Bluecross Blueshield of South Carolina jobs

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Jobs 1 to 10 of 37

Claims Customer Service Advocate I

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews

Claims Customer Service Supervisor

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Supervises a team of employees responsible for claims, appeals and/or customer service to ensure contractual and departmental performance guarantees are met.

Managed Care Coordinator I

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies and

Auditor II

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Responsible for providing a full range of financial, compliance and operational audits; business advisory and consultation services; investigations; internal

Data Analyst II

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Analyzes data for the creation of statistical reports used for program or process evaluations. Responsible for maintaining databases and extracting data for

RN, Quality Improvement Coordinator

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
This is an on-site position in Columbia, SC. Monitors/implements quality improvement/management activities. Conducts specific medical reviews as necessary,

Provider Network Innovation Consultant

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Provide innovative/value-based contracting expertise to providers. Evaluate provider performance. Influence provider performance through pricing contracting

IT Manager (App Development Manager)

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Provides oversight of information systems activities. Provides input to policy-level direction regarding standards and budget constraints. Makes decisions

Statistical Programming Analyst I

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical

Mail Production Supervisor (Night Shift)

BlueCross BlueShield of South Carolina 28 reviews - Columbia, SC
Supervises and trains new and existing staff to process mail accurately, efficiently and within contractual guidelines utilizing high-speed inserter equipment

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