Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerCharleston, SCRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Dir, Bus Design & Prod Mgmt TriWest Healthcare AllianceDir, Bus Design & Prod MgmtCharleston, SCRemoteFull timeThis position requires in-depth knowledge and expertise in all aspects of TriWest's business contracts and provides cross-functional leadership and design as needed to adjust to a constantly changing environment. The Director of Business Design and Product Management oversees multiple operational support teams including Business Design and Integration (BDI) and Product Management.
Salesforce Health Cloud Architect TriWest Healthcare AllianceSalesforce Health Cloud ArchitectCharleston, SCRemoteFull timeTechnical Skills: General knowledge of data communication architectures, design, and support; General knowledge of the technology impacts on business and how to integrate technical plans to support enterprise business function; Business problem-solving skills; Understanding of project management concepts and techniques, including metrics. Works directly with Salesforce Health Cloud development teams, administrators and 3rd party vendor partners to provide expert technical direction, instruction, and leadership around complex technical concepts.
Customer Service Rep - Spanish Fluency Required TriWest Healthcare AllianceCustomer Service Rep - Spanish Fluency RequiredCharleston, SCRemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
South Carolina Teleradiologist | Remote Neuro & Body Roles | High Earnings MedAtlantic Healthcare SolutionsSouth Carolina Teleradiologist | Remote Neuro & Body Roles | High EarningsCharleston, South CarolinaRemoteThis fast-growing, Joint Commission-accredited teleradiology group is seeking South Carolina -based (or South Carolina -licensed) physicians for: Body Imaging (Fellowship-trained). We’ve been successfully partnered with this client since 2021 , and their flexibility is consistently the #1 reason past South Carolina hires recommend them.
Virtual Travel Assistant PedrosVacationsVirtual Travel AssistantCharleston, South CarolinaRemoteApplicants must be located in an eligible region, including: United States, United Kingdom, Mexico, Spain, Australia, or select LATAM regions. You'll help keep plans moving by organizing information, providing updates, and assisting with details related to accommodations, transportation, activities, and itinerary timing.
NewVice President of Sales JuliskaVice President of SalesNorth Charleston, South CarolinaRemoteReports to: CEO & Founder | Member of the Executive Committee DeGoods, Inc., the parent company of Juliska and Capucine De Wulf , is seeking an exceptional Vice President of Sales to lead the next chapter of commercial growth for our two distinctive premium lifestyle brands. The Ideal Candidate We are looking for a strategic, entrepreneurial and highly commercial leader with: Significant wholesale sales leadership experience within a luxury, premium or highly design-led consumer brand.
Customer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only) TriWest Healthcare AllianceCustomer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only)Charleston, SCRemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Supervisor, Contact Center TriWest Healthcare AllianceSupervisor, Contact CenterCharleston, SCRemoteFull timeEnsures accurate completion of VA-approved medical authorizations, appointment scheduling, thorough documentation of all Veteran and provider encounters in the TriWest medical management system and receipt of timely medical documentation from network providers. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
NewBe Your Own Boss, Backed by a Team Griffin AgencyBe Your Own Boss, Backed by a TeamSummerville, SCRemoteClient Fulfillment: As a client advisor you will have access to our technology driven CRM to connect with clients who have requested a consultation, the automation will set a virtual appointment from home or anywhere to help them apply for the best plan for their needs. You may qualify for an agency contract, which gives you full ownership of your permanent residual income stream Expectations: This position is remote and combines the freedom and tax benefits of being an independent contractor, with the ongoing support and coaching from our team of experts who will help you every step of the way.
NewWorksite Executive Disability Re-Enrollment and Client Consultant Massachusetts Mutual Life Insurance CompanyWorksite Executive Disability Re-Enrollment and Client ConsultantCharleston, SCRemote$88,300–$115,900 / yearYour primary responsibility will be to work directly with our producers and existing customers to identify growth opportunities, support benefit re-enrollments and be stewards of key producer and client relationships. Networking opportunities including access to Asian, Hispanic/Latinx, African American, women, LGBTQIA+, veteran and disability-focused Business Resource Groups.
NewProvider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMCharleston, SCRemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
New1099 Commission-Based Recruiter KC Elite Staffing1099 Commission-Based RecruiterNorth Charleston, South CarolinaRemote$50–$60 / hourCandidate Sourcing: Use your network, LinkedIn, job boards, and social media to identify qualified candidates for open roles across our split platform network. This role is built for self-directed recruiting professionals who want to maximize their earning potential on a flexible, fully remote schedule — with no cap on what you can earn.
New100% Remote Client Relations Specialist AO Garcia Agency100% Remote Client Relations SpecialistGoose Creek, South CarolinaRemoteWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. You are paired with a growing team, given tools and mentorship, and expected to enroll and support clients who asked for guidance.
NewDirect Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerCharleston, SCRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
NewSenior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystCharleston, SCRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
NewSenior Sales Representative - Pelvic Health- Charleston, SC MedtronicSenior Sales Representative - Pelvic Health- Charleston, SCCharleston, South CarolinaRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). We seek out and hire a diverse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader —that’s why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients.
Customer Care & Technical Support Representative Heritage civil WorksCustomer Care & Technical Support RepresentativeCharleston, South CarolinaRemoteResolve technical issues related to hardware (desktops, laptops, printers, monitors) and software provided by Heritage Civil Works or our partner platforms. In this role, you'll be on the front lines of our support operations resolving technical issues, answering customer questions, and delivering high-quality service across phone, chat, email, and SMS.
Hersheys Part-Time Territory Sales Associate (Spartanburg, SC) The Hershey CoHersheys Part-Time Territory Sales Associate (Spartanburg, SC)Charleston, SCRemote$15.50–$16.50 / hourA Part-Time role as a Territory Sales Associate (TSA) is a great way for a relationship-oriented person to flex their selling skills while representing some of the biggest and most exciting brands in America! This role offers flexible work schedules based on personal needs, territory needs and being present in stores when key decision makers are available.
Senior Cloud Partner Sales Manager (AWS & Microsoft Azure) New Relic IncSenior Cloud Partner Sales Manager (AWS & Microsoft Azure)Charleston, SCRemote$271,000–$293,000 / yearCo-Sell Execution: Drive the day-to-day co-sell motion, mapping accounts, identifying new logos, and accelerating existing deals via AWS Marketplace and Azure Marketplace. Build Cloud Networks: Cultivate deep, trusted relationships with AWS and MSFT Partner Development Managers (PDMs), Cloud Account Managers, and field sales leadership.