BlueCross BlueShield of South Carolina

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

SummaryServes as the day to day lead in the client issues service resolution of assigned accounts. Works with management and internal stakeholders on client specific or departmental initiatives.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical

SummaryServes as the day to day lead in the client issues service resolution of assigned accounts. Works with management and internal stakeholders on client specific or departmental initiatives.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical

SummaryAudit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service.DescriptionPosition PurposeAudit and authorize reimbursement of specific medical stop loss claims. Effectively mit

SummaryAudit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service.DescriptionPosition PurposeAudit and authorize reimbursement of specific medical stop loss claims. Effectively mit

SummaryReviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise Administrative policies and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical

SummaryReviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise Administrative policies and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical

SummaryCoordinates and performs testing for major system enhancements including reviewing documents for testing creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production issues for

SummaryCoordinates and performs testing for major system enhancements including reviewing documents for testing creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production issues for

SummaryConducts market/product/competitor research to be used in development of new products. Completes all marketing Requests for Proposals (RFPS)/Request for Information (RFIS) for CHC marketing Major Group marketing BlueChoice and other divisions/cost centers. Develops/maintains d

SummaryConducts market/product/competitor research to be used in development of new products. Completes all marketing Requests for Proposals (RFPS)/Request for Information (RFIS) for CHC marketing Major Group marketing BlueChoice and other divisions/cost centers. Develops/maintains d

SummaryEnsures the accuracy and quality of data that had been systematically or manually entered into an indexing system.DescriptionPosition Purpose: Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system.Logistics: CGS () on

SummaryEnsures the accuracy and quality of data that had been systematically or manually entered into an indexing system.DescriptionPosition Purpose: Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system.Logistics: CGS () on

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 providing support for day-to-day compensation operations. Perform various activities including conducting basic compensation research; reviewing and processing requests in Human Capital Management (HCM) system HCM system standardization and maintenance; and admi

SummaryResponsible for providing support for day-to-day compensation operations. Perform various activities including conducting basic compensation research; reviewing and processing requests in Human Capital Management (HCM) system HCM system standardization and maintenance; and admi

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

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

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

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

SummaryOversees the conducting of operational audits which provide verification of operating procedures and the development of quality control processes. Ensures compliance with all company directives and requirements.DescriptionLocation:This role is full time M-F 8am-5pm at our Flore

SummaryOversees the conducting of operational audits which provide verification of operating procedures and the development of quality control processes. Ensures compliance with all company directives and requirements.DescriptionLocation:This role is full time M-F 8am-5pm at our Flore

SummaryDescriptionSummaryWhy 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 l

SummaryDescriptionSummaryWhy 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 l

SummaryResponsible 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.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of compan

SummaryResponsible 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.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of compan

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

SummaryPerforms medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims

SummaryPerforms medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.Why should you join the BlueCross BlueShield of South

SummarySells Medicare insurance products through telemarketing.DescriptionLocation: This position is onsite 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 of 8:00AM-5:00PM. It may be nec

SummarySells Medicare insurance products through telemarketing.DescriptionLocation: This position is onsite 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 of 8:00AM-5:00PM. It may be nec

SummarySupports 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 I/S Processes) identification

SummarySupports 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 I/S Processes) identification

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 reporting to 51 Clemson Road in Columbi

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 reporting to 51 Clemson Road in Columbi