Nursery RN Plexsum Staffing Solutions, Inc.Nursery RNOrangeburg, SCWe offer voluntary insurance coverage so that you can choose the plans that are right for you: Dental Insurance to help maintain healthy smiles and better overall health. We want you to thrive in mind, body, and spirit, and rest well in knowing that weve got your back with an affordable, comprehensive benefits package.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)SC$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOSC$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Medicare Part B Operations Coordinator, Revenue Cycle CVS Health CorpMedicare Part B Operations Coordinator, Revenue CycleSC$17–$34.15 / hourThis role helps ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements by facilitating accurate claim processing and submission, including manual intervention through prescriber outreach and documentation review. As a Medicare Part B Operations Coordinator, you will support the Revenue Cycle Medicare Part B Team in efforts to reduce bad debt, mitigate legal risk and ensure compliance with all federal, state, and CVS Health requirements.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteSCRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Senior Manager Business Consultant (IC) CVS Health CorpSenior Manager Business Consultant (IC)SC$67,900–$199,144 / yearAccountable for driving innovation and operational excellence from ideation to delivery for small to moderate scale, complex, high value initiatives and parts of larger initiatives that impact the delivery of products and services to the internal and external environment. Demonstrated leadership with relevant initiatives: Business process, enterprise business project strategic planning and analysis, risk management, public health, process improvement (e.g., Lean Six Sigma certification).management/consulting.
Medical Director - ENT CVS Health CorpMedical Director - ENTSC$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Account Executive, Strategic CVS Health CorpAccount Executive, StrategicSC$68,000–$174,134 / yearThe Strategic Account Executive (SAE) is responsible for the overall account strategy, renewal outcomes, and executive relationships for a defined portfolio of large, complex employer pharmacy benefit manager clients. The SAE leads renewal strategy, guides financial decisions, and serves as a trusted partner to client and consultant stakeholders.
ServiceNow HRSD Technical Product Owner (Human Resources Service Delivery) CVS Health CorpServiceNow HRSD Technical Product Owner (Human Resources Service Delivery)SC$83,430–$203,940 / yearThe ServiceNow Human Resources Service Delivery Technical Product Owner will serve as the primary liaison between Human Resources stakeholders and technical delivery teams, translating business needs into actionable product requirements, managing product backlogs, driving platform adoption, and ensuring successful delivery of Human Resources Service Delivery capabilities. As a key member of the ServiceNow Product organization, this role is responsible for maximizing the value of the ServiceNow Human Resources Service Delivery platform by partnering with Human Resources, Product, Engineering, User Experience, Architecture, Security, and Operations teams to define product vision, prioritize investments, and deliver scalable solutions aligned with business objectives.
Medical Director -Spine CVS Health CorpMedical Director -SpineSCRemote$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications.
Lead Director, Software Engineering CVS Health CorpLead Director, Software EngineeringSC$144,200–$288,400 / yearBachelor's degree in Computer Science, Software Engineering, Mathematics, or a closely related technical discipline - or equivalent demonstrated engineering depth through work history, open source portfolio, or verifiable technical contribution at scale. Partner at the executive level - with Product owners, Data Engineers, and Health care business leaders - translating business strategy into engineering bets with precision and conviction.
NewSenior Manager, Project Management - Pharmacy Compliance CVS Health CorpSenior Manager, Project Management - Pharmacy ComplianceSC$67,900–$182,549 / yearAs a subject matter expert on legislation, regulatory requirements, and compliance initiatives impacting pharmacy programs and prescription drug products administered through both the pharmacy and medical, this role provides strategic guidance, regulatory interpretation, and leadership across implementation and regulatory readiness activities. The Senior Manager partners with stakeholders to assess impacts, mitigate compliance risks, and support regulatory initiatives, including oversight of prior authorization and utilization management activities for prescription drug products processed through the medical benefit.
Medical Director MPO CVS Health CorpMedical Director MPOSC$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
NewManager, Project Mgt (IC) CVS Health CorpManager, Project Mgt (IC)SC$54,300–$159,120 / yearThe position owns the end-to-end management of client accounts, spanning intent gathering, project planning, setup case submission, implementation, and seamless transition to the account management team. Success in this role depends on strong collaboration and coordination with both internal and external stakeholders to ensure timely execution and alignment with client expectations.
Case Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseSC$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
NewSenior Manager, Strategic Planning (IC) CVS Health CorpSenior Manager, Strategic Planning (IC)SC$67,900–$199,144 / yearThis role partners closely with senior leadership to define and execute strategic priorities, evaluate growth opportunities, and translate insights into actionable plans. Blending strategy development with hands-on execution, this position offers broad exposure across the business, including product strategy, partnerships, and enterprise initiatives.
Registered Nurse (RN)-Ambulatory Clinic, Neurosurgical, FT, Days Prisma HealthRegistered Nurse (RN)-Ambulatory Clinic, Neurosurgical, FT, DaysColumbia, SCIn lieu of an associate's degree in nursing (AD N), will accept an RN diploma or certificate with a current RN compact/multistate license recognized by the NCSBN Compact State or a license to practice as an RN in the state the team member is working. Provides direct nursing care within established policies, procedures, and protocols and in accordance with regulatory scope of practice and Board of Nursing in the state in which work is performed.
Registered Nurse (RN)-Ambulatory, Pulmonology, FT, Day Prisma HealthRegistered Nurse (RN)-Ambulatory, Pulmonology, FT, DayColumbia, SCIn lieu of an associate's degree in nursing (AD N), will accept an RN diploma or certificate with a current RN compact/multistate license recognized by the NCSBN Compact State or a license to practice as an RN in the state the team member is working. Provides direct nursing care within established policies, procedures, and protocols and in accordance with regulatory scope of practice and Board of Nursing in the state in which work is performed.
Hospice Certified Nursing Assistant - Hospice Aide Gentiva HospiceHospice Certified Nursing Assistant - Hospice AideColumbia, South CarolinaOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.