CGS Administrators

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

SummaryDevelops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation compilation and verification to guide departmental efforts.

SummaryDevelops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation compilation and verification to guide departmental efforts.

SummaryWe are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South this role as Appeals Analyst you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Additionally you will

SummaryWe are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South this role as Appeals Analyst you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Additionally you will

SummaryWorking at CGS AdministratorsCGS Administrators provides a variety of services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries health care providers and medical equipment suppliers in 33 states supporting the needs of more than 20 mil

SummaryWorking at CGS AdministratorsCGS Administrators provides a variety of services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries health care providers and medical equipment suppliers in 33 states supporting the needs of more than 20 mil

SummaryWorking at CGS AdministratorsCGS 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 Medi

SummaryWorking at CGS AdministratorsCGS 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 Medi

SummaryWe have a job opening for the position of Summer Student Intern Accounting position at CGS one of BlueCross BlueShield of South Carolina subsidiary companies. Intern position is utilized for training an active college student towards a professional-level role. The responsibili

SummaryWe have a job opening for the position of Summer Student Intern Accounting position at CGS one of BlueCross BlueShield of South Carolina subsidiary companies. Intern position is utilized for training an active college student towards a professional-level role. The responsibili

SummaryProvides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training developing and coaching activities in various areas. This includes the analysis design delivery evaluation and maintenance required to manage the

SummaryProvides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training developing and coaching activities in various areas. This includes the analysis design delivery evaluation and maintenance required to manage the

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.DescriptionThe Auditor II is a full-time remote position working 8:00-5:00 p.m.

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.DescriptionThe Auditor II is a full-time remote position working 8:00-5:00 p.m.

SummaryWe have an opening for the position of Senior Corporate Communications Writer at CGS Administrators LLC a subsidiary of BlueCross BlueShield of South this role you will be responsible for developing a variety of internal and external communications materials that support the c

SummaryWe have an opening for the position of Senior Corporate Communications Writer at CGS Administrators LLC a subsidiary of BlueCross BlueShield of South this role you will be responsible for developing a variety of internal and external communications materials that support the c

SummaryCreates and analyzes reports to support operations. Ensures correctness of analysis and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.DescriptionW

SummaryCreates and analyzes reports to support operations. Ensures correctness of analysis and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.DescriptionW

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

SummaryPerforms non-medical reviews and processes redetermination letters.DescriptionLogistics: CGS () one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an

SummaryPerforms non-medical reviews and processes redetermination letters.DescriptionLogistics: CGS () one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an

SummaryJob Description 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 b

SummaryJob Description 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 b

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 remote position is f

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 remote position is f

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

SummaryWorking at CGS AdministratorsCGS Administrators provides a variety of services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries health care providers and medical equipment suppliers in 33 states supporting the needs of more than 20 mil

SummaryWorking at CGS AdministratorsCGS Administrators provides a variety of services under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries health care providers and medical equipment suppliers in 33 states supporting the needs of more than 20 mil

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

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

SummaryEnsures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates implements and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate

SummaryEnsures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates implements and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate