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.
NewYour Income Shouldn't Have a Ceiling Griffin AgencyYour Income Shouldn't Have a CeilingMount Pleasant, 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.
NewBusiness Analyst Sr TriWest Healthcare AllianceBusiness Analyst SrCharleston, 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. The position collaborates to ensure relevant analysis and complete, timely reporting is provided to meet TriWest business needs and Government's Healthcare requirements.
NewCustomer Service Representative (AR, IL, IA, KS, LA, MO, MN, NE, ND, OK, SD & WI) only TriWest Healthcare AllianceCustomer Service Representative (AR, IL, IA, KS, LA, MO, MN, NE, ND, OK, SD & WI) onlyCharleston, 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.
NewDirector, Referral Management TriWest Healthcare AllianceDirector, Referral ManagementCharleston, SCRemoteFull timeCollaborates with Utilization Management Director, MVS Directors, network providers, Military Treatment Facilities and TRICARE Regional Office West regarding TriWest's RM program initiatives including submission, review, optimization and return of clinical documentation processes. In collaboration with our Military & Veteran Services (MVS) leadership team and the Clinical Operations Utilization Management team, the Director develops strategies for achieving annual Referral Management goals and objectives, including input on system configuration and process development.
Senior Human Capital Generalist TriWest Healthcare AllianceSenior Human Capital GeneralistCharleston, SCRemoteFull timeTechnical Skills: Advanced collaboration, listening, consulting, and conflict resolution skills; experience conducting investigations; in-depth knowledge of TriWest Human Capital policies and procedures; knowledge of Human Resources management concepts; Federal, state, and local employment law; ability to maintain the confidentiality of information and maintain safeguards; presentation skills. Coaches leaders on Triest Human Capital policies and procedures, including employee relations, leadership development, exit interviews, turnover analysis, performance appraisal system, leadership training, and investigations.
NewSenior Buyer TriWest Healthcare AllianceSenior BuyerCharleston, SCRemoteFull timeAssists departments in obtaining pricing and other information from vendors as well as reviews contracts and assists business units in the management of contractual obligations of the vendor to ensure that all terms and conditions are met. Act as SME in support of Procurement, Contract Management, DHA/ VA Contract Modification, Finance and business teams in support of pricing efforts including ROMs, RFIs/ RFPs, contracts, and licensing agreements.
NewProvider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystCharleston, SCRemoteFull timeThis role requires knowledge of healthcare coding and reimbursements, strong analytical skills, ability to work with large multi-dimensional sets, an ability to identify negative and positive trends, and strong communication skills that enable clear communications to leadership regarding findings. • Works closely with Provider Services and Finance leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings.
Hersheys Part-Time Territory Sales Associate (Myrtle Beach, SC) The Hershey CoHersheys Part-Time Territory Sales Associate (Myrtle Beach, SC)Charleston, SCRemote$15.50–$16.50 / hourTo be considered for this role, candidates must reside in and be willing to travel to one of these following cities: 29056,29440,29453,29510,29526,29527,29546,29554,29555,29575,29576,29577,29579, 29585,29588,29590. Supported by strategic grantmaking, product donations, cross brand collaboration, and strong employee volunteerism, Hershey offers a place to work where making a difference-locally and globally-is part of how we do business every day.
NewAV Systems Designer Amplify PeopleAV Systems DesignerCharleston, SCRemoteFull timeThe team designs and engineers AV, sound, and room control systems for hotels, resorts, and other commercial spaces throughout the coastal Carolinas and Georgia region, working with platforms including Crestron, BIAMP, Symmetrix, and QSC. The ideal candidate is easygoing and collaborative, comfortable working independently while staying closely connected to the team, and genuinely enjoys mentoring and sharing knowledge with others rather than gatekeeping expertise.
Online Research Panel Participant - Charleston, SC Maxion CorpOnline Research Panel Participant - Charleston, SCCharleston, South CarolinaRemoteMaxion Research invites people in Charleston, SC to join an online research panel and be considered for optional surveys, interviews, focus groups, and product-feedback studies. Research activities may include completing online questionnaires, joining remote discussions, testing concepts, or sharing opinions about products and services.
NewProgram Integrity Clinical Spc TriWest Healthcare AllianceProgram Integrity Clinical SpcCharleston, SCRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewTRICARE Customer Service Rep TriWest Healthcare AllianceTRICARE Customer Service RepCharleston, SCRemoteFull timeAccurately and professionally answer health care inquiries and provide resolutions to TRICARE beneficiaries & providers over the phone, chat, email or other written correspondence. • Effectively and professionally answer customer inquiries by taking ownership of issues, utilizing sound judgement and the tools at your disposal to resolve customer issues on the initial contact.
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.
Portfolio Manager United Community Banks IncPortfolio ManagerMt Pleasant, SCRemote$95,000–$108,973 / yearThe Portfolio Manager is responsible for managing larger commercial credits, ensuring the portfolio meets soundness, profitability, and growth objectives. They provide credit and sales support to Commercial Lending, analyze complex financial statements, and prepare credit analysis packages.
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.
Principal AI Cybersecurity Advisor Optiv Security IncPrincipal AI Cybersecurity AdvisorCharleston, SCRemoteBy combining advanced business and security practitioner knowledge, the Principal AI Cybersecurity Advisor designs security solutions using some of the most advanced security services and technologies to achieve highly defensible and scalable security programs to align with the clients' security initiatives wherever AI is involved. Effectively work with multiple client personas across the executive branch (CxO), as well as other relevant personas to develop AI product and services, advisement, and AI security strategy and define roadmaps to execute on AI strategy-aligned business goals, budgetary spend, and metrics based on return of investment.
Mortgage Loan Officer - Mt. Pleasant, SC Coastal States BankMortgage Loan Officer - Mt. Pleasant, SCMount Pleasant, SCRemoteThe MLO conducts interviews with prospective borrowers in order to analyze financial and credit data, determine customer financing objectives, advise borrowers of product, pricing and loan program guidelines, and gather any additional required information. The MLO originates 1st mortgage products including Conventional, FNMA/FHLMC, FHA, VA, USDA Rural Housing, Jumbo and Portfolio loan products.
Creative Director, Visual Design New Relic IncCreative Director, Visual DesignCharleston, SCRemote$162,000–$202,000 / yearAs the Creative Director, you will lead the visual and conceptual identity of New Relic across all brand touchpoints-from global enterprise marketing campaigns, digital experiences, and AI product launches to our signature corporate events and executive briefs. Collaborate as One Team: Partner cross-functionally with Product, Demand Gen, and corporate communications to translate deeply technical product capabilities into clear, high-conversion creative assets.