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Medical Review Director - Healthcare Ops Leader

Job in Columbia, Lexington County, South Carolina, 29228, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time position
Listed on 2026-01-27
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Location: Columbia
A leading health insurance provider in South Carolina seeks a Medical Review Director to oversee and ensure the effectiveness of clinical pricing and review operations. The ideal candidate has a strong background in healthcare program management with supervisory experience. You will be responsible for directing operations, training staff, analyzing data, and maintaining compliance. This role requires an onsite full-time presence in Columbia, SC, Nashville, TN, or Springfield, IL.

A bachelor's degree in a related field is required.
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