Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1052422 Summary Responsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements.Descript...
3h
| Job Type | Full Time |
Provider Audit Specialist - LPN or RN
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051290 Summary Prepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all ...
3h
| Job Type | Full Time |
Statistical Programming III Analyst
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1052264 Summary Job Description 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 nati...
3h
| Job Type | Full Time |
Quality Management System Specialist
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051688 Summary Promotes effective quality management system in accordance with ISO 9001:2015 standards through maintenance of control of documents program, coordination and participation in internal ISO system a...
3h
| Job Type | Full Time |
RN Behavioral Health Concierge Care Manager
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051975 Summary We are currently hiring for an RN Behavioral Health Concierge Care Manager to join BlueCross BlueShield of South Carolina. In this role as an RN Behavioral Health Concierge Care Manager, you will ...
3h
| Job Type | Full Time |
RN Senior Medical Reviewer (South Carolina)
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1052352 Summary We are currently hiring for an RN Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as an RN Senior Medical Reviewer, you will act as Team Lead for specialty pro...
3h
| Job Type | Full Time |
Utilization Management Pharmacist
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1052224 Summary Responsible for performing comprehensive medication reviews and outreach to inform and educate patients and their providers about opportunities to optimize medication related outcomes, ensure pati...
3h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1052377 Summary 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 procedu...
3h
| Job Type | Full Time |
Pharmacy Technician - Prior Authorization Focus
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051641 Summary Responsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authori...
3h
| Job Type | Full Time |
Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1052442 Summary Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquirie...
3h
| Job Type | Full Time |