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 72 |

Claims Customer Service Advocate I
Columbia, South Carolina
BlueCross BlueShield of South Carolina
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-medical appeals. Determines whether to re...
23h
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary Care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings ar...
23h
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
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 roots firmly embedded in the South ...
23h
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary Under general supervision, responsible for interpreting, reviewing, and analyzing benefit plan designs. Responsible for creating scope, design and specification documents for programming of benefits from benefit plan designs. Respon...
23h
Job Type | Full Time |

Community Health Worker (W@H Upstate, SC)
Charleston, South Carolina
BlueCross BlueShield of South Carolina
Summary We are currently hiring for a Community Health Worker to join BlueCross BlueShield of South Carolina. In this role as a Community Health Worker, you will serve as a member of the care model team enabling population health in the com...
23h
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary Depending on department needs, this job includes the following: cashier, prep cook, food server, dishwasher/pot washer, catering delivery, restocking as needed, and any other need as asked by management.Description Location: This po...
23h
Job Type | Full Time |

Managed Care Coordinator II CM-DM
Charleston, South Carolina
BlueCross BlueShield of South Carolina
Summary We are currently hiring for a Managed Care Coordinator II - Utilization Management to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator II - Utilization Management, you will review and evaluate ...
23h
Job Type | Full Time |

Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
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 inquiries. Reviews and adjudicates claims an...
23h
Job Type | Full Time |

Pharmacy Proposal Development Specialist
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary Engage actively in the high-volume sales and retention efforts for Pharmacy Benefit Management (PBM) services tailored for self-funded clients. Play a pivotal role in driving new business opportunities while nurturing existing clien...
23h
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Summary Analyze data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Run and review reports, analyze results in support of operational funct...
23h
Job Type | Full Time |