BlueCross BlueShield of South Carolina Jobs

1 - 10 of 43 Jobs
RN Appeals Analyst
BlueCross BlueShield of South CarolinaNursing
Columbia, SC
* Researches the substance of complex appeal or retrospective review requests, including prepay and post-payment review appeal requests. * Provides thorough clinical review or benefit analysis to dete
from southcarolinablues.comYesterday
Business Test Analyst II
BlueCross BlueShield of South CarolinaResearch
Columbia, SC
* Develops test plans and test matrices, conducts testing and reports test results for system changes. * Coordinates implementation and debugging of new software, ensuring that the new or modified app
from southcarolinablues.comYesterday
Executive Director
BlueCross BlueShield of South CarolinaHealthcare Management & Finance
Columbia, SC
* Provides strategic planning/oversight/decision-making/direction of clinical and business aspects of all lines of medical case management business and/or organization's Population Health Management (
from southcarolinablues.comYesterday
Business Analyst I
BlueCross BlueShield of South CarolinaBusiness Development
Columbia, SC
* Assists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. * Learns to conduct business process analyses,
from southcarolinablues.comYesterday
Digital Specialist (Night Shift)
BlueCross BlueShield of South CarolinaPublishing
Columbia, SC
* This position's regular work hours are a night shift: Monday through Friday, 12:30 a.m. to 9 a.m. * Training hours will be held during day shift, Monday through Friday, from 9:30 a.m. to 5:30 p.m. f
from southcarolinablues.comYesterday
SOX Auditor II
BlueCross BlueShield of South CarolinaAccounting & Finance
Columbia, SC
* Evaluates internal control structures and policies and procedures that may include, but are not limited to, financial records, operational processes and/or computer operations. * Completes risk asse
from southcarolinablues.comYesterday
Claims Customer Service Advocate I
BlueCross BlueShield of South CarolinaInsurance
Columbia, SC
* Responsible for responding to routine inquiries. * Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. * Reviews and adjudicates claims and/or non-med
from southcarolinablues.comYesterday
Claims Processor II
BlueCross BlueShield of South CarolinaInsurance
Columbia, SC
* Reviews and adjudicates complex or specialty claims. * Determines whether to return, deny or pay claims following organizational policies and procedures. * Assists in training or mentoring new staff
from southcarolinablues.comYesterday
Project Administrator
BlueCross BlueShield of South Carolina
Columbia, SC
* Supports management in the administration of projects that may involve, but are not limited to, business change mandates, system enhancement, contract directives, analysis of operating procedures, q
from southcarolinablues.comYesterday
Business Analyst II
BlueCross BlueShield of South Carolina
Columbia, SC
* Conducts business process analyses, needs assessments and preliminary cost/benefit analyses in an effort to align operations solutions with business initiatives. * Prepares functional, system and pr
from southcarolinablues.comYesterday

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