Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
1,549 jobs match your filters
4d
Reinsurance Data Analyst
BlueCross BlueShield of South Carolina
Summary We have a job opening for the position of Data Analyst I with Summit Reinsurance Services, a division of Companion Life and a subsidiary of BlueCross BlueShield of South Carolina. In this position, you will analyze current operational functions, identify opportunities f
Fort Wayne, Indiana
hybridFull-time
4d
Manager of Membership & Billing
BlueCross BlueShield of South Carolina
Summary Manages claims and customer service areas. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 17 Technology Circle, Columbia SC. Sponsorship: This position is not eligible
Columbia, South Carolina
remoteFull-time
4d
Claims Customer Service Advocate II
BlueCross BlueShield of South Carolina
Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description Logistics: PGBA – is a subsidiary company
Columbia, South Carolina
remoteFull-time
4d
IS Security Risk Analyst III
BlueCross BlueShield of South Carolina
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the larges
Columbia, South Carolina
remoteFull-time
4d
RN Concierge Care Manager
BlueCross BlueShield of South Carolina
Summary Provides care management services to more than 2 million members in South Carolina and nationally. Administers complex, high-touch concierge case management for members identified into specialized programs such as high-risk maternity, NICU, ESRD, Cancer, Palliative Care
W@H South Carolina
onsiteFull-time
5d
RN Case Management Coordinator - NICU/Maternity (W@H Anywhere)
BlueCross BlueShield of South Carolina
Summary We are currently hiring for an RN Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as an RN Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the serv
W@H South Carolina
onsiteFull-time
5d
Case Management Coordinator - Social Worker (W@H Anywhere)
BlueCross BlueShield of South Carolina
Summary We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the
W@H South Carolina
onsiteFull-time
5d
Product Executive with Summit Reinsurance
BlueCross BlueShield of South Carolina
Summary The Managed Care Stop Loss Reinsurance Sales position with Summit Reinsurance is responsible for developing and growing relationships with brokers, health plans, managed care organizations, provider-sponsored health plans, and other risk-bearing entities. This role focu
Fort Wayne, Indiana
hybridFull-time
5d
Medicare Cost Report Auditor III
BlueCross BlueShield of South Carolina
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description The Auditor position is a full-time (40 hours)
W@H Florida
onsiteFull-time
5d
Reviewer I, Medical
BlueCross BlueShield of South Carolina
Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides sup
Myrtle Beach, South Carolina
remoteFull-time
6d
Senior Data Preparation Technician
BlueCross BlueShield of South Carolina
Summary Performs advanced, varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, and distributing mail. Applies knowledge of department policies and procedur
W@H Davidson County, TN
onsiteFull-time
6d
Director, Ancillary Sales & Marketing Representative - Onsite Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary Leads corporate distribution systems, general agents, brokers, and other market support personnel. Responsible for planning, product development, marketing services, production and profitability for as few as two states to regions with as many as ten states. Customarily
W@H Kansas
onsiteFull-time
6d
Marketing Project Specialist - Remote from Columbia, SC
BlueCross BlueShield of South Carolina
Summary This position is remote however it is required to live in or around Columbia, South Carolina. Conducts primary/secondary market research to be used in development of new products/programs. Provides information in concise/well-written reports to assist in strategic/mark
Columbia, South Carolina
remoteFull-time
6d
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
BlueCross BlueShield of South Carolina
Summary Oversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards, and local, state, and federal laws and regulations. Identifies and implements process improvement opportunities. De
W@H Tennessee
onsiteFull-time
6d
L
Workforce Coordinator I
Legalshieldcorp
Job Summary: Under direct supervision, the Business Solutions Workforce Coordinator I contributes to PPLSI independently to help support its goals, mission, directives, and trainings. The Business Solutions Workforce Coordinator I focuses on specific tasks or facets of PPLSI as a
Ada
onsiteFull-time
6d
L
Business Solutions Shared Services Clerical I
Legalshieldcorp
Job Summary: Under moderate supervision, the Business Solutions Shared Services Clerical I is responsible for the ongoing support, service, and maintenance of Business Solutions group accounts and Business Solutions associates. The focus of this position is to provide support thr
Ada
onsiteFull-time
6d
Bilingual Customer Service Advocate II
BlueCross BlueShield of South Carolina
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Location: This is
Columbia, South Carolina
remoteFull-time
6d
Customer Service Advocate II
BlueCross BlueShield of South Carolina
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Location: This po
Columbia, South Carolina
remoteFull-time
6d
Coordinator, Claims Customer Service
BlueCross BlueShield of South Carolina
Summary Functions as work leader for a claims customer service unit responsible for resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. Assists with escalated and complex issues. Description Location: This position is full
Columbia, South Carolina
remoteFull-time
6d
Mainframe COBOL Developer IV
BlueCross BlueShield of South Carolina
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the larges
Columbia, South Carolina
remoteFull-time
6d
Senior Proposal Specialist - Hybrid, Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary This high-level proposal resource will participate in winning and retaining large clients, primarily designated to strategic RFPs and RFIs with a focus on strategy, storytelling, and high-quality responses. This role will collaborate with sales and account management re
Columbia, South Carolina
remoteFull-time
6d
Credentialing Manager
BlueCross BlueShield of South Carolina
Summary We are currently hiring for a Credentialing Manager to join BlueCross BlueShield of South Carolina. In this role as a Credentialing Manager, you will be responsible for the management of all provider credentialing activities/credentialing program for commercial business
W@H South Carolina
onsiteFull-time
6d
Sales Enablement and Support Advisor
BlueCross BlueShield of South Carolina
Summary Empowers sales team to operate at maximum efficiency and effectiveness by streamlining processes, managing key documentation, and providing essential support during critical sales cycles. Acts as the primary liaison between the sales team and various internal department
Columbia, South Carolina
remoteFull-time
1w
Business Development Specialist
BlueCross BlueShield of South Carolina
Summary Participate in winning and retaining self-funded clients. Assist with the development of new business, and the retention of existing business, to include working across various functional areas (underwriting, marketing, claims, information systems, operations, etc.) to
Columbia, South Carolina
remoteFull-time
1w
Quality Nurse Navigator (RN or LPN)
BlueCross BlueShield of South Carolina
Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality Nurse Navigator, you will monitor/implement quality improvement/management activities, conduct specific medical reviews as necessary, analyze
Columbia, South Carolina
remoteFull-time