- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Columbia, SC)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Columbia, SC)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Columbia, SC)
- …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
- Evolent (Columbia, SC)
- …**What You'll Be Doing:** Seeking a detail-oriented **Clinical Rules Management, Associate Director ** who will play a critical role in ensuring the accuracy and ... Lead the evaluation of clinical processes in collaboration with other clinical corporate , division, and facility teams to facilitate process redesign and guide… more
- Humana (Columbia, SC)
- …The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and will lead the development of category ... of commercial protection and to minimize risk to Humana. + Drive corporate compliance to the preferred-supplier program via end-user change management and… more
- PruittHealth (Columbia, SC)
- …financial needs and services including providing written explanation of Medicare , Medicaid and Insurance benefits to prospective patients/families when necessary, ... approaching death of the patient. * Documents in the medical record all services. * Provides bereavement services to...to patients and families under the direction of the Director of Health Services. * Other duties as assigned… more