ourhrconnect

Summary We have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs…

ourhrconnect

20 hours ago

Financial Analyst

North AmericaFull-time

United States

Summary Extracts and reports enrollment and financial data used to develop competitive rates to achieve financial targets and reach profitability

ourhrconnect

20 hours ago

Mainframe Storage Technology Analyst

On-siteNorth AmericaFull-time

United States

Summary Companion Data Services provides leading IT solutions and managed services. We operate multiple geographically disperse data centers, including two of the nation’s largest healthcare data centers – both rated…

mainframe

ourhrconnect

20 hours ago

Customer Service Advocate II

North AmericaFull-time

United States

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as…

ourhrconnect

20 hours ago

Customer Service Phone Advocate I

North AmericaFull-time

United States

Summary We are currently hiring for a Customer Service Phone Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for providing prompt, accurate, thorough and courteous responses to all…

ourhrconnect

3 days ago

Technician, Accounting III

HybridNorth AmericaFull-time

Summary Description

Customer Service Advocate I

North AmericaFull-time

United States

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

ourhrconnect

3 days ago

Manager, Underwriting

HybridNorth AmericaFull-time

United States

Summary 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.…

ourhrconnect

3 days ago

Operations Manager-2

North AmericaFull-time

United States

Summary Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental

ourhrconnect

4 days ago

Claims Customer Service Advocate II

North AmericaFull-time

United States

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing

ourhrconnect

4 days ago

RN Appeals Analyst (Must Reside in SC)

RemoteNorth AmericaFull-time

United States

Remote RN Appeals Analyst at BlueCross BlueShield of South Carolina researches complex pre-pay and post-payment appeal and retrospective review requests, performs clinical/benefit reviews against medical necessity guidelines, and documents decisions within mandated regulatory timeframes.

ourhrconnect

4 days ago

FCMB Customer Service Advocate II

North AmericaFull-time

United States

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing

ourhrconnect

4 days ago

Analyst, Claims Research

North AmericaFull-time

United States

On-site claims research analyst at BlueCross BlueShield of South Carolina who verifies disbursement requests, researches rejected claims, identifies potential fraud/waste/abuse, monitors inventory reports, and resolves billing/crediting issues using internal claims systems.

db2

ourhrconnect

4 days ago

Senior AI Security Architect

HybridNorth AmericaFull-timeSenior

United States

Senior AI Security Architect designs secure AI architectures, controls, and reference patterns for BlueCross BlueShield of South Carolina, partnering with Enterprise Architecture, Privacy, IAM, Vendor Risk, and Compliance teams to operationalize AI risk and privacy requirements across enterprise systems.

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ourhrconnect

7 days ago

Bilingual Customer Service Phone Advocate

North AmericaFull-time

United States

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

ourhrconnect

last week

Government Audit Manager

North AmericaFull-time

United States

Summary Responsible for organizing the audit block into productive units or teams and directing the activities of the teams to meet the expectations of the department, the corporation, and the Centers for Medicare and…

ourhrconnect

last week

Customer Service Advocate II

North AmericaFull-time

United States

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as…

ourhrconnect

last week

System Support Administrator- CGS Administrators, LLC

North AmericaFull-time

United States

Summary CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38…

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