sensitive projects. The Quality Program Delivery Professional 2 work assignments are varied and ... Horizons is seeking a Quality Programs Delivery Professional 2 who will support quality program ...of action. Works collaboratively with members of the National Medicaid Quality team, state health plan quality teams, and… more
- Humana (Columbia, SC)
- …community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional ... an in-depth evaluation of variable factors. The Senior Compliance Professional develops and implements compliance policies and procedures. Researches compliance… more
- Humana (Sumter, SC)
- …and various stakeholders to develop innovative products and services within Humana's Medicaid BH delivery model. **Key Responsibilities:** + Develop, implement, ... analytical and communication skills, with experience in data reporting and program evaluation. **Preferred Qualifications:** + Experience in Medicaid Managed… more
- Humana (Columbia, SC)
- …assure the plan addresses healthcare disparities and ensures access to and the delivery of services to all Enrollees + Identifies health disparities, and works with ... and external committees on quality metrics across the plan, network and service delivery areas to ensure consistent standards across the state. **Use your skills to… more
- Molina Healthcare (Columbia, SC)
- …Member Health Assessor will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South Carolina. Member ... will be partnering with Behavioral Health Case Managers and meeting with Medicaid members to complete/sign care plans and complete social determinant assessments.… more