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: 1 - 10 of 360 |
San Francisco, California
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049497 Summary Provides reinsurance support for new and renewal business, underwriting, claims audit/record keeping and/or other functions. May perform calculations and process general accounting requests for bi...
15h
| Job Type | Full Time |
Risk Adjustment Coder - Project Analyst
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049430 Summary Responsible for evaluating loss potential for each member. Calculates and assigns risk score via a comprehensive risk analysis approach. Ensures action requests and internal/external issues are ad...
15h
| Job Type | Full Time |
Technical Information Specialist
Florence, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049404 Summary We are currently hiring for a Technical Information Specialist to join BlueCross BlueShield of South Carolina. In this role as a Technical Information Specialist, you will be responsible for the m...
15h
| Job Type | Full Time |
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048908 Summary Performs non-medical reviews and processes redetermination letters.Description CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Service...
15h
| Job Type | Full Time |
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049525 Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated prot...
15h
| Job Type | Full Time |
Job Posting Title RN Appeals Analyst Medicare Part B - CGS
Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049221 Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective r...
15h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049474 Summary Responsible for coordinating and directing the efforts of the Document Control associates to ensure the timely and accurate processing and general control of documents. Distributes work and determ...
15h
| Job Type | Full Time |
Business Analyst I (Provider Enrollment)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049036 Summary Assists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses, ...
15h
| Job Type | Full Time |
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1048097 Summary Provide support to members for disease prevention and healthy promotion. Empower members to achieve optimal health and wellness by providing personalized guidance, education, and support. This rol...
15h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1049420 Summary Identifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually.Description Location: ...
1d
| Job Type | Full Time |