Palmetto GBA

SummaryWe are currently hiring for a Customer Service Manager to join BlueCross BlueShield of South Carolina. You will be accountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff.Why should you join th

SummaryWe are currently hiring for a Customer Service Manager to join BlueCross BlueShield of South Carolina. You will be accountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff.Why should you join th

SummaryAccountable for managing one or more teams responsible for customer service on the Part A call center team. Manages the day-to-day operations and workload issues for staff.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environm

SummaryAccountable for managing one or more teams responsible for customer service on the Part A call center team. Manages the day-to-day operations and workload issues for staff.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environm

SummaryResearches and interprets insurance laws pertaining to division products form filings and obtains approval from the various state insurance departments. Communicates impact of insurance bulletins circulars and directives to appropriate departments and ensures compliance with al

SummaryResearches and interprets insurance laws pertaining to division products form filings and obtains approval from the various state insurance departments. Communicates impact of insurance bulletins circulars and directives to appropriate departments and ensures compliance with al

SummaryResponsible for managing contract staff and administration of all contracts to ensure that contractual obligations are met and compliance is maintained with mandatory governmental regulations applicable laws and corporate policies and procedures. Ensures effective relationships

SummaryResponsible for managing contract staff and administration of all contracts to ensure that contractual obligations are met and compliance is maintained with mandatory governmental regulations applicable laws and corporate policies and procedures. Ensures effective relationships

SummaryWe are currently hiring for a Medical Review Manager to join BlueCross BlueShield of South this role as a Medical Review Manager you will oversee the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recogniz

SummaryWe are currently hiring for a Medical Review Manager to join BlueCross BlueShield of South this role as a Medical Review Manager you will oversee the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recogniz

SummaryResponsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following: processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors ti

SummaryResponsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following: processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors ti

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.DescriptionThis is a full-time position working in Columbia SC.What Youll Do:Co

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.DescriptionThis is a full-time position working in Columbia SC.What Youll Do:Co

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.DescriptionThis is a full-time position working in Columbia SC.What Youll Do:Co

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.DescriptionThis is a full-time position working in Columbia SC.What Youll Do:Co

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

SummaryWe have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs and the interns experience. Working under direct supervision the intern

SummaryWe have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs and the interns experience. Working under direct supervision the intern

SummaryResponsible for organizing the audit block into productive units or teams and directing the activities of the teams to meet the expectations of the department the corporation and the Centers for Medicare and Medicaid Service (CMS). Ensures workload production goals and standard

SummaryResponsible for organizing the audit block into productive units or teams and directing the activities of the teams to meet the expectations of the department the corporation and the Centers for Medicare and Medicaid Service (CMS). Ensures workload production goals and standard

SummaryCoordinates market conduct and regulatory reporting activities. Researches and interprets state and federal insurance laws and regulations pertaining to marketplace activity including privacy and security measures and how these legal requirements relate to business operations.

SummaryCoordinates market conduct and regulatory reporting activities. Researches and interprets state and federal insurance laws and regulations pertaining to marketplace activity including privacy and security measures and how these legal requirements relate to business operations.

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