Jobs in Gaston, SC

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APPEALS SPECIALIST - PALMETTO GBA

Perform non-medical reviews and process redetermination letters ensuring timeliness and accuracy. Prepare unit reports, analyze and interpret workload, and process issues utilizing various software tools. Update letters and docume...

CompanyBluecross Blueshield Of South Carolina
AddressColumbia, SC
CategoryHuman Resources
Salary$34.6K - $43.9K a year
Job typeFull-time
Date Posted 2 weeks ago See detail

Appeals Specialist - Palmetto GBA

Bluecross Blueshield Of South Carolina

Columbia, SC

$34.6K - $43.9K a year

Perform non-medical reviews and process redetermination letters ensuring timeliness and accuracy. Prepare unit reports, analyze and interpret workload, and process issues utilizing various software tools. Update letters and docume...

Employee Engagement Manager

Bluecross Blueshield Of South Carolina

Columbia, SC

$93K - $118K a year

Lead development, implementation and assessment of engagement efforts and programs to continuously improve Employee Engagement. Research best practices, gather and analyze data to understand Employee Engagement and develop actiona...

Client Relationship Manager I

Bluecross Blueshield Of South Carolina

Columbia, SC

$82.5K - $105K a year

Serves as primary contact for clients. Handles less complex clients and works with other Relationship Managers, Consultants, Client Advocates, NA Operations and Support, Reporting Medical Management, Product Development. etc. and...

Business Analyst I - Provider Enrollment

Bluecross Blueshield Of South Carolina

Columbia, SC

$58.6K - $74.1K a year

Obtains a detailed understanding of the major operations and functions in effect within the areas being supported. Reviews basic system enhancements/upgrades to determine applicability of customer file modification requirements. F...

Supervisor, Membership Services (Private Business)

Bluecross Blueshield Of South Carolina

Columbia, SC

$60.7K - $76.8K a year

Assist management with verifying the accuracy and timeliness of workflow functions. Serves as liaison, coordinating with other departments as needed. Ensures compliance with all applicable laws and standards, and timely and accura...

sales training specialist

Bluecross Blueshield Of South Carolina

Columbia, SC

$74.7K - $94.6K a year

Develops/delivers product and sales training for all sales channels in the group and individual division. Trains new direct sales representatives, SC Blue retail store employees including manager, assistant manager, sales represen...

Consumer Marketing Specialist

Bluecross Blueshield Of South Carolina

Columbia, SC

$57.9K - $73.4K a year

Assist with project coordination of marketing efforts associated with Affordable Care Act and Medicare supplements. marketing initiates. Monitors/reviews accuracy of marketing materials database. Updates database, materials. Coord...

Developer III

Bluecross Blueshield Of South Carolina

Columbia, SC

$87.1K - $110K a year

Ensure team members understand the business requirements that drive the analysis and design of quality technical solutions, organizational standards are maintained, and applications are delivered according to project timeliness. P...

Leave of Absence Specialist

Bluecross Blueshield Of South Carolina

Columbia, SC

$43.3K - $54.9K a year

Responsible for daily administration of all types of employee leaves of Absence and providing customer service to these employees and their management. Prepare and review reports to verify data accuracy and make corrections as nec...

Database Analyst II

Bluecross Blueshield Of South Carolina

Columbia, SC

$73.7K - $93.4K a year

Define data architecture standards for the organization, structure, attributes, and nomenclature of data elements. Design, develop, test, and implement new database objects (tables, views, indexes, databases, etc) and administer e...

Collections Officer

Bluecross Blueshield Of South Carolina

Columbia, SC

$49.3K - $62.4K a year

Work onsite at 4101 Percival Road, Columbia SC 29229. Work from home potential after onsite training and meeting performance standards. Work hours: 8:00 am to 4:30 pm Monday through Friday. Up to $500 quarterly bonus potential. Pr...

Director, Dental Product Sales

Bluecross Blueshield Of South Carolina

Columbia, SC

$141K - $179K a year

Oversees the development and implementation of key product/process enhancements, additional product lines and services in response to market demands. Leads/directs projects such as product design/evaluation and development. Effect...

Manager Operations

Bluecross Blueshield Of South Carolina

Columbia, SC

$46,571.96 - $56,086.67 a year

Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed in a timely and efficient manner to maintain contract compliance standards. Prepare and analyze reports of pendi...

Accounting Technician II- PGBA

Bluecross Blueshield Of South Carolina

Columbia, SC

$34.1K - $43.1K a year

Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, k...

Analyst, Senior Business Continuity and Crisis Management

Bluecross Blueshield Of South Carolina

Columbia, SC

$69.7K - $88.3K a year

Develops and maintains Business Continuity plans and strategies for assigned lines of business. Develops and customizes exercise formats to test Business Continuity plans. Maintains and creates reports from Business Continuity dat...

Director, Senior Markets

Bluecross Blueshield Of South Carolina

Columbia, SC

$138K - $175K a year

Develops and implements sales strategies and sales plans/programs to drive sales growth and achieve sales and/or retention goals for assigned products and/or territories. Responsible for generating sufficient sales to cover cost o...

IT266, Manager IS System Support

Bluecross Blueshield Of South Carolina

Columbia, SC

$91.9K - $116K a year

Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner. Encourage staff in creating and maintaining a work environment with high morale a...

Student, Accounting/Audit Business Unit

Bluecross Blueshield Of South Carolina

Columbia, SC

$39.9K - $50.6K a year

Intern position utilized for training an active high school or college student towards an entry-role. Responsibilities vary and are based upon the needs of the area and the experience of the incumbent at the time of employment. Th...

Assistant Actuary

Bluecross Blueshield Of South Carolina

Columbia, SC

$61.5K - $77.8K a year

SummaryPrepares, performs, and analyzes actuarial research and audits to include pricing, reserving, profitability analysis, modeling, and other actuarial analysis as required by management, regulators, and industry associations.D...

Representative, Enrollment II

Bluecross Blueshield Of South Carolina

Columbia, SC

$33.6K - $42.6K a year

Receives and logs subscriber and member enrollment applications to the system. Processes/keys complex applications including new enrollments, terminations/cancellations, changes, and renewals. Updates all electronic enrollment fil...

Accountant I

Bluecross Blueshield Of South Carolina

Columbia, SC

$48.6K - $61.5K a year

Reconciles assigned accounts. Initiates and/or processes general ledger, commissions, and/or journal entries into various accounts. Prepare spreadsheets and/or ensures that entries are entered into the accounting system. Assist co...

Manager, Operations

Bluecross Blueshield Of South Carolina

Columbia, SC

$74.5K - $94.3K a year

Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed in a timely and efficient manner to maintain contract compliance standards. Prepare and analyze reports of pendi...

Patient Transporter

Prisma Health

Columbia, SC

$37K - $46.9K a year

Receives and documents patient transportation assignments. Each day set a goal to transport three patients per hour. Fills out all appropriate documentation; admitting log, sign-in book, nursing station log and trip tickets. Perfo...

Roll Off Driver

Cardinal Waste Services

Columbia, SC

$21.15 - $25.47 an hour

Paid time off. Paid training. Safety equipment provided. Home daily. Home weekends. Local. Columbia, SC: Relocate before starting work (Required)....

Special Education Teacher

Richland County School District One

Columbia, SC

Plans a program of study that meets the needs, interests and abilities of students. May teach multiple disciplines as assigned. Creates a classroom environment conducive to learning and appropriate to the maturity and interests of...

2nd Grade Teacher

Richland County School District One

Columbia, SC

Plans a program of study that meets the needs, interests and abilities of students. May teach multiple disciplines as assigned. Creates a classroom environment conducive to learning and appropriate to the maturity and interests of...

Spanish Teacher

Richland County School District One

Columbia, SC

Plans a program of study that meets the needs, interests and abilities of students. May teach multiple disciplines as assigned. Creates a classroom environment conducive to learning and appropriate to the maturity and interests of...

Early Childhood Teacher

Richland County School District One

Columbia, SC

Plans a program of study that meets the needs, interests and abilities of students. May teach multiple disciplines as assigned. Creates a classroom environment conducive to learning and appropriate to the maturity and interests of...

4th Grade Teacher

Richland County School District One

Columbia, SC

Plans a program of study that meets the needs, interests and abilities of students. May teach multiple disciplines as assigned. Creates a classroom environment conducive to learning and appropriate to the maturity and interests of...

3rd Grade Teacher

Richland County School District One

Columbia, SC

Plans a program of study that meets the needs, interests and abilities of students. May teach multiple disciplines as assigned. Creates a classroom environment conducive to learning and appropriate to the maturity and interests of...