BlueCross BlueShield of South Carolina

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 telephone inquiries. Performs research as needed to resolve inquiries.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at

SummaryProvides prompt accurate thorough and courteous responses to all telephone inquiries. Performs research as needed to resolve inquiries.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at

SummaryCultivates relationships with key partners stakeholders and influencers in the community. Delivers presentations attends community events/meetings and distributes materials. Works with corporate communications team. Ensures activities are updated distributed and in compliance w

SummaryCultivates relationships with key partners stakeholders and influencers in the community. Delivers presentations attends community events/meetings and distributes materials. Works with corporate communications team. Ensures activities are updated distributed and in compliance w

SummaryWithin assigned division manages various projects and provides management/functional staff support in order to meet sales and retention goals. Manages administrative/support staff Service Representatives/Agents. Would be expected to be visible in the market with clients agents

SummaryWithin assigned division manages various projects and provides management/functional staff support in order to meet sales and retention goals. Manages administrative/support staff Service Representatives/Agents. Would be expected to be visible in the market with clients agents

SummaryProvides direction and guidance to appeals customer service and claims processing staff for multiple operational areas. We strongly prefer experience in FISS MAS PECOS and HIGLAS and management in a Medicare Administrative Contractor operational setting.DescriptionLocation: Thi

SummaryProvides direction and guidance to appeals customer service and claims processing staff for multiple operational areas. We strongly prefer experience in FISS MAS PECOS and HIGLAS and management in a Medicare Administrative Contractor operational setting.DescriptionLocation: Thi

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