Senior Medical Reviewer (Behavioral/Mental Health Focus)
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048874 Summary We are currently hiring for a Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as a Senior Medical Reviewer, you will act as Team Lead for specialty programs, m...
5h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050018 Summary Companion Data Services provides leading IT solutions and managed services. We operate multiple geographically disperse data centers, including two of the nation's largest healthcare data centers ...
5h
| Job Type | Full Time |
Principal Healthcare Strategy Consultant
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049738 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our...
5h
| Job Type | Full Time |
Mail Inserter Operator I (Night Shift)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050090 Summary Process mail by priority, based on contractual mail date, and finalize mailings for United States Postal Service (USPS) acceptance. Input sort schemes to the sorter system to obtain the best possi...
5h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050071 Summary Responsible for auditing group (small/large/complex) accounts to ensure premium payments and/or reimbursements are processed/reported in timely/accurate manner. Audits subscriber accounts to ensur...
5h
| Job Type | Full Time |
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048969 Summary May lead other actuaries in maintaining actuarial reporting systems and analysis of actuarial reports. Summarizes reports and provides recommendations. Renders annual statement opinions and provid...
5h
| Job Type | Full Time |
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050047 Summary Coordinates 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 opera...
5h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049270 Summary Monitor and/or reconcile assigned general ledger accounts of a complex nature, process complex accounting activity, resolve variances, and/or document procedures to ensure accuracy of accounting i...
5h
| Job Type | Full Time |
Dallas, Texas
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050018 Summary Companion Data Services provides leading IT solutions and managed services. We operate multiple geographically disperse data centers, including two of the nation's largest healthcare data centers ...
5h
| Job Type | Full Time |
(RN) Medical Review Manager (Hybrid in SC or AL)
Alabama
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049902 Summary Oversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards, and local, state, and federal laws and reg...
5h
| Job Type | Full Time |