BlueCross BlueShield of South Carolina

SummaryCare management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience especially when multiple health care providers and different care settings are involved. Taken collectively care management

SummaryCare management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience especially when multiple health care providers and different care settings are involved. Taken collectively care management

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics:PGBA one of BlueCross BlueShields South

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics:PGBA one of BlueCross BlueShields South

SummaryGather and analyze data and information contained within articles information systems and other databases for evidence-based information related to health policies. Apply research findings to implement solutions that resolve complex issues. Present research findings to Medical

SummaryGather and analyze data and information contained within articles information systems and other databases for evidence-based information related to health policies. Apply research findings to implement solutions that resolve complex issues. Present research findings to Medical

SummaryLeads and administers projects. Monitors and facilitates progress and status of area projects and coordinates each project phase. Prepares specialized reports and presentations for management or staff as it relates to the progress of new projects and initiatives. Serves as liai

SummaryLeads and administers projects. Monitors and facilitates progress and status of area projects and coordinates each project phase. Prepares specialized reports and presentations for management or staff as it relates to the progress of new projects and initiatives. Serves as liai

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

SummaryResponsible for evaluating loss potential for each member. Calculates and assigns risk score via a comprehensive risk analysis approach. Ensures action requests and internal/external issues are addressed in a timely manner.DescriptionWhy should you join the BlueCross BlueShie

SummaryResponsible for evaluating loss potential for each member. Calculates and assigns risk score via a comprehensive risk analysis approach. Ensures action requests and internal/external issues are addressed in a timely manner.DescriptionWhy should you join the BlueCross BlueShie

SummaryWe are currently hiring for a Technical Information Specialist to join BlueCross BlueShield of South this role as a Technical Information Specialist you will be responsible for the maintenance of records and the processing of claims in medical review along with any and/or all

SummaryWe are currently hiring for a Technical Information Specialist to join BlueCross BlueShield of South this role as a Technical Information Specialist you will be responsible for the maintenance of records and the processing of claims in medical review along with any and/or all

SummaryProvides reinsurance support for new and renewal business underwriting claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments and/or check the status of claims and process policy changes. Pro

SummaryProvides reinsurance support for new and renewal business underwriting claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for billing or payments and/or check the status of claims and process policy changes. Pro

SummaryCompanion Data Services provides leading IT solutions and managed services. We operate multiple geographically disperse data centers including two of the nations largest healthcare data centers both rated among the top five percent of data centers worldwide by MIPS.With three

SummaryCompanion Data Services provides leading IT solutions and managed services. We operate multiple geographically disperse data centers including two of the nations largest healthcare data centers both rated among the top five percent of data centers worldwide by MIPS.With three

SummaryWe have a job opening for the position of Business Process & Technology Intern who will work directly with our Audit & Reimbursement team at PGBA a subsidiary of BlueCross BlueShield of South Carolina. The intern will work under direct supervision and gain exposure to professio

SummaryWe have a job opening for the position of Business Process & Technology Intern who will work directly with our Audit & Reimbursement team at PGBA a subsidiary of BlueCross BlueShield of South Carolina. The intern will work under direct supervision and gain exposure to professio

SummaryResponsible for operating high speed file based integrity production mail inserters and other print/mailing equipment to meet the companys required contractual obligations related to mailing first-class correspondence statements checks etc.*Mail procedures require the adherence

SummaryResponsible for operating high speed file based integrity production mail inserters and other print/mailing equipment to meet the companys required contractual obligations related to mailing first-class correspondence statements checks etc.*Mail procedures require the adherence

SummaryReceive shipments from supply department and outside vendors. Pull inventory (inserts envelopes) for each job/operator. Deliver/Replenish operator supplies. Keep inserts and envelopes organized on production floor and in warehouse. Keep production floor and warehouse free from

SummaryReceive shipments from supply department and outside vendors. Pull inventory (inserts envelopes) for each job/operator. Deliver/Replenish operator supplies. Keep inserts and envelopes organized on production floor and in warehouse. Keep production floor and warehouse free from

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries.DescriptionLogistics: CGS - One of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/wee

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries.DescriptionLogistics: CGS - One of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/wee

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but w

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but w

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

SummaryProvides care management services to more than 2 million members in South Carolina and nationally. Administers complex high-touch concierge case management for members identified into specialized programs such as high-risk maternity NICU ESRD Cancer Palliative Care or Behaviora

SummaryProvides care management services to more than 2 million members in South Carolina and nationally. Administers complex high-touch concierge case management for members identified into specialized programs such as high-risk maternity NICU ESRD Cancer Palliative Care or Behaviora

SummaryPerforms scheduling oversight activities for training management to ensure effective departmental training. Performs detailed planning on a regular basis monitors very large concurrent training event projects and oversees training events through well-prepared staff and resource

SummaryPerforms scheduling oversight activities for training management to ensure effective departmental training. Performs detailed planning on a regular basis monitors very large concurrent training event projects and oversees training events through well-prepared staff and resource

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

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

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