Processing Utility L5 - Richland

Perform medical reviews using established criteria sets and/or perform utilization management of professional, inpatient or outpatient, facility benefits or services. · ...

Preferred / Nice-to-Have Skills · Utilization Management (UM) experience · Appeals experience · Strong clinical background · Behavioral Health experience · Infusion therapy experience · Typical Day-to-Day Responsibilities · Process prior authorization requests for Medicare Advant ...

Performs medical reviews using established criteria sets and/or performs utilization management of professional inpatient or outpatient facility benefits or services and appeals Documents decisions using indicated protocol sets or clinical guidelines Provides support and review o ...

Job Overview · The Senior Manager of Continuous Improvement is responsible for the strategice development, management, and execution of our continuous improvement objectives, collaborating with senior executives, and ensuring that processes are optimized to enhance efficiency and ...

Overview · Join us as we Rise to the Challenge · KCI Surveying and Mapping South is seeking the ideal candidate that possesses experience in Utility Coordination on various size transportation and other projects. This experience will include the review of plans of major highway c ...

Join our dynamic team in Columbia SC where you will have the opportunity to make a meaningful impact on members health and well-being Our organization is committed to providing quality care and ensuring cost-effective outcomes for our members. · ...

Apply now » · Date: Mar 10, 2026 · Location: Columbia, SC, US, 29210 MX St. Louis, MO, US, 63146 Aiken, SC, US, 29801 Oklahoma City, OK, US, 73135 Leeds, AL, US, 35094 · Company: Hubbell Incorporated · Job Overview · The Senior Manager of Continuous Improvement is responsible for ...

The Utilities Technician is responsible for the operation, maintenance, troubleshooting, and documentation of critical utility systems supporting sterile pharmaceutical manufacturing operations. This role ensures reliable, compliant, and inspection-ready operation of GMP utilitie ...

The Coordinator Managed Care I will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. They will utilize clinical proficiency and claims knowledge/analysis to assess, plan, implement health coach, coordinate monitor and evaluate medica ...

The Microbiologist II is responsible for performing environmental monitoring, microbial enumeration, microbial identification, sampling of utilities and microbiological testing related to raw materials and in-process product testing. · Data entry · Data review · Ensuring calibrat ...

Job Responsibilities · Assists and represents the Assistant Director of Rights of Way for Utilities and Railroads in reviewing and interpreting complex highway, railroad, and bridge construction plans to ensure compliance with SCDOT standards and federal regulations related to a ...

We are seeking an experienced Part-Time Utility Coordinator to support transportation and roadway projects in Atlanta GA area. · ...

AECOM seeks an experienced Utility Coordinator to support roadway and infrastructure projects for the South Carolina Department of Transportation (SCDOT) and local agencies. · ...

We are seeking an experienced Part-Time Utility Coordinator to support transportation and roadway projects in the Atlanta GA area.This role serves as a key liaison between designers utility agencies and project stakeholders managing utility coordination efforts across GDOT projec ...

Job summaryAre you ready to build your career by joining a multi-national renewable energy corporation? · ...

+ Job Summary To support our extraordinary teams who build great products and contribute to our growth, we're looking to add a Manufacturing Engineer located in Columbia, South Carolina. Reporting to the Manufacturing Engineering Manager. The Manufacturing Engineer primary focus ...

Job Overview · We are seeking a dynamic and experienced Senior Manager, HUS Business Intelligence & Analytics, to lead a high-impact team supporting the HUS Operations Organization. This role blends strategic leadership with deep technical expertise to drive high quality, robust ...

Job Overview · The Regional Vice President, Sales is responsible for developing and leading a team of territory leaders that achieve overall sales goals and growing the installed base of Hubbell's technology products and services designed to secure, operate and optimize the elect ...

The Microbiologist I is responsible for all duties related to performing environmental monitoring, personnel monitoring, microbial enumeration, microbial identification, and sampling of utilities. The Microbiologist I is also responsible for performing all the microbiological tes ...

Responsible for the coordination and resolution of the clinical observations inclusive of denials and appeals of the system-wide comprehensive. · All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. ...

Join our team in Columbia SC a vibrant city known for its rich history cultural attractions and a welcoming community. · , , , Maintain current knowledge of contracts and network status of all service providers · , , , ...