Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselSCRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
NewIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst OST WorkforceIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCMay serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role Other project-related duties, as assigned or required REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 3+ years experience in healthcare Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology 3+ years of strong knowledge of formal business process documentation PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): 3+ years experience healthcare hospital, office and clinic setting Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs) REQUIRED EDUCATION: Bachelor s degree in healthcare related field. Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: 80% remote, resources will need to come onsite in Columbia, SC to certain trainings/meetings Candidate Location: Resource can reside anywhere in the US - must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.
NewIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst Talent Software Services, Inc.IT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCRemote$60–$65 / hourThis role involves participation as a project team member for process improvements, Medicaid Management Information System (MMIS) enhancements, and providing subject matter expertise for a future MMIS replacement. This position requires an individual with strong analytical skills and experience in managing multiple work efforts simultaneously, medical coding, and time management skills.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareSC$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
NewIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst Omega SolutionsIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCAs the IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: " Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes. It is necessary to build and sustain a strong staff who understands coding, aids staff in understanding CPT/HCPCS and ICD-10 coding and apply the codes correctly within the Reference Administration sub-system.
NewIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst Abacus Service CorporationIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCPosition Type Staff Augmentation Hours/Week 40 Billing Type Hourly Shift Day Projected Start Date 10/27/2026 Start Time 8:00 AM Projected End Date/Duration 12 Months from projected start date End Time 5:00 PM Bid Limit Per Vendor 2 Number of Positions 1 Desired Career Level Experienced Non-manager Minimum Education Level Bachelor's Degree Weekend None Position Location. As the IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: " Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.
Senior Manager, Product Line Management - Global Healthcare Amcor PlcSenior Manager, Product Line Management - Global HealthcareSC$130,000–$193,000 / yearReporting to the Senior Manager, Product Line Management - Global Healthcare, the successful candidate will manage the healthcare primary packaging product lines globally to promote circularity, enhance profitability and accelerate growth. Manage the marketing mix for all healthcare primary packaging product lines - including pricing strategy, portfolio lifecycle and competitive positioning - with focus on growth through product superiority and best-in-class circular solutions.
NewIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst Software Technology IncIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCMay serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role Other project-related duties, as assigned or required REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 3+ years experience in healthcare Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology 3+ years of strong knowledge of formal business process documentation PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): 3+ years experience healthcare hospital, office and clinic setting Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs) REQUIRED EDUCATION: Bachelor s degree in healthcare related field. Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: 80% remote, resources will need to come onsite in Columbia, SC to certain trainings/meetings Candidate Location: Resource can reside anywhere in the US - must be willing to travel onsite to Columbia, SC within notice from management at the resources expense.
Healthcare Director (LPN) Harmony Senior ServicesHealthcare Director (LPN)Columbia, South CarolinaParticipates in a review of the residents’ service plan with an interdisciplinary team including the resident, family members, physicians, other members of the community leadership team, third party medical providers, and community wellness team members to assure that the residents care and service needs are accurately reflected and the plan promotes resident safety and satisfaction. Has completed any State-required training courses related to practicing nursing in assisted living (for example Delegating Nurse course, State-specific medication training courses etc.).
Healthcare Director / Director of Nursing (LPN) Harmony Senior ServicesHealthcare Director / Director of Nursing (LPN)Columbia, South CarolinaParticipates in a review of the residents’ service plan with an interdisciplinary team including the resident, family members, physicians, other members of the community leadership team, third party medical providers, and community wellness team members to assure that the residents care and service needs are accurately reflected and the plan promotes resident safety and satisfaction. Has completed any State-required training courses related to practicing nursing in assisted living (for example Delegating Nurse course, State-specific medication training courses etc.).
NewPayer Healthcare Data Scientist, Manager PricewaterhouseCoopers LLPPayer Healthcare Data Scientist, ManagerColumbia, SC$99,000–$232,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. Within our Operations practice, you will be at the forefront of modernizing payer systems, working directly with clients to deliver impactful solutions that enhance efficiency and drive innovation in the health services sector.
Healthcare Recruiter Lexington Medical CenterHealthcare RecruiterWest Columbia, SCLexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. Works with senior management, hiring managers and HR staff to develop yearly staffing plans, workforce planning strategies and search assignments.
NewIT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst Globalpundits, IncIT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCYou will help staff understand CPT/HCPCS and ICD-10 coding and apply codes correctly within the Reference Administration sub-system. Ability to communicate effectively with executive management, line management, project management, and team members.
NewIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst RICEFW Technologies IncIT - SCDHHS - IT Healthcare Consultant - Business Analyst - Advanced - Clinical AnalystColumbia, SCRemote$65Work Location: 80% remote, resources will need to come onsite in Columbia, SC to certain trainings/meetings Candidate Location: Resource can reside anywhere in the US - must be willing to travel onsite to Columbia, SC within notice from management at the resources expense. May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role.
Healthcare Director (LPN) Columbia AL OperationsHealthcare Director (LPN)Columbia, South CarolinaParticipates in a review of the residents’ service plan with an interdisciplinary team including the resident, family members, physicians, other members of the community leadership team, third party medical providers, and community wellness team members to assure that the residents care and service needs are accurately reflected and the plan promotes resident safety and satisfaction. Has completed any State-required training courses related to practicing nursing in assisted living (for example Delegating Nurse course, State-specific medication training courses etc.).
Healthcare Director / Director of Nursing (LPN) Columbia AL OperationsHealthcare Director / Director of Nursing (LPN)Columbia, South CarolinaParticipates in a review of the residents’ service plan with an interdisciplinary team including the resident, family members, physicians, other members of the community leadership team, third party medical providers, and community wellness team members to assure that the residents care and service needs are accurately reflected and the plan promotes resident safety and satisfaction. Has completed any State-required training courses related to practicing nursing in assisted living (for example Delegating Nurse course, State-specific medication training courses etc.).
IT Healthcare Consultant - Development Tools Administrator - Project Lead Lumen Solutions Group, Inc.IT Healthcare Consultant - Development Tools Administrator - Project LeadColumbia, SCAccess to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology.*** . Familiarity with additional Atlassian tools: Bamboo, FishEye, BitBucket, Requirements Traceability, Git Integration for Jira, and Xray (Test Management).
Program Manager III / Quality Management & Compliance Officer State of South CarolinaProgram Manager III / Quality Management & Compliance OfficerRichland County, SC$92,300–$175,400 / yearAdvise the leadership of the Office of Mental Health and its facilities statewide regarding all areas included in the Division -Medicaid and Medicare Operations, Compliance, HIPAA Privacy, Quality Assurance, Credentialing and Privileging, Accreditation and Education, Training, and Research (ETR). D. in Healthcare Administration, Psychology or related field, OR bachelors degree in Health Information Management from an accredited college/university with five (5) years of relevant program experience in compliance, healthcare administration, quality assurance, and HJPPA Privacy?.
NewBusiness Office Manager Your Health OrganizationBusiness Office ManagerColumbia, SCWe are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. This role involves managing accounts receivable, ensuring timely and accurate billing, and coordinating with various departments to facilitate efficient financial processes.
RN Behavioral Health Concierge Care Manager BlueCross BlueShield of South CarolinaRN Behavioral Health Concierge Care ManagerSouth CarolinaRemoteIn this role as an RN Behavioral Health Concierge Care Manager, you will provide care management services to more than 2 million members in South Carolina and nationally, administer complex, high-touch concierge case management for members identified into specialized programs such as high-risk maternity, NICU, ESRD, Cancer, Palliative Care or Behavioral Health, identify risks and provides outreach services to facilitate the coordination of healthcare services and gap closure, and provide individualized care plans to ensure cost-effectiveness, overall care satisfaction, and improved quality of life. Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire; OR active, compact, multistate, unrestricted RN license as defined by the Nurse Licensure Compact (NLC); OR active licensure as a social worker, psychologist, or counselor in state of hire.