1 to 6 of 6
Sort by: Date | Relevance
BlueCross BlueShield of South Carolina
- Boise, ID / Atlanta, GA / Burlington, VT / 47 more...
Why you might like this position? This role is brand new and is part of our team growing and expanding. If you like to be cutting edge and would enjoy the challenge of starting up an entirely new team, than we would love to consider you for this role. It will take creativity, energy, and a self driven and independently minded team member to be successful in this role. If you have been complimented
Posted Today
THIS POSITION MAY BE WORKED FROM HOME IN ANY STATE. Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description 50% Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, provi
Posted Today
As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. May also write and revise medical policies. Description This position can be worked remotely. Must be willing to tra
Posted Today
BlueCross BlueShield of South Carolina
- Charleston, SC / Atlanta, GA / Burlington, VT / 47 more...
Involved in all aspects of the Molecular Diagnostic Program (MoIDX) laboratory operations and serves as an internal subject matter expert, applying medical knowledge to advise decisionmakers in support of MoIDX's mission. Responsible for review and approval of documentation and reports, supporting clinical testing strategies, as well as new assay development and validation. Serves as an ambassador
Posted Today
Responsible for reviewing the work products of the audit and reimbursement departments to ensure compliance with Center for Medicare and Medicaid Services (CMS) Instructions, Medicare Laws, and Audit and Reimbursement Policies and Procedures. Typically addresses the most complicated audit and reimbursement issues to ensure the work performed is of a high quality. Responsible for identifying weakne
Posted Today
BlueCross BlueShield of South Carolina
- Columbia, SC / Atlanta, GA / Burlington, VT / 48 more...
Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. Description
Posted Today
Email this Job to Yourself or a Friend
Indicates required fields