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BlueCross BlueShield jobs in South Carolina

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RN Medical Reviewer II

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC  +3 locations
There are multiple positions available with the potential to work from home after 6-12 weeks of training in Columbia, SC. Work hours are 8:30 a.m. to 5 p.m.

Claims Customer Service Advocate I

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC
Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews

Director, Large Group Product and Marketing

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC
Directs and coordinates all components for the development of new business to include working across various functional areas (product development and product

LPN Medical Reviewer I

BlueCross BlueShield of South Carolina - 3,261 reviews - Charleston, SC  +3 locations
There are multiple positions available with the potential to work from home after 8-12 weeks of training in Columbia, SC. Performs medical reviews using

Reviewer I, Medical

BlueCross BlueShield of South Carolina - 3,261 reviews - Florence, SC
Performs medical reviews using established criteria sets and/or performs utilization management of professional services, inpatient or outpatient services,

Statistical Programming Analyst III

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC
Develops difficult statistical analysis using standard reporting, AD HOC reporting and data mining tools in order to identify patterns and trends. Prepares

Behavioral Health Supervisor

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC
Responsible for the supervision and maintenance of the daily functions of the following areas: Utilization Review/Review Nurses, Case Management, Medical

IS Auditor III

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC
Performs independent, objective information systems (IS) audits and consulting services. Supplies management at all levels with objective evaluations,

Risk Analyst I

BlueCross BlueShield of South Carolina - 3,261 reviews - Columbia, SC
Responsible for evaluating loss potential for each member. Calculates and assigns risk score via a comprehensive risk-analysis approach. Required Education

Medical Reviewer I

BlueCross BlueShield of South Carolina - 3,261 reviews - Surfside Beach, SC
Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or

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