BlueCross and BlueShield of South Carolina

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 المزيد...

SummaryRates and designs benefits for largest and most complex groups. Our products include dental vision life AD&D short- and long-term disability accident critical illness hospital indemnity GAP and LBM.DescriptionLocation:This position is full-time (40-hours/week) Monday-Friday المزيد...

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 المزيد...

SummaryFunctions as work leader for customer service units. Assists with escalated and complex issues.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours المزيد...

SummaryEstablishes and maintains positive relationships with network hospitals physician and/or dental practices and their representatives. Serves as point of contact for provider problems/issues. Responds to non-routine or difficult problems/issues related to network contracts reimb المزيد...

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 المزيد...

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

SummaryPosition Purpose: The Assistant Vice President Medicaid Healthcare Management provides leadership direction and oversight (clinical operations) in the establishment of strategic direction for physical and behavioral health Utilization Management (prior authorization inpatient r المزيد...

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 المزيد...

SummarySupervises daily activies performed by the Model Audit Rule (MAR/SOX) Department in the compliance effort that results in annual reporting to the Department of Insurance in activities such as but not limited to: risk assessments process documentation (Financial Operational and المزيد...

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA is a subsidiary company of BlueCross BlueShield of South Carolina.Location:This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required t المزيد...

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 المزيد...

SummaryResponsible for supporting the development and maintenance of a digital media strategy. Responsible for leading digital marketing efforts coordination of marketing campaigns content management monitoring traffic and responding to feedback. Various digital properties include web المزيد...

SummaryWhy 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 insurance c المزيد...

SummaryWe are currently hiring for a Medical Reviewer II to join BlueCross BlueShield of South Carolina. In this role as a Medical Reviewer II you will perform medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or المزيد...

SummaryWe have an opening for the position of Senior Subrogation Specialist at BlueCross BlueShield of South Carolina. In this role you will identify and pursue subrogation and workers compensation recoveries. You will negotiate settlements of amounts owed to the company. The position المزيد...

SummaryWe are currently hiring for a Pharmacy Operations Analyst to join BlueCross BlueShield of South Carolina. In this role as a Pharmacy Operations Analyst you will provide key operations support and guidance on the Pharmacy Benefit Management (PBM) Support Team. Serves as an opera المزيد...

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 المزيد...

SummaryResponsible for making underwriting and pricing recommendations to complete Commercial ASO Pharmacy quotes and Requests for Proposals (RFPs). *Prior Pharmacy Benefit Management (PBM) pricing experience preferred.DescriptionLocation:This is a full-time remote position working ( المزيد...

SummaryWe are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate II you will be responsible for responding to customer inquiries. Inquiries may be non-routine and require deviat المزيد...