BlueCross BlueShield of South Carolina

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

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionLogistics:CGS ()one of BlueCross BlueShields South Carolina sub

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.DescriptionLogistics:CGS ()one of BlueCross BlueShields South Carolina sub

SummaryServes as team lead and is responsible for coordinating area processes/tasks to include the following: distribution of work logging access database processing group changes responding to inquiries training new employees preparing reports/books/contracts.DescriptionLogistics: T

SummaryServes as team lead and is responsible for coordinating area processes/tasks to include the following: distribution of work logging access database processing group changes responding to inquiries training new employees preparing reports/books/contracts.DescriptionLogistics: T

SummaryWorking at CGS AdministratorsCGS 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 Medi

SummaryWorking at CGS AdministratorsCGS 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 Medi

SummaryCoordinates and performs testing for major system enhancements including reviewing documents for testing creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production issues for

SummaryCoordinates and performs testing for major system enhancements including reviewing documents for testing creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production issues for

SummaryDepending on department needs this job includes the following: cashier prep cook food server dishwasher/pot washer catering delivery restocking as needed and any other need as asked by management.Why should you join the BlueCross BlueShield of South Carolina family of companies

SummaryDepending on department needs this job includes the following: cashier prep cook food server dishwasher/pot washer catering delivery restocking as needed and any other need as asked by management.Why should you join the BlueCross BlueShield of South Carolina family of companies

SummaryConducts business process analyses needs assessments and preliminary cost/benefit analyses in an effort to align operations solutions with business initiatives. Prepares functional system and program specifications. Provides management support in review of various internal/exte

SummaryConducts business process analyses needs assessments and preliminary cost/benefit analyses in an effort to align operations solutions with business initiatives. Prepares functional system and program specifications. Provides management support in review of various internal/exte

SummaryThis position is responsible for the management of the change order proposal process and the coordination of change order implementation. This position must maintain effective and efficient relationships with the Prime Contractor and/or Government in order to change terms and i

SummaryThis position is responsible for the management of the change order proposal process and the coordination of change order implementation. This position must maintain effective and efficient relationships with the Prime Contractor and/or Government in order to change terms and i

SummaryAssists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses needs assessments and cost/benefits analyses for aligning operations solutions with

SummaryAssists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses needs assessments and cost/benefits analyses for aligning operations solutions with

SummaryResponsible for providing timely competent and professional legal assistance and support in a broad range of areas as assigned. Responsibilities may include managing litigation handling acquisitions contract review and analysis investigating and resolving threatened litigation

SummaryResponsible for providing timely competent and professional legal assistance and support in a broad range of areas as assigned. Responsibilities may include managing litigation handling acquisitions contract review and analysis investigating and resolving threatened litigation

SummaryResponsible for providing timely competent and professional legal assistance and support in a broad range of areas as assigned. Responsibilities may include managing litigation handling acquisitions contract review and analysis investigating and resolving threatened litigation

SummaryResponsible for providing timely competent and professional legal assistance and support in a broad range of areas as assigned. Responsibilities may include managing litigation handling acquisitions contract review and analysis investigating and resolving threatened litigation

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible in the provider enrollment process to review research analyze and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.DescriptionLogistics: CGS () one of BlueCross B

SummaryResponsible for providing consultative sales and service to customers seeking health and ancillary insurance products and information. Accepts payments from customers assists with wellness education and conducts Personal Health Assessments (PHAs). Regularly engaged in outside s

SummaryResponsible for providing consultative sales and service to customers seeking health and ancillary insurance products and information. Accepts payments from customers assists with wellness education and conducts Personal Health Assessments (PHAs). Regularly engaged in outside s

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

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

SummaryResearches resolves and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits and reviews of compliance-related concerns. Provides information on compliance activities as needed.DescriptionTh

SummaryResearches resolves and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits and reviews of compliance-related concerns. Provides information on compliance activities as needed.DescriptionTh

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clin

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clin

SummaryResearches resolves and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits and reviews of compliance-related concerns. Provides information on compliance activities as needed.DescriptionTh

SummaryResearches resolves and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits and reviews of compliance-related concerns. Provides information on compliance activities as needed.DescriptionTh

SummaryResponsible for supporting the development and maintenance of a digital communications strategy. Responsible for leading digital marketing efforts coordination of marketing campaigns content and HMTL management monitoring engagement and results.DescriptionPosition Purpose:As th

SummaryResponsible for supporting the development and maintenance of a digital communications strategy. Responsible for leading digital marketing efforts coordination of marketing campaigns content and HMTL management monitoring engagement and results.DescriptionPosition Purpose:As th

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clin

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clin

SummaryThe NCQA Analyst is responsible for leading accreditation compliance activities to include interpretation of the standards monitoring of multiple areas compliance providing guidance to management and associates on compliance issues.This position involves working closely with cr

SummaryThe NCQA Analyst is responsible for leading accreditation compliance activities to include interpretation of the standards monitoring of multiple areas compliance providing guidance to management and associates on compliance issues.This position involves working closely with cr