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FEED

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

BlueCross BlueShield of South Carolina

Analyst, Senior Recovery

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Leads planning and implementation of projects to include coordinating the development and implementation of project and procedural enhancements, data gathering, process analyses, procedural documentation, leading development teams, training management and non-management staff, and establishing processes to monitor and sustain effective changes. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

Project Manager

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. SCA Benefit Requirements : BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA).

Appeals Coordinator

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA).

PGBA

Claims Processing 1-24

Claims Clerk I

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Prepares various financial data associated with refunds, invoices, recoupments, adjustments, cash disbursements, deposits, check voids and reissues, disputes, correspondence, or other data in support of the finance or accounting function.

Accounting Technician II

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Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members’ identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Required License/Certificate: An active, unrestricted RN license from the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as social worker from the United States and in the state of hire (in Div.

Case Management Coordinator - Oncology Focus

Claims Processor I (On-site)

Directs accounting operations, which include providing guidance over proper application of generally accepted accounting principles (GAAP), accounting for non-routine transactions, and managing the workflow of an accounting staff to meet established deadlines and adherence to controls. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

Director, Accounting

Processor, Claims I

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Position Purpose: The Physician Advisor optimizes efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.

Physician Advisor

Consults and collaborates with all levels of management (to include senior level executives) in facilitating and leading teams in providing analysis on industry, business trends, and key operations/functions to solve business problems and maximize opportunities. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

Lead Consultant

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. 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.

Bilingual Customer Service Advocate II

Targeting external customers, business partners (materials include/not limited to written correspondence, Medicare advisories, special bulletins, provider workshop/educational materials, on-line training courses, manuals, brochures, sales promotions, training manuals, radio/TV, etc.). This position primarily will create and maintain Genesys knowledge articles, manage SME reviews and approvals, apply queue-specific labels, support Agent Copilot profiles, perform content QA and search validation, assist with LOB knowledge governance, and track inventory, adoption, and performance reporting .

Knowledge Systems Specialist I

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. May assist with special projects as assigned by the manager to include coordination between areas, allocation of resources, formulating solutions to problems, providing timely feedback to the manager and/or developing and/or implementing job procedures/controls in accordance with policies.

Accountant I (Banking)

Operations Analyst I

Position Purpose:As member of the senior management team, the Medicare Contractor Medical Director provides clinical and administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures and technology, and acts as a resource to stakeholders, providers and internal staff on issues concerning medical policies. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

Medicare Contractor Medical Director

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Depending on department needs, this job includes the following: cashier, prep cook, food server, dishwasher/pot washer, catering delivery, restocking as needed, and any other need as asked by management.

Contracts Administrator Jobs in South Carolina

Analyst, Senior Recovery BlueCross BlueShield of South Carolina

Project Manager BlueCross BlueShield of South Carolina

Appeals Coordinator BlueCross BlueShield of South Carolina

Claims Processing 1-24 PGBA

Claims Clerk I BlueCross BlueShield of South Carolina

Accounting Technician II BlueCross BlueShield of South Carolina

Case Management Coordinator - Oncology Focus BlueCross BlueShield of South Carolina

Claims Processor I (On-site) PGBA

Director, Accounting PGBA

Processor, Claims I BlueCross BlueShield of South Carolina

Claims Processing 1-24 BlueCross BlueShield of South Carolina

Physician Advisor BlueCross BlueShield of South Carolina

Claims Processor I (On-site) BlueCross BlueShield of South Carolina

Lead Consultant BlueCross BlueShield of South Carolina

Bilingual Customer Service Advocate II BlueCross BlueShield of South Carolina

Knowledge Systems Specialist I BlueCross BlueShield of South Carolina

Accountant I (Banking) BlueCross BlueShield of South Carolina

Operations Analyst I BlueCross BlueShield of South Carolina

Medicare Contractor Medical Director BlueCross BlueShield of South Carolina

Food Services Specialist I BlueCross BlueShield of South Carolina

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