BlueCross BlueShield of South Carolina
When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 65 years. We are also one of South Carolina's largest employers.
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Our financial stability is on record. In December 2017, A.M. Best reaffirmed our A.M. Best rating of A+ (Superior) — making us the only health insurance company in South Carolina with that rating. One of the few companies nationwide to achieve this distinction, this year also marks the 16th consecutive year that S.C. BlueCross met this high standard. For the latest ratings, access www.AMBest.com.
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We offer the largest provider networks in the state, offering members the greatest choice in doctors, hospitals and other health care providers.
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Our extensive menu of health plans, discounts, added values and online services means more choices for our members, with plans to fit every budget and lifestyle.
What you may not know is just how diverse our company is. Included in our family of companies is BlueChoice HealthPlan of South Carolina, our managed care subsidiary, which also includes Healthy BlueSM, our Medicaid health plan. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.
But there is also a lot more to us than health insurance. We have many affiliated companies that are not licensed with the Blue Cross and Blue Shield Association. These companies are located in South Carolina, Georgia, Ohio, Tennessee and Texas. Some offer other insurance products, such as property, life and mental health and substance abuse benefits. Others administer contracts for the federal government. Some even focus on technology.
BlueCross is also a major supporter of community and charitable causes. We support health care-related research, education and service in South Carolina through the BlueCross BlueShield of South Carolina Foundation.
Trust. Value. Choices. We're BlueCross BlueShield of South Carolina.
Search among BlueCross BlueShield of South Carolina jobs
| Jobs: 11 - 20 of 157 |
Managed Care Coordinator I - Pharmacy UM
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046349 Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role as Managed Care Coordinator I you will be responsible for reviewing and evalua...
16h
| Job Type | Full Time |
Claims Customer Service Advocate I
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047100 Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medic...
16h
| Job Type | Full Time |
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047215 Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to dete...
16h
| Job Type | Full Time |
Florence, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047240 Summary Under direct supervision, performs quality control audits, reviews, or monitoring of departmental operations functions including, but not limited to, claims, membership, customer service/call cent...
16h
| Job Type | Full Time |
Coordinator Claims Customer Service
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047222 Summary Functions as work leader for a claims customer service unit responsible for resolving customer inquiries and performing initial claims adjudication or non-medical appeals review. Assists with esca...
16h
| Job Type | Full Time |
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047239 Summary Creates and analyzes reports to support operations. Ensures correctness of analysis, and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as fin...
16h
| Job Type | Full Time |
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046943 Summary The ideal candidate will be passionate about people leadership, with a strong ability to inspire and empower frontline staff. Key responsibilities include setting clear performance expectations, p...
16h
| Job Type | Full Time |
Data Analyst II - CGS (Nashville)
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047289 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 national landscape, with our...
16h
| Job Type | Full Time |
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046991 Summary Performs non-medical reviews and processes redetermination letters.Description Location This position is hybrid schedule (3 days onsite, 2 days remote) in Nashville, TN, full time (40 hours/week) ...
16h
| Job Type | Full Time |
Engagement Specialist CSA II (3)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047292 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 r...
16h
| Job Type | Full Time |