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Full-Time

Plans, designs and develops complex and business-critical software solutions, using appropriate software development methodologies, either individually or as part of a project team. Responsible for ensuring that browser-based systems and applications meet...

Columbia, SC

Full-Time

Defines customer needs in technical and business contexts. Ensures the proposed technical and business solutions meet the customer's objectives for the work effort. Provides guidance with planning and prioritization of business analysis activities in supp...

Columbia, SC

Full-Time

Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies and established clinical criteria to service requests or provides health management program interventi...

Columbia, SC

Full-Time

Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies and established clinical criteria to service requests or provides health management program interventi...

Columbia, SC

Full-Time

Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries....

Columbia, SC

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Full-Time

Screens, codes and keys claims in claims system. Ensures claims are processed in a timely manner....

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

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 moderately complex accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resulting managerial reports and/or financial statements....

Columbia, SC

Full-Time

Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions, such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries an...

Columbia, SC

Full-Time

Responsible for submitting stop loss claims to our reinsurance carriers. Coordinates with claims and membership to obtain required supporting documentation for stop loss reimbursements. Maintains/provides status updates via reporting, logs and the stop lo...

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....

Columbia, SC

Full-Time

BlueCross BlueShield of South Carolina has an immediate opening for one of our managing general underwriting subsidiaries located in Jacksonville, FL . We are a dynamic organization offering many value-added benefits, including, but not limited to, health...

Jacksonville, FL

Full-Time

BlueCross BlueShield of South Carolina has an immediate opening for one of our dental benefit administrator subsidiaries located in Phoenix, AZ . Provides general administrative, clerical and project coordination support. Maintains area files, corresponde...

Phoenix, AZ

Full-Time

Provides support for sales, marketing, underwriting and client services. Provides management support and review of various internal and external reports and data. The services include any or all of the following: data analytics, RFP processing, client ser...

Fleming Island, FL

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Full-Time

Responsible for the development and management of various health management programs, to include Case Management, Disease Management, Utilization Management, Behavioral Health and Health Care Development. Assesses impact of programs, performs cost-benefit...

Columbia, SC

Full-Time

Performs all phases of applications systems analysis and design. Analyzes systems specifications and develops applications to support Information Systems processes. Prepares detailed specifications from which complex programs will be written. Designs, cod...

Columbia, SC

Full-Time

Serves as a subject matter expert for MAR/SOX compliance programs to support the Model Audit Rule Department (MAR/SOX) in the compliance effort that results in annual reporting to the Department of Insurance. Evaluates internal control structures and poli...

Columbia, SC

Full-Time

Responsible for all technical needs for a line of business or subsidiary. Develops, programs and maintains area operating systems. Responsible for technical equipment installation and maintenance, both hardware and software....

Phoenix, AZ

Full-Time

Establishes and maintains positive relationships with network hospitals, physician and/or dental practices and their representatives. Serves as point of contact for provider problems/issues. Responds to non-routine or difficult problems/issues related to...

Columbia, SC

Full-Time

Oversees Provider Enrollment and Quality Assurance staff. Ensures providers are loaded accurately/timely into the system, appropriately assigned to networks and updated correctly when necessary. Manages activities related to provider files, including file...

Columbia, SC

Full-Time

Performs all phases of applications systems analysis and design. Analyzes systems specifications and develop applications to support information systems processes. Prepares detailed specifications from which complex programs will be written. Designs, code...

Columbia, SC

Full-Time

This position can be worked remotely . BlueCross BlueShield of South Carolina has an immediate opening for one of our managing general underwriting subsidiaries located in Jacksonville, FL . We are a dynamic organization offering many value-added benefits...

Jacksonville, FL

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. Identifies opportunities for improvement that can be addressed with educational ini...

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

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