BlueCross BlueShield of South Carolina

SummaryDevelops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities for improvement that can be addressed with educational initiatives.DescriptionWhy

SummaryDevelops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities for improvement that can be addressed with educational initiatives.DescriptionWhy

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 providing oversight and guidance to the benefits and retirement staff. Handles escalated issues and provides accurate prompt response to management inquiries. Ensures accurate data entry maintenance and file transfer to vendors for all benefit programs. Assis

SummaryResponsible for providing oversight and guidance to the benefits and retirement staff. Handles escalated issues and provides accurate prompt response to management inquiries. Ensures accurate data entry maintenance and file transfer to vendors for all benefit programs. Assis

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

SummaryOversees direct coaching support to a physician/provider practices to make improvements in systems and delivery of care. Ensures establishment and maintenance of excellent relationships with network hospitals physician and/or designated practices and their representatives. Lead

SummaryOversees direct coaching support to a physician/provider practices to make improvements in systems and delivery of care. Ensures establishment and maintenance of excellent relationships with network hospitals physician and/or designated practices and their representatives. Lead

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

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

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

SummaryFunctions as work leader for a claims customer service unit responsible for resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. Assists with escalated and complex issues.DescriptionLocation: This position is full-time (40-hour

SummaryFunctions as work leader for a claims customer service unit responsible for resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. Assists with escalated and complex issues.DescriptionLocation: This position is full-time (40-hour

SummaryCGS Administrators LLC (CGS) is part of BCBSSCs Celerian Group of companies and provides a variety of services for Medicare beneficiaries healthcare providers and medical equipment suppliers in 38 states supporting the needs of over 8.7 million Medicare beneficiaries and 103000

SummaryCGS Administrators LLC (CGS) is part of BCBSSCs Celerian Group of companies and provides a variety of services for Medicare beneficiaries healthcare providers and medical equipment suppliers in 38 states supporting the needs of over 8.7 million Medicare beneficiaries and 103000

SummaryResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return deny or pay claims following organizatio

SummaryResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return deny or pay claims following organizatio

SummaryResponsible for moderately complex accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of

SummaryResponsible for moderately complex accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of

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

SummaryResponsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments terminations/cancellations changes renewals and database updates.DescriptionLogistics: This is a full-time (40-hours/week) positio

SummaryResponsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments terminations/cancellations changes renewals and database updates.DescriptionLogistics: This is a full-time (40-hours/week) positio

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

SummaryResponsible for ensuring that the training and educational needs of employees are met by creating developing writing and implementing training material programs and curriculums. Responsible for coordinating initial training for new hires and in-services to all staff. Responsibl

SummaryResponsible for ensuring that the training and educational needs of employees are met by creating developing writing and implementing training material programs and curriculums. Responsible for coordinating initial training for new hires and in-services to all staff. Responsibl

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryPalmetto GBA is one of the nations largest providers of high-volume claims and transaction processing contact center operations and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries

SummaryAssists with implementation of health management activities/programs for BlueCross BlueShield of South Carolina (BCBSSC) and/or BlueChoice members.DescriptionLocation: This position is full-time (40hours/week) Monday-Friday in atypical office environment. This role is onsite at

SummaryAssists with implementation of health management activities/programs for BlueCross BlueShield of South Carolina (BCBSSC) and/or BlueChoice members.DescriptionLocation: This position is full-time (40hours/week) Monday-Friday in atypical office environment. This role is onsite at

SummaryPosition Purpose:Responsible for providing a full range of financial compliance and operationalaudits business advisory and consultation services investigations internalcontrols accountability and use of resources.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields

SummaryPosition Purpose:Responsible for providing a full range of financial compliance and operationalaudits business advisory and consultation services investigations internalcontrols accountability and use of resources.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields

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