About BlueCross BlueShield of South Carolina
You can’t reach new heights of performance unless you’re willing to invest in others. That people-first mantra has been our guiding light since we started in the Medicare business in 1965. Headquartered in Columbia, S.C., and with offices in Augusta, Ga.; Birmingham, Ala.; Camden, S.C.; Columbia, S.C.; and Florence, S.C., our more than 2,200 associates create value for government and commercial customers every day. We believe everything starts with doing one task well. From providing superb customer service that makes someone’s job easier to eliminating lag time in a process, small ripples drive performance. Servicing a nation’s health is a tremendous responsibility. Yet staggering transaction volume, privacy and security, as well as ever-evolving benefits and compliance don’t change the heart of the matter: helping people. Our employees remain at the heart of our efforts to prepare for the next generation of information technology and affiliated customer service initiatives. At Palmetto GBA, we employ the best people to respond to the evolving needs of our customers and partners. Palmetto GBA is part of the Celerian Group, a consortium of companies that helps government and private health care plans navigate the complexities of benefits administration.
73 Job openings in Bluecross Blueshield Of South Carolina
Manager, Medicare Advantage Risk Adjustment And Health Services
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. Le More...
Accounting Technician Ii-palmetto Gba
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 More...
Chief Operating Officer, Pharmacy Management
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 More...
Business Systems Analyst Ii- Cgs Administrators, Llc (nashville, Tn)
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 More...
Claims Customer Service Coordinator
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 More...
Statistical Programming Analyst I
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 More...
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 More...
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 More...
Lead Accounting Technician-palmetto Gba
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 More...
Claims Customer Service Advocate I
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 More...
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 More...
Accounting Technician Ii (medicare)
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 More...
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 More...
Technician, Accounting Ii-palmetto Gba
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 More...
Fcmb Claims Customer Service Advocate Ii
SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionLogistics: PGBA is a subsidiary company of BlueCross Blue More...
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 More...
SummaryThe ideal candidate will be passionate about people leadership with a strong ability to inspire and empower frontline staff. Key responsibilities include setting clear performance expectations providing regular feedback recognizing achievements and driving engagement through a More...
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 More...
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 More...
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 More...
