BlueCross BlueShield of South Carolina

 
Displaying 61 - 75 of 150 Jobs.
 
Data Analyst III
Columbia, SC
Creates and analyzes reports to support operations. Ensures correctness of analysis, and reports findings in a concise manner to senior management. Directly responsible for accuracy of da...

Senior Medical Reviewer
Columbia, SC
Acts as Team Lead for Medical Affairs and Pharmacy specialty programs, for collaborative efforts in medical review, utilization management, and case management areas by providing assistan...

Appeals Analyst - Registered Nurse (Nashville, TN) - CGS (Columbia, SC) (Springf
Nashville, TN
Researches the substance of complex appeal or retrospective review requests including pre pay and post payment review appeal requests. Provides thorough clinical review or benefit analysi...

Audit Reimbursement Quality Control Analyst - Palmetto GBA
Columbia, SC; Atlanta, GA; Burlington, VT; Honolulu, HI; Charlotte, NC; Charleston, SC; Salt Lake City, UT; Sioux Falls, SD; Fargo, ND; Houston, TX; Seattle, WA; Boise, ID; Virginia Beach, VA; Colu...
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 Law...

Marketing Project Specialist
Columbia, SC
This role is responsible for providing information in concise/well written reports to assist in the sales and marketing plans. Assists with marketing, sales and compliance projects. Colla...

Talent Acquisition Partner
Columbia, SC
Responsible for effective and efficient recruitment activities to provide proactive sourcing and networking for professional, managerial, and operational positions within the organization...

Customer Service Advocate II
Columbia, SC
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description 65% Ensures effective customer relat...

Appeals Analyst - Registered Nurse (Nashville, TN) - CGS( Columbia, SC) (Springf
Nashville, TN
Researches the substance of complex appeal or retrospective review requests including pre pay and post payment review appeal requests. Provides thorough clinical review or benefit analysi...

Accountant I Palmetto GBA
Columbia, SC
Responsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements...

Business Systems Analyst I - CGS
Nashville, TN
Defines customer needs in technical and business contexts. Ensure the proposed technical and business solutions meet the customer's objectives for the work effort. Description This posi...

Developer III-CGS
Nashville, TN; Columbia, SC
Perform all phases of applications systems analysis and design. Analyze systems specifications and develop applications to support information systems processes. Prepare detailed specific...

(RN) Medicare Advantage Corporate Appeals Manager
Columbia, SC
Oversees appeals process/case review process and staff ensuring all documentation, timeliness, and quality standards are met. Ensures cost effective plans provide a positive impact on the...

Medicare Insurance Sales Rep II (Remote Eligible in SC)
Charleston, SC
Responsible for the successful marketing (sales, renewals, and/or service) of group and/or individual accounts for products as defined by production quotas within assigned territory. Cust...

Customer Service Advocate II
Columbia, SC
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. P...

Customer Service Advocate II Palmetto GBA (Birmingham, AL)
Birmingham, AL; Columbia, SC
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. P...