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4h
4 hours ago

Full-Time

Under general supervision, responsible for interpreting, reviewing and analyzing benefit plan designs. Responsible for creating scope, design and specification documents for programming of benefits from benefit plan designs. Responsible for programming an...

Phoenix, AZ

4h
4 hours ago

Full-Time

Responsible for overall coordination, status reporting and stability of project-oriented work efforts. Responsible for a lesser number of work efforts simultaneously and work efforts consisting of smaller size, low complexity and minimum system and custom...

Columbia, SC

4h
4 hours ago

Full-Time

Serves as the strategic interface with assigned Client team regarding strategy development and relationship management. Provides highly-valued strategic consulting and guidance through key IT initiatives. Serves as an adviser and primary point of contact...

Columbia, SC

Full-Time

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 sophisticated data interpretation, compilation and verification to gui...

Columbia, SC

Full-Time

Responsible for documenting the technical requirements for the most complex of the area's projects and then putting together an overall design (within an architectural framework) to meet those requirements. Articulates technology and infrastructure standa...

Columbia, SC

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Full-Time

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....

Columbia, SC

today
today

Full-Time

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 members....

Columbia, SC

Full-Time

Assists with health management activities/programs for BlueCross BlueShield of South Carolina and/or BlueChoice HealthPlan of South Carolina members. Work hours are Monday through Friday, from 8:30 a.m. to 5 p.m....

Columbia, SC

Full-Time

Serves as liaison to customers, agents, agencies, group leaders, marketing, underwriting and operations to ensure appropriate documentation is received for accurate and timely processing. Verifies all group submissions are in compliance with BlueCross Blu...

Columbia, SC

Full-Time

Responsible for the successful marketing (sales, renewals and/or service) of group and/or individual accounts for products as defined by production quotas within assigned territory. Customarily and regularly engaged in outside sales....

Columbia, SC

Full-Time

Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens, scripts and procedures. Performs research as needed to resolve inquiries. Revie...

Columbia, SC

today
today

Full-Time

Responsible for conducting and assisting in documenting moderate to complex financial analysis projects following standard practices and procedures. Participates in studies to improve the operational and financial effectiveness of the unit. Extracts finan...

Columbia, SC

Full-Time

This position requires work schedule flexibility. Overtime is required as determined by business needs. During Open Enrollment Season (October through February), a six-day work week is required. Initial training for this position is up to two months and w...

Columbia, SC

Full-Time

Incumbent is responsible for bid evaluation, contract issuance and contract maintenance for complex supplier contracts. Interfaces with various suppliers and government agencies to ensure contract compliance and appropriate supplier access to contracting...

Columbia, SC

Full-Time

This position is located on-site in Columbia, S.C. Responsible for health care sales, service and administrative activities and relationship management to prospective and existing accounts. Customarily and regularly engaged in outside sales....

Columbia, SC

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Full-Time

Are you a business or operations analyst looking to move your career to the next level? This could be the opportunity for you! Apply now for immediate consideration. Located in the exciting city of Nashville, TN, this is not a remote (work-from-home) job...

Nashville, TN

4d
4 days ago

Full-Time

Provides project management leadership for process improvement and implementation of process changes. Serves as an internal consultant specializing in process, planning, data and change management. Directs the activities of other staff members on the team...

Columbia, SC

Full-Time

Responsible for analysis, design, programming and implementation of complex applications tasks and projects. Devises feasible, logical procedures to resolve business problems through the use of computer resources. Formulates scope and objectives through r...

Augusta, GA

Full-Time

Provides system/production support and monitoring for applications, batch cycles, releases, projects, implementations, installations, etc. Participates in work sessions for system support and problem resolution....

Nashville, TN

4d
4 days ago

Full-Time

Responsible for the logging in/tracking/updating of all new business. Prepares and mails new group kits....

San Francisco, CA

Full-Time

Responsible for supporting the growth and retention of small groups, major groups and/or individual accounts within assigned territory and division. Supports all aspects of marketing, sales and service for various programs and assists with coordination of...

Salt Lake City, UT

4d
4 days ago

Full-Time

Manages, directs and guarantees the success of all actuarial functions for BlueCross Blue Shield of South Carolina, BlueChoice HealthPlan, all TRICARE at-risk business and any other at-risk health insurance-related business of the corporation....

Columbia, SC

Full-Time

Implements, maintains and monitors security systems that are used for the protection of computer systems, networks and data. Assists in the design of systems security infrastructure and provides technical security guidance as needed for projects. Develops...

Columbia, SC

4d
4 days ago

Full-Time

Analyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzing results in support of operational functions....

Columbia, SC

Full-Time

Oversees the day-to-day underwriting operations, including budget and staff planning, as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies, analyzes and manages the assigned line...

Columbia, SC

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