BlueCross BlueShield of South Carolina Jobs

1 - 10 of 17 Jobs
Managed Care Coordinator I
BlueCross BlueShield of South CarolinaNursing
Columbia, SC
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies and established clinical criteria to service re
from southcarolinablues.com3 days ago
Managed Care Coordinator II/CM-DM
BlueCross BlueShield of South CarolinaHealth & Medical
Columbia, SC
Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies and established clinical criteria to service re
from southcarolinablues.com3 days ago
Appeals Analyst
BlueCross BlueShield of South CarolinaNursing
Columbia, SC
Researches the substance of complex appeal or retrospective review requests. Provides thorough clinical reviews or benefit analyses to determine if the requested services meet medical necessity guid
from southcarolinablues.com3 days ago
Telemarketing Manager (G&I)
BlueCross BlueShield of South CarolinaTelemarketing
Columbia, SC
Creates an engaged telemarketing team by recruiting, hiring, training, developing and motivating the telemarketing representatives to meet and exceed both team and individual performance goals. Over
from southcarolinablues.com3 days ago
Quality Improvement Coordinator
BlueCross BlueShield of South CarolinaTech Quality Assurance
Columbia, SC
Monitors/implements quality improvement/management activities. Conducts specific medical reviews as necessary, analyzes findings, makes recommendations for corrective actions and prepares formal doc
from southcarolinablues.com3 days ago
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Medical Review Supervisor RN (Case Manager)
BlueCross BlueShield of South CarolinaNursing
Columbia, SC
Responsible for the supervision and maintenance of the daily functions of Utilization Review/Review nurses, Case Management and/or Medical Review staff and specialty programs. Responsible for report
from southcarolinablues.com8 days ago
Lead Consultant
BlueCross BlueShield of South CarolinaBusiness Development
Columbia, SC
Uses effective and professional customer relationship management while consulting with customers to understand their needs and how CPSS services may identify and address their business problems and op
from southcarolinablues.com10 days ago
Stop Loss Underwriter II
BlueCross BlueShield of South CarolinaInsurance
Blue Bell, PA
BlueCross BlueShield of South Carolina has an immediate opening for one of our managing general underwriting subsidiaries located in North Wales, PA. We are a dynamic organization offering many value-
from southcarolinablues.com12 days ago
Statistical Programming Analyst II
BlueCross BlueShield of South CarolinaSoftware Development
Columbia, SC
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticat
from southcarolinablues.com12 days ago
Senior Project Assistant
BlueCross BlueShield of South CarolinaTechnology
Fort Wayne, IN
BlueCross BlueShield of South Carolina has an immediate opening for one of our managing general underwriting subsidiaries located in Fort Wayne, IN . We are a dynamic organization offering many value-
from southcarolinablues.com14 days ago

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