BlueCross BlueShield of South Carolina
When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 65 years. We are also one of South Carolina's largest employers.
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Our financial stability is on record. In December 2017, A.M. Best reaffirmed our A.M. Best rating of A+ (Superior) — making us the only health insurance company in South Carolina with that rating. One of the few companies nationwide to achieve this distinction, this year also marks the 16th consecutive year that S.C. BlueCross met this high standard. For the latest ratings, access www.AMBest.com.
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We offer the largest provider networks in the state, offering members the greatest choice in doctors, hospitals and other health care providers.
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Our extensive menu of health plans, discounts, added values and online services means more choices for our members, with plans to fit every budget and lifestyle.
What you may not know is just how diverse our company is. Included in our family of companies is BlueChoice HealthPlan of South Carolina, our managed care subsidiary, which also includes Healthy BlueSM, our Medicaid health plan. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.
But there is also a lot more to us than health insurance. We have many affiliated companies that are not licensed with the Blue Cross and Blue Shield Association. These companies are located in South Carolina, Georgia, Ohio, Tennessee and Texas. Some offer other insurance products, such as property, life and mental health and substance abuse benefits. Others administer contracts for the federal government. Some even focus on technology.
BlueCross is also a major supporter of community and charitable causes. We support health care-related research, education and service in South Carolina through the BlueCross BlueShield of South Carolina Foundation.
Trust. Value. Choices. We're BlueCross BlueShield of South Carolina.
Search among BlueCross BlueShield of South Carolina jobs
| Jobs: 21 - 30 of 309 |
Claims Customer Service Advocate I
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048309 Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medic...
20h
| Job Type | Full Time |
Developer IV - OnBase - CGS Administrators, LLC (Nashville, TN)
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048278 Summary CGS Administrators, LLC (CGS) is part of BCBSSC's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers i...
20h
| Job Type | Full Time |
Birmingham, Alabama
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048139 Summary Responsible 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 ...
1d
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1043269 Summary Interprets all directives and policies to establish processing guidelines for area of expertise. Works with the systems department to create edits/audits and other related changes for the claims s...
1d
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047214 Summary Provides professional administrative support for a department. Functions include: typing, verification of accuracy, copying, faxing, updating records, filing, ordering supplies, preparing travel a...
1d
| Job Type | Full Time |
RN Managed Care Coordinator I (DME, Home Health, and Hospice) - Part Time
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048250 Summary We are currently hiring for a part-time RN Managed Care Coordinator to join BlueCross BlueShield of South Carolina. In this role as a part-time RN Managed Care Coordinator I, you will review and e...
1d
| Job Type | Part Time |
Auditor (Privacy & Compliance)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048035 Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of ...
1d
| Job Type | Full Time |
Quality Medical Auditor - Coding Specialist
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048322 Summary Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordina...
1d
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048326 Summary Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to servi...
1d
| Job Type | Full Time |
Medicare Cost Report Auditor I (Birmingham)
Birmingham, Alabama
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048037 Summary Responsible 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 ...
1d
| Job Type | Full Time |