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BlueCross BlueShield Of South Carolina jobs

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CLIENT RELATIONSHIP MANAGER II

Serves as the internal day to day client account manager, working with Consultants, Client Advocates, NA Operations and Support, Reporting Medical Management, Product Development. etc. and Partner Plan Account Managers to meet cli...

CompanyBluecross Blueshield Of South Carolina
AddressColumbia, SC
CategoryInformation Technology
Salary$77.2K - $97.7K a year
Job typeFull-time
Date Posted a month ago See detail

Client Relationship Manager II

Bluecross Blueshield Of South Carolina

Columbia, SC

$77.2K - $97.7K a year

Serves as the internal day to day client account manager, working with Consultants, Client Advocates, NA Operations and Support, Reporting Medical Management, Product Development. etc. and Partner Plan Account Managers to meet cli...

a month ago seen See more...

Agent Manager (Remote in South Carolina, only)

Bluecross Blueshield Of South Carolina

South Carolina, United States

$89.2K - $113K a year

Develops and executes marketing plans for new sales and/or retention of existing accounts within assigned territory. Prepares and presents proposals and communications to agents, agencies. Develops and maintains professional relat...

a month ago seen See more...

Appeals Specialist - Medicare Part B (Nashville, TN) - CGS

Bluecross Blueshield Of South Carolina

Nashville, TN

$39.6K - $50.1K a year

Position is onsite in our Nashville, TN office. Work hours during training: 7:30 am to 4:00 pm CT Monday through Friday Work hours following training: You can start your eight-hour shift between the hours of 5:00 am and 9:00 am CT...

a month ago seen See more...

Operations Analyst - Palmetto GBA

Bluecross Blueshield Of South Carolina

South Carolina, United States

$66.8K - $84.6K a year

Evaluate existing procedures and processes to make recommendations for improvement. Monitor reports to assess the impact of performance on key measures. Provide reports and/or analyses of internal performance metric for various pr...

a month ago seen See more...

Print Operator 1

Bluecross Blueshield Of South Carolina

Columbia, SC

$37K - $46.9K a year

Operates and maintains printing subsystems and pre/post-processing support hardware. Operates bursting/trimming machines for processing checks and other special forms. Performs Data card processing. Performs quality control checks...

a month ago seen See more...

Business Test Analyst II

Bluecross Blueshield Of South Carolina

South Carolina, United States

$51.8K - $65.6K a year

Review projects and change sheets. Attend Scope, Design and Test Plan walkthroughs for major system projects. Coordinate testing and debugging of new or modified software. Create test matrices, trains, and provides supporting docu...

a month ago seen See more...

Supervisor, Provider Files Operations

Bluecross Blueshield Of South Carolina

Nashville, TN

$87.6K - $111K a year

Oversees credentialing. Manages updates/maintenance of various other provider databases to ensure accurate reimbursement, network assignment, online and printed directories, and information for marketing disruption and member acce...

a month ago seen See more...

Project Assistant

Bluecross Blueshield Of South Carolina

Columbia, SC

$48.8K - $61.8K a year

Provide coordination for a variety of area specific projects.. Complete project support functions. Gather information. Prepare letters, reports, graphs, forms or presentations. Organize and expedites the flow of work through manag...

a month ago seen See more...

Customer Service Advocate III - Part Time

Bluecross Blueshield Of South Carolina

South Carolina, United States

$43.6K - $55.2K a year

This a part-time position. Work from home following onsite training in Columbia, SC office. To work from home, you must have high-speed internet service (non-satellite) and a private home office. Work hours will between the hours...

a month ago seen See more...

Managed Care Coordinator II CM-DM

Bluecross Blueshield Of South Carolina

South Carolina, United States

$67.8K - $85.9K a year

This position is full time (40 hours/week) Monday-Friday, 8:00 am 5:00 pm. It will be work from home following one week of onsite training. To work from home, you must have high-speed internet (non-satellite) and a private home...

a month ago seen See more...

Membership Analyst

Bluecross Blueshield Of South Carolina

Columbia, SC

$60.2K - $76.2K a year

Produces health/dental benefit books using customer software. Document production includes research of group files, customization of benefit language, correction of group documents, editing revisions, proofing of documents, coordi...

a month ago seen See more...

HHH Senior Provider Education Consultant - CGS

Bluecross Blueshield Of South Carolina

South Carolina, United States

$77.4K - $98K a year

Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/...

a month ago seen See more...

IS System Support Manager- CGS Administrators, LLC

Bluecross Blueshield Of South Carolina

Nashville, TN

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...

a month ago seen See more...

Administrative Analyst

Bluecross Blueshield Of South Carolina

Florida, United States

$37.6K - $47.6K a year

Performs general clerical duties and administrative support including ordering supplies, arranging travel, maintaining calendars, and providing phone coverage for upper management.. Maintains area specific reports or presentations...

a month ago seen See more...

Marketing Communications Coordinator

Bluecross Blueshield Of South Carolina

Columbia, SC

$46.1K - $58.3K a year

Develops/writes/edits/layouts/produces text for information/outreach efforts and variety of marketing materials (agent newsletters, customer letters, internal communications, etc.). Ensures all materials have been reviewed/approve...

a month ago seen See more...

Manager, Actuarial

Bluecross Blueshield Of South Carolina

Columbia, SC

$101K - $128K a year

Manages actuarial reporting, filing, and analysis functions including rate filing assembly, benefit cost analytics, and other duties as assigned. Research and monitors trends and profitability of Small Group and Individual lines o...

a month ago seen See more...

Manager, Stop Loss -PAI

Bluecross Blueshield Of South Carolina

Columbia, SC

$87.8K - $111K a year

Manages daily Stop Loss related activities including Stop Loss claim filings, RFP & RFI responses, weekly and monthly activity/production reports and oversight of Stop Loss personnel. Analyzes Stop Loss program effectiveness and a...

2 months ago seen See more...

Chief Medical Officer - Medicare DME

Bluecross Blueshield Of South Carolina

Columbia, SC

Supports operations in the form of case review on both medical and regulatory matters. Develops claim adjudication criteria for situations requiring medical judgment. Provides input on issues and operational policies, processes, a...

2 months ago seen See more...

Bilingual Customer Service Phone

Bluecross Blueshield Of South Carolina

Florence, SC

$40.9K - $51.8K a year

Ensure effective customer relations by responding accurately, timely and courteously to telephone inquiries. Accurately document inquiries. Initiate minor /clerical adjustments based on provider request or processes adjustments or...

2 months ago seen See more...

Community Health Worker - Upstate SC (Greenville/Spartanburg)

Bluecross Blueshield Of South Carolina

Greenville, SC

$42.5K - $53.8K a year

This is a full-time position working (40-hours/week) Monday-Friday 8:00 am 5:00 pm. There is the potential to move to a four 10-hour day schedule after training. Position will be work from home and within the community. To work...

2 months ago seen See more...

Claims Customer Service Advocate I- Part Time

Bluecross Blueshield Of South Carolina

South Carolina, United States

$36.9K - $46.7K a year

Respond to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. Accurately document inquiries. Identify incorrectly pro...

2 months ago seen See more...

Supervisor, Accounting

Bluecross Blueshield Of South Carolina

Columbia, SC

$65.2K - $82.5K a year

This area completes tentative settlements and rate reviews to ensure Part A providers are being reimbursed correctly for their services by Medicare. Responsible for the accountability and supervision of different aspects of accoun...

2 months ago seen See more...

Technician, Data Preparation I

Bluecross Blueshield Of South Carolina

Columbia, SC

$35.5K - $45K a year

Sort and distribute incoming departmental mail or work requests. Check workflow documents to ensure required information is available. Request any missing documentation as needed. Scan, images and indexes documents. Prepare corres...

2 months ago seen See more...

Customer Service Coach

Bluecross Blueshield Of South Carolina

Columbia, SC

From $17.50 an hour

Performs routine audits through one-on-one sessions with Customer Service Advocates as well as silent call monitoring to ensure quality standards, member experience standards, and procedures are being followed. Develops and mentor...

2 months ago seen See more...

Specialist, Training II

Bluecross Blueshield Of South Carolina

Columbia, SC

$60.4K - $76.5K a year

Lead, plan and prioritize training projects from conducting training needs assessments to the delivery of the final product which meets customers specifications and due dates. Responsible for all timely deliverables in a training...

2 months ago seen See more...

Clerk, Investigation

Bluecross Blueshield Of South Carolina

Columbia, SC

$33.2K - $42.1K a year

Investigate claims in order to provide information that is missing or cannot be determined by processors Contact providers and members to obtain information necessary to process claims Screen, code, count, and sort batches and log...

2 months ago seen See more...

I/S Audit Management Analyst - PAI

Bluecross Blueshield Of South Carolina

Columbia, SC

$71.6K - $90.6K a year

Prepares and monitors audit work requests from scope to reporting and associated remediation tasks. Ensures audit artifacts and documentation deliverables are complete, on budget, within scope, and in accordance with standards. As...

2 months ago seen See more...

Provider Contracting Manager

Bluecross Blueshield Of South Carolina

Columbia, SC

$85.2K - $108K a year

Develops and manages relationship with providers. Conducts initial/renewal contract negotiations with providers. Performs detailed financial analysis and modeling of provider contract proposals to determine financial impact of var...

2 months ago seen See more...

Auditor II

Bluecross Blueshield Of South Carolina

Columbia, SC

$59.6K - $75.5K a year

Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and eval...

2 months ago seen See more...

Customer Service Advocate III - Part Time

Bluecross Blueshield Of South Carolina

Richland, SC

This a part-time position.. Work from home following onsite training in Columbia, SC office. To work from home, you must have high-speed internet service (non-satellite) and a private home office. Work hours will between the hours...

2 months ago seen See more...

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