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.
1,541 jobs match your filters
1w
Claims Processor I
BlueCross BlueShield of South Carolina
Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA – one of BlueCross BlueShield's South Carolina subsidiary companies Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environ
Columbia, South Carolina
remoteFull-time
1w
Accountant II
BlueCross BlueShield of South Carolina
Summary Description 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
Columbia, South Carolina
remoteFull-time
1w
Medical Reviewer II
BlueCross BlueShield of South Carolina
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical
W@H South Carolina
onsiteFull-time
1w
Provider Enrollment Analyst
BlueCross BlueShield of South Carolina
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description Logistics: Palmetto
Columbia, South Carolina
remoteFull-time
1w
RN Appeals Analyst Medicare Part B - CGS
BlueCross BlueShield of South Carolina
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests.
Nashville, Tennessee
remoteFull-time
1w
I/S Director - PAI
BlueCross BlueShield of South Carolina
Summary PAI is a nationally licensed TPA, delivering flexible solutions across group health plans, ancillary products, and P&C programs, and offering innovative approaches to support client partners. We currently provide administrative services for both traditional self-funded
Columbia, South Carolina
remoteFull-time
1w
Senior Developer - Cobol
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 largest
Columbia, South Carolina
remoteFull-time
1w
Business Test Analyst I
BlueCross BlueShield of South Carolina
Summary Coordinates and performs testing for major system enhancements, including reviewing documents for testing, creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production i
Nashville, Tennessee
remoteFull-time
1w
L
Business Solutions Document Support Clerical I
Legalshieldcorp
Job Summary: Under direct supervision, the Business Solutions Document Support Clerical I is responsible for inputting a high volume of data efficiently to manage large amounts of information that is often sensitive or confidential. In addition, the Business Solutions Document Su
Ada
onsiteFull-time
1w
Chief Medical Officer (Medicare Policy)
BlueCross BlueShield of South Carolina
Summary As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a lead resource to providers and internal staff on issues concerning m
W@H Tennessee
onsiteFull-time
1w
AVP - Medicaid Healthcare Management
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 we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the large
Columbia, South Carolina
remoteFull-time
1w
Business Test Analyst
BlueCross BlueShield of South Carolina
Summary Coordinates and performs testing for major system enhancements, including reviewing documents for testing, creating test matrices and executing test cases. Functions as a liaison between the operations areas and Information systems by researching technical production i
Nashville, Tennessee
remoteFull-time
1w
Provider Enrollment Analyst
BlueCross BlueShield of South Carolina
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description Logistics: Palmett
Columbia, South Carolina
remoteFull-time
1w
Senior Claims Adjuster (Workers Compensation)
BlueCross BlueShield of South Carolina
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We
Columbia, South Carolina
remoteFull-time
1w
Auditor I
BlueCross BlueShield of South Carolina
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management.
Springfield, Illinois
hybridFull-time
1w
Analyst, Provider Enrollment
BlueCross BlueShield of South Carolina
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description Logistics: Palmett
Columbia, South Carolina
remoteFull-time
1w
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 This is a full time position reporting to 51 C
Columbia, South Carolina
remoteFull-time
1w
Director, Claims Customer Service
BlueCross BlueShield of South Carolina
Summary Provides direction and guidance to customer service, claims processing, and/or appeals staff for multiple operational areas. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-ti
Augusta, Georgia
remoteFull-time
2w
Product Strategist - Large Group
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 largest
Columbia, South Carolina
remoteFull-time
2w
Technician, Accounting II (Medicare)
BlueCross BlueShield of South Carolina
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We
Columbia, South Carolina
remoteFull-time
2w
Analyst, Overpayment Recovery
BlueCross BlueShield of South Carolina
Summary Identifies, researches, and investigates providers for aberrant and abusive billing practices against the company and its subsidiaries. Analyzes hospital accounting records and credit reports for overpayments and fraudulent billing to the corporation. Description Lo
Columbia, South Carolina
remoteFull-time
2w
Auditor I, Medicare
BlueCross BlueShield of South Carolina
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management.
Birmingham, Alabama
onsiteFull-time
2w
Provider File Specialist I
BlueCross BlueShield of South Carolina
Summary Responsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims adjudication, and provider billing. Why should you join the BlueCross BlueSh
Columbia, South Carolina
onsiteFull-time
2w
Bilingual Customer Service Advocate I
BlueCross BlueShield of South Carolina
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is loc
Columbia, South Carolina
onsiteFull-time
2w
Auditor I
BlueCross BlueShield of South Carolina
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management.
Columbia, South Carolina
onsiteFull-time