BlueCross BlueShield of South Carolina

SummaryResponsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether

SummaryResponsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether

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: Palmetto GBA one of Blu

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: Palmetto GBA one of Blu

SummaryDescriptionWhy 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

SummaryDescriptionWhy 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

SummaryResponsible for providing a full range of risk compliance and operational underwriting audits. ( business advisory and consultation services investigations internal controls accountability and use of resources.)DescriptionLocation: This position is full-time(40-hours/week) Remo

SummaryResponsible for providing a full range of risk compliance and operational underwriting audits. ( business advisory and consultation services investigations internal controls accountability and use of resources.)DescriptionLocation: This position is full-time(40-hours/week) Remo

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

SummaryResponsible for planning development direction and management of all activities related to product development for assigned divisions business. Determines the demand for new or enhanced products and services through market research and analysis. Responsible for the development

SummaryResponsible for planning development direction and management of all activities related to product development for assigned divisions business. Determines the demand for new or enhanced products and services through market research and analysis. Responsible for the development

SummaryAs a People Systems HRIS Analyst you will deliver customer service support for HR inquiries related to the HCM system provide second-tier support for escalated issues and manage HCM system enhancements. You will also collaborate with internal stakeholders to analyze requirement

SummaryAs a People Systems HRIS Analyst you will deliver customer service support for HR inquiries related to the HCM system provide second-tier support for escalated issues and manage HCM system enhancements. You will also collaborate with internal stakeholders to analyze requirement

SummaryBuilds and maintains effective long term relationships with internal and external partners. Ensuring high levels of satisfaction and increase revenues through profitable new case pricing and drive renewal add issue sales. Supports reporting evaluation and additional development

SummaryBuilds and maintains effective long term relationships with internal and external partners. Ensuring high levels of satisfaction and increase revenues through profitable new case pricing and drive renewal add issue sales. Supports reporting evaluation and additional development

SummaryLeads multi divisional area needs regarding the planning and prioritization of Clinical systems and support related activities including projects process improvements develops and provides information to drive the clinical decision-making process for divisional projects and job

SummaryLeads multi divisional area needs regarding the planning and prioritization of Clinical systems and support related activities including projects process improvements develops and provides information to drive the clinical decision-making process for divisional projects and job

SummaryWorking at CGS AdministratorsCGS Administrators provides a variety of services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries health care providers and medical equipment suppliers in 33 states supporting the needs of more than 20 mil

SummaryWorking at CGS AdministratorsCGS Administrators provides a variety of services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries health care providers and medical equipment suppliers in 33 states supporting the needs of more than 20 mil

SummaryHandles day-to-day regulatory compliance issues. Researches resolves and tracks suspected compliance issues. Provides guidance to management and employees on compliance issues. Negotiates privacy agreements and performs various internal audits. Provides information on the compl

SummaryHandles day-to-day regulatory compliance issues. Researches resolves and tracks suspected compliance issues. Provides guidance to management and employees on compliance issues. Negotiates privacy agreements and performs various internal audits. Provides information on the compl

SummaryAs a People Systems HRIS Analyst you will deliver customer service support for HR inquiries related to the HCM system provide second-tier support for escalated issues and manage HCM system enhancements. You will also collaborate with internal stakeholders to analyze requirement

SummaryAs a People Systems HRIS Analyst you will deliver customer service support for HR inquiries related to the HCM system provide second-tier support for escalated issues and manage HCM system enhancements. You will also collaborate with internal stakeholders to analyze requirement

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

SummaryAssists with planning internal and external special events and coordinates corporate projects for the company. Analyzes requests for corporate funding and generates related reports and correspondence. Develops and maintains effective relationships with community entities while

SummaryAssists with planning internal and external special events and coordinates corporate projects for the company. Analyzes requests for corporate funding and generates related reports and correspondence. Develops and maintains effective relationships with community entities while

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

SummaryDescriptionWhy 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

SummaryDescriptionWhy 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