Healthcare Risk Manager Jobs in South Carolina | HealthcareCrossing.com


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50

Healthcare Risk Manager Jobs in South Carolina





Job info
 
Company
**********
Location
Myrtle Beach, SC
Posted Date
May 22, 2020
Info Source
Employer  - Full-Time  90  

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Oct 08, 2020
Info Source
Employer  - Full-Time  90 

Description The Enterprise Transformation Lead plans, performs and implements process improvement initiatives such as Lean or Six Sigma. The Enterprise Transformation Lead works on problems of diverse scope and complexity ranging ..

 
Company
**********
Location
Aiken, SC
Posted Date
Feb 25, 2021
Info Source
Recruiter  - Full-Time  90 

CPHRM College Degree required 5 years clinical hospital experience as a registered nurse Ability to organize and manage; Knowledge of the principles and practices of risk management. Knowledge of the operations ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Jul 09, 2021
Info Source
Employer  - Full-Time  90  

... Review customer data and assess risk, providing accurate case documentation and ... and sound decisions Evaluate financial risk in conformance with underwriting policies, ... rejects non-qualifying risks. Understanding of..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 17, 2021
Info Source
Employer  - Part-Time    90  

Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 04, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Mar 05, 2021
Info Source
Employer  - Full-Time  90  

Description The SC Medicaid CMO, RVP Health Services (CMO)relies on medical background to create and oversee clinical strategy for the region. The CMO requires an in-depth understanding of how organization capabilities ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Lancaster South Carolina Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Sep 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

 
Company
**********
Location
Lancaster, SC
Posted Date
May 02, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

 
Company
**********
Location
Lancaster, SC
Posted Date
May 21, 2021
Info Source
Employer  - Full-Time  90  

Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Sep 09, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Compliance Lead - Illinois Medicaid in Lancaster South Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 27, 2021
Info Source
Employer  - Full-Time  90  

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 04, 2021
Info Source
Employer  - Full-Time  90  

Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Aug 06, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 02, 2021
Info Source
Employer  - Full-Time  90  

Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Jul 16, 2021
Info Source
Employer  - Full-Time  90  

... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..

 
Company
**********
Location
Lancaster, SC
Posted Date
Aug 07, 2021
Info Source
Employer  - Full-Time  90  

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Sep 21, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, ancillary and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires ..

 
Job title
GRANTED JOB
Company
**********
Location
Kingstree, SC
Posted Date
Sep 10, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000INQAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..

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