BlueCross BlueShield of South Carolina

SummaryOversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies analyzes and manages the assigned line of business for maximum p

SummaryOversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies analyzes and manages the assigned line of business for maximum p

SummaryOversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies analyzes and manages the assigned line of business for maximum p

SummaryOversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies analyzes and manages the assigned line of business for maximum p

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

SummarySupports actuarial services by providing research data reports and analysis of the profitability of existing and new lines of business.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of

SummarySupports actuarial services by providing research data reports and analysis of the profitability of existing and new lines of business.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of

SummaryResponsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely complete and accurate processing of authorization requests by interfacing with internal and external customers and the Pharmacy

SummaryResponsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely complete and accurate processing of authorization requests by interfacing with internal and external customers and the Pharmacy

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is a full-t

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is a full-t

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is a full-t

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is a full-t

SummaryPrepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all aspects of claim processing to include fraudulent billing practices and to respond

SummaryPrepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all aspects of claim processing to include fraudulent billing practices and to respond

SummaryPrepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all aspects of claim processing to include fraudulent billing practices and to respond

SummaryPrepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all aspects of claim processing to include fraudulent billing practices and to respond

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

SummaryWe are currently hiring for a Customer Service Phone Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for providing prompt accurate thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve inquiries.W

SummaryWe are currently hiring for a Customer Service Phone Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for providing prompt accurate thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve inquiries.W

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

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

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

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation:This position is full-time

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation:This position is full-time

SummaryLeads corporate distribution systems general agents brokers and other market support personnel. Responsible for planning product development marketing services production and profitability for as few as two states to regions with as many as ten states. Customarily and regularly

SummaryLeads corporate distribution systems general agents brokers and other market support personnel. Responsible for planning product development marketing services production and profitability for as few as two states to regions with as many as ten states. Customarily and regularly

SummaryProvides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and tracks all data.DescriptionLogisticsCGS one of BlueCross BlueShields South Carolina sub

SummaryProvides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and tracks all data.DescriptionLogisticsCGS one of BlueCross BlueShields South Carolina sub

SummaryProvides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and tracks all data.DescriptionLogisticsCGS one of BlueCross BlueShields South Carolina sub

SummaryProvides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and tracks all data.DescriptionLogisticsCGS one of BlueCross BlueShields South Carolina sub

SummaryThis position is remote however it is required to live in or around Columbia South Carolina.Conducts primary/secondary market research to be used in development of new products/programs. Provides information in concise/well-written reports to assist in strategic/marketing plan.

SummaryThis position is remote however it is required to live in or around Columbia South Carolina.Conducts primary/secondary market research to be used in development of new products/programs. Provides information in concise/well-written reports to assist in strategic/marketing plan.

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