Healthcare Claim Project Manager Jobs in South Carolina | HealthcareCrossing.com


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61

Healthcare Claim Project Manager Jobs in South Carolina





Job info
 
Company
**********
Location
Lancaster, SC
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

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

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Aug 27, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Aug 28, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
Humana Inc.
Location
Greenville, SC
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Aug 17, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Pharmacy and Medical Trend in Lancaster South Carolina Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

 
Company
**********
Location
Greenville, SC
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in ... Greenville South Carolina Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

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

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Lancaster South Carolina Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in ... Lancaster South Carolina Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Lancaster, SC
Posted Date
May 26, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..

 
Company
**********
Location
Greenville, SC
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..

 
Company
Humana Inc.
Location
Lancaster, SC
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Call Center Pharmacy Claims Technician in Lancaster South Carolina Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The ..

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

... KEY ACCOUNTABILITIES Process Improvement and Project Management Contributes to the identification ... projects, key insights, and ensure project milestones and deliverables are implemented ... manner Develops and manages detailed..

 
Company
**********
Location
Lancaster, SC
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

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