BlueCross BlueShield of South Carolina

SummaryResearches and resolves escalated complex and high profile claims issues. Serves as POC (point of contact) with various professional and facility/hospital providers in the research and resolution of all claims issues. May assist with escalated issues to include but not limited

SummaryResearches and resolves escalated complex and high profile claims issues. Serves as POC (point of contact) with various professional and facility/hospital providers in the research and resolution of all claims issues. May assist with escalated issues to include but not limited

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThe Auditor position is a full-time (40 hours) remote position. This

SummaryResponsible for providing a full range of financial compliance and operational audits business advisory and consultation services investigations internal controls accountability and use of resources.DescriptionThe Auditor position is a full-time (40 hours) remote position. This

SummaryCoordinates the day-to-day activities of underwriting support staff ensuring the efficient workflow of all underwriting support functions.DescriptionLocation: This position is full-time Monday-Friday in a typical office environment. This role is onsite at 1301 Gervais St. Colum

SummaryCoordinates the day-to-day activities of underwriting support staff ensuring the efficient workflow of all underwriting support functions.DescriptionLocation: This position is full-time Monday-Friday in a typical office environment. This role is onsite at 1301 Gervais St. Colum

SummaryResponsible for strategy execution and operational direction of actuarial efforts for assigned line of business.DescriptionLocation: This position is full-time Monday-Friday in a typical office environment. This role is located onsite at 4101 Percival Road Columbia SC 29229.Pos

SummaryResponsible for strategy execution and operational direction of actuarial efforts for assigned line of business.DescriptionLocation: This position is full-time Monday-Friday in a typical office environment. This role is located onsite at 4101 Percival Road Columbia SC 29229.Pos

SummaryDescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest

SummaryDescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest

SummaryUnder direct supervision performs quality control audits reviews or monitoring of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems

SummaryUnder direct supervision performs quality control audits reviews or monitoring of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems

SummaryWe have a job opening for the Information Technology Summer Student Intern at Companion Data Services (CDS) a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role

SummaryWe have a job opening for the Information Technology Summer Student Intern at Companion Data Services (CDS) a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role

SummaryA Sales Administrator supports the sales team by managing administrative tasks and ensuring smooth operations. Key responsibilities include processing orders maintaining customer records preparing reports coordinating with other departments and handling client inquiries. They a

SummaryA Sales Administrator supports the sales team by managing administrative tasks and ensuring smooth operations. Key responsibilities include processing orders maintaining customer records preparing reports coordinating with other departments and handling client inquiries. They a

SummaryResearches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents deci

SummaryResearches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents deci

SummaryWe have a job opening for the position of Business Management Summer Student Intern at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role. The re

SummaryWe have a job opening for the position of Business Management Summer Student Intern at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role. The re

SummaryAnalyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports analyzing results in support of operational functions.DescriptionWhy should you join the Bl

SummaryAnalyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports analyzing results in support of operational functions.DescriptionWhy should you join the Bl

SummaryPerforms advanced varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilize

SummaryPerforms advanced varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying compiling records filing tabulating posting information and distributing mail. Applies knowledge of department policies and procedures and utilize

SummaryWe have a job opening for the position of Summer Student Intern Actuarial position at BlueCross BlueShield of South Carolina. Intern position is utilized for training an active college student towards a professional-level role. The responsibilities vary and are based upon the

SummaryWe have a job opening for the position of Summer Student Intern Actuarial position at BlueCross BlueShield of South Carolina. Intern position is utilized for training an active college student towards a professional-level role. The responsibilities vary and are based upon the

SummaryCGS Administrators LLC (CGS) is part of BCBSSCs Celerian Group of companies and provides a variety of services for Medicare beneficiaries healthcare providers and medical equipment suppliers in 38 states supporting the needs of over 8.7 million Medicare beneficiaries and 103000

SummaryCGS Administrators LLC (CGS) is part of BCBSSCs Celerian Group of companies and provides a variety of services for Medicare beneficiaries healthcare providers and medical equipment suppliers in 38 states supporting the needs of over 8.7 million Medicare beneficiaries and 103000

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryResponsible for assisting in the execution of financial compliance and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans policies and procedures prescribed by management. Reviews assi

SummaryWe have a job opening for the Electronic Data Interchange (EDI) Summer Student Intern at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role. The

SummaryWe have a job opening for the Electronic Data Interchange (EDI) Summer Student Intern at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. The Intern position is utilized for training an active high school or college student towards an entry level role. The

SummaryProvides education to medical providers as warranted.DescriptionLogistics: CGS () one of BlueCross BlueShields South Carolina subsidiary companies.Government Clearance: This position requires the ability to obtain a security clearance which requires applicants to be a U.S. Citi

SummaryProvides education to medical providers as warranted.DescriptionLogistics: CGS () one of BlueCross BlueShields South Carolina subsidiary companies.Government Clearance: This position requires the ability to obtain a security clearance which requires applicants to be a U.S. Citi

SummaryDescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location:This position is full time (40 hours/week) Monday-Friday from 8:00am 5:30pm and will be on-site in Florence SC.Government Clearance: This position requires the ability

SummaryDescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location:This position is full time (40 hours/week) Monday-Friday from 8:00am 5:30pm and will be on-site in Florence SC.Government Clearance: This position requires the ability

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryPerforms 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 re

SummaryPerforms 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 re