7 medical reviewer jobs found in Columbia

Become a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas....

Job Description Staff Program Manager, Incident Management - Autonomous Vehicle Development At General Motors, our product teams are redefining mobility. Through a human-centered design process, we create vehicles and experiences that are designed not just to be seen, but to be felt. We're turning today's impossible into tomorrow's standard - from breakthrough hardware and battery systems to intuitive design, intelligent software, and next-generation safety and entertainment features. Every day, our products move millions of people as we aim to make driving safer, smarter, and more connected, shaping the future of transportation on a global scale. The Safety Assurance for Effective Autonomous Driving Software (SAFE-ADS) department is part of GM's Global Product Safety, System, and Certification (GPSSC) organization. Our mission is to help GM deliver trusted automated driving products. As the central authority for automated driving system (ADS) safety, SAFE-ADS brings...

Position Description & Qualifications The Army PPB BOS program is seeking a CM Specialist to deliver cloud-based configuration management, DevSecOps, and release engineering activities to support the enterprise systems. Serco supports the US Army as the prime for PPB BBOS and consists of multiple managed cloud environments and numerous hosted data, applications, and processes that enable Army Planning, Programming and Budgeting (PPB) processes to develop the Army Future Years Defense Program (FYDP). Our team performs administration, maintenance, and improvement of IT systems that collect POM, Budget Estimate Submission (BES) and President's Budget resources data deemed necessary to accomplish the Department's mission. In this role, you will: Support applications and systems operating within AWS GovCloud and Commercial Cloud environments/ Be responsible for developing, maintaining, and enforcing software configuration management tools and processes that...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title AVP, Enterprise Program Portfolio Management - REMOTE Job Description The AVP Program Portfolio Management is responsible for leading and developing the overall portfolio and project vision for one or more accounts. This position will be responsible for creating an implementation strategy to accomplish the division's long term strategic and market driven vision within their accounts. This position requires broad technical and analytical experience, as well as strong interpersonal leadership skills. This leader works directly with external clients and customers to ensure that business needs are met while leveraging cross functional internal, matrixed resources to deliver results. Responsibilities Lead a long-term...

Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Supply Chain Technology- Logistics and Fulfilment - WMS Manager (Warehouse Management) - Location Open The opportunity This is a rapidly growing area, so you will have plenty of opportunity to spread your wings and develop your skillset to keep up with the ever-growing demands of the digital landscape. Most of your time will be spent embedded with our clients' team and we'll look to you to provide our clients with a unique business perspective on how they must continue to innovate and remain competitive in this ever-changing industry. As a Manager in Logistics and Fulfillment, you will play a pivotal role in enhancing our organization's logistics functions, from the inception of product origin to the...

The Building People delivers integrated solutions that connect technology, buildings, and people to optimize real estate performance, facility operations, and workforce outcomes. With over 450 contracts delivered across 187 project locations, we manage more than 1,700 facilities and support $38.5B in federal and commercial assets. Leveraging AI-driven automation, data analytics, and platform-agnostic systems, we create high-performing, future-ready environments that reduce cost, improve efficiency, and enable mission success. Founded in 2012, we now have over 450 employees supporting 23 federal agencies—making us a trusted leader in delivering technology-infused building solutions across the public sector. The Building People is committed to fostering a workplace where every employee can thrive. Using tools like the Predictive Index, we thoughtfully align individual strengths with team needs -ensuring the right fit, the right role, and long-term success. Our culture is...