Associate, EDI Operations II Talent Software Services, Inc.Associate, EDI Operations IIColumbia, SC$23.11 / hourThis encompasses, but is not limited to, support of communication interfaces/transactions/functions as required by insurance laws (such as support of claims, remit advices, inquiry/response for claims status/eligibility, enrollment, premium payment etc.), support of all current formats/transactions required by law/BCBSSC lines of business. Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts.
Senior Underwriter-Analyst PEMCO Mutual Insurance CompanySenior Underwriter-AnalystSC$105,762–$129,264 / yearAnalytical and data-driven: Thinks analytically; a structured thinker who can put complex ideas into clear frameworks; uses data to conduct root cause analysis and develops high quality, consumable, and consistent metrics that drive strategic objectives and priorities. Maintain an underwriting territory, reviewing individual risks and aggregate trends and working with agents as needed for book quality; provide relationship-oriented service to customers, colleagues and stakeholders, including direct contact with customers.
Remote role Healthcare Business Analyst Syntricate Technologies IncRemote role Healthcare Business AnalystColumbia, SCRemoteThe current position’s focus and priority is the continued support of serving as a subject matter expert (SME), utilizing knowledge of medical coding and MMIS to support change requests while ensuring change requests and system updates result in the expected claims adjudication outcomes for the benefit of Medicaid members and providers. This project is an immediate support need that will primarily focus on providing consulting services to operations and policy staff for the current medical coding federal requirements, quarterly and intermittently, and all coding changes associated with agency initiatives to ensure compliance policy and code change alignment.
Sr. Manager, Pricing - Pharmacy Appeals CVS Health CorpSr. Manager, Pricing - Pharmacy AppealsSC$67,900–$182,549 / yearThis role requires a thorough knowledge of claim adjudication, appeals related processes, and being a leader working with other internal business units to develop new solutions to meet the ever-increasing number of complex appeal bill compliance requirements. Leads with strategic leadership and guidance to pharmacy reimbursement appeals teams, ensuring effective strategies and operations are effectively progressed to improve performance.
Customer Service TRC Talent SolutionsCustomer ServiceColumbia, SC$15–$18 / hourTemporarySchedule: Hiring for multiple shifts We are seeking reliable, professional, and customer-focused Customer Service Representatives to support members with inquiries related to benefits, claims, billing, and general account information. This role is ideal for someone who enjoys helping others, communicates clearly, and thrives in a fast-paced call center or office environment.
NewClient Executive GallagherClient ExecutiveColumbia, South CarolinaFull timeHow you'll make an impact : The Client Service Executive is accountable for expanding existing relationships and delivering high quality and efficient service to both internal and external clients through the day-to-day account management of an assigned group of client accounts within a Branch. Behaviors: Must be able to build collaborative and mutually meaningful relationships with internal and external clients, able to facilitate and/or lead group meetings with internal and external clients, and effectively manage/balance multiple and sometimes competing priorities.
Project Manager - Project Lead InterSources Inc.Project Manager - Project LeadColumbia, SCInterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. The Project Manager will interact with staff, other team members, all levels of management and internal and external organizations, including vendors performing outsourced work, in the compilation and management of information needed for project plans, portfolio/program plans, metrics, reports and project management documentation.
NewAssociate Attorney - Litigation Richardson PlowdenAssociate Attorney - LitigationColumbia, SCFull timeAbout the RoleRichardson Plowden & Robinson is a mid-size business defense firm seeking a motivated and detail-oriented Associate Attorney to join our growing Construction Litigation practice. The ideal candidate is a strategic thinker with strong advocacy skills, excellent legal writing abilities, and a commitment to delivering exceptional client service.
Project Engineer CEI ServicesProject EngineerCOLUMBIA, South Carolina$70,000–$80,000 / yearFull timeFounded in 1987, MasTec Civil (formerly known as Condotte America), a MasTec Company, is a heavy highway contractor specializing in the construction of complex transportation projects that include roadway, bridges, interchanges, mass transit, and tolling facilities. Prepare and maintain technical submittal list, NPDES permits, Storm, Storm Water Pollution Prevention Plan, and Project Progress Schedule as required.
Telephonic Case Manager I - Columbia, SC CorVel CorpTelephonic Case Manager I - Columbia, SCColumbia, SCRemote$63,739–$95,264 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
Sales Representative Joe Virgo - State Farm AgencySales RepresentativeWINNSBORO, SOUTH CAROLINAEmployees of State Farm agents must be able to successfully complete any applicable licensing requirements and training programs. If you are a motivated self-starter who thrives in a fast-paced environment, then this is your opportunity for a rewarding career with excellent income and growth potential!
NewAssociate Attorney Greenfield Staffing SolutionsAssociate AttorneyColumbia, SCOur client that has close to three decades of experience serving the insurance industry with general litigation, insurance coverage, and workers compensation defense is seeking Associates with experience to join a growing firm with over 200 attorneys firmwide. Extensive legal research and drafting of substantial briefs, memos, pleadings, and appellate briefs.
Project Engineer - Highway/Bridge Construction MasTec IncProject Engineer - Highway/Bridge ConstructionCOLUMBIA, SCResponsibilities Ensure that construction crews comply with all OSHA regulations and company safety policies Review Project Contracts, Plans and Specifications in their entirety Prepare Project Schedule and monthly updates Prepare quantity reporting, project costs cash flow projections and forecasting Coordinate with subcontractors, suppliers and workforce to resolve project challenges, conflicts, and/or technical issues Prepare and submit Prime and Subcontractor Change Orders Manage document control to include submittal schedules, contract documents, project record drawings, etc. Issue correspondence to subcontractors and vendors when revised plan and/or specifications affects products or services Assist with project closeout Perform additional assignments per the Project Manager's direction Qualifications B.S. in Civil Engineering with emphasis in Construction Engineering and Management 4 or more years' experience in the civil construction field (office/field role) Experience on CSXT ROW projects is a plus!
Project Engineer MasTec IncProject EngineerCOLUMBIA, South Carolina$70,000–$80,000 / yearFull timeFounded in 1987, MasTec Civil (formerly known as Condotte America), a MasTec Company, is a heavy highway contractor specializing in the construction of complex transportation projects that include roadway, bridges, interchanges, mass transit, and tolling facilities. Prepare and maintain technical submittal list, NPDES permits, Storm, Storm Water Pollution Prevention Plan, and Project Progress Schedule as required.
NewBilingual Contact Center Representative Rose InternationalBilingual Contact Center RepresentativeColumbia, South Carolina$23–$25 / hourTemporaryUnderstands organizational objectives, supports process improvements, and provides feedback to leadershipLearns all policy product lines, all procedures for the core and worksite callsProvides support for business partners as neededRepresents the Combined tenants: Personal Connection, Empathy, Problem-Solving, and OwnershipOnly those lawfully authorized to work in the designated country associated with the position will be considered. Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.
Remote Registered Dietitian Or CNS - Flexible Hours, Work From Anywhere Berry StreetRemote Registered Dietitian Or CNS - Flexible Hours, Work From AnywhereColumbia, SCRemoteBerry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.
Telephonic Case Manager I - Columbia, SC CorVel Healthcare CorporationTelephonic Case Manager I - Columbia, SCColumbia, SCRemote$63,739–$95,264 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
NewRegional Manager (Property Management Manufactured Housing) WGP PROPERTY MANAGEMENT LLCRegional Manager (Property Management Manufactured Housing)Columbia, SCAdditional voluntary benefits available, including supplemental Life insurance, Short-Term and Long Term Disability, Accident Insurance, Critical Illness Coverage, and other ancillary benefit plans. Ability to use company-provided computers, property management software, proficiency in Office Suite, and related technology tools and business software as necessary for reporting and documentation.
RCM / Collections Specialist / Medical Biller - Remote - Eastern Time Zone Option Care Health IncRCM / Collections Specialist / Medical Biller - Remote - Eastern Time ZoneColumbia, SCRemoteBasic Qualifications & Interests: Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Healthcare Market Finance Lead Humana IncHealthcare Market Finance LeadSC$104,000–$143,000 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Market Finance Lead will also partner with actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales/MarketPoint and value-based care providers.