BlueCross BlueShield of South Carolina

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training and guidance for new training specialists. Develops performance assessments and testing materials.DescriptionLocation: This position is full-time (40-hours/we

SummaryResponsible for identifying training needs developing training materials and facilitating training. Provides training and guidance for new training specialists. Develops performance assessments and testing materials.DescriptionLocation: This position is full-time (40-hours/we

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryResponsible for instructional design strategies assessment and innovative learning techniques. Performs in-depth analysis design development and delivery of learning programs that enhance the workforce effectiveness through use of competency gap analysis blended learning perfo

SummaryResponsible for instructional design strategies assessment and innovative learning techniques. Performs in-depth analysis design development and delivery of learning programs that enhance the workforce effectiveness through use of competency gap analysis blended learning perfo

SummaryOversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies analyzes and manages the assigned line of business for maximum p

SummaryOversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies analyzes and manages the assigned line of business for maximum p

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

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role i

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role i

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role i

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role i

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