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: 121 - 130 of 211 |
Member Engagement and Events Coordinator
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047263 Summary This role is focused on creating a positive experience for all of our Medicare Advantage members. This includes coordinating local health events and conducting outreach programs through text, mail...
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| Job Type | Full Time |
Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046908 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...
1d
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1043974 Summary Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating audito...
1d
| Job Type | Full Time |
Utilization Management Pharmacist
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047364 Summary Responsible for performing utilization management reviews of prior authorization request for medications by applying clinical guidelines and criteria to ensure appropriate use of medications. Info...
1d
| Job Type | Full Time |
Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047393 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...
1d
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047328 Summary Screen, code and key claims in claims system. Ensure claims are processed in a timely manner.Description 80% Screen, code and key claims to ensure proper and accurate adjudication of claims in acc...
1d
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047264 Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries.Description Location: This position is full-time (40-hours/w...
1d
| Job Type | Full Time |
Medical Reviewer I - Myrtle Beach, SC
Myrtle Beach, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047381 Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents deci...
1d
| Job Type | Full Time |
FCMB Claims Customer Service Advocate II
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046604 Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reproces...
1d
| Job Type | Full Time |
Statistical Programming Analyst I - Palmetto GBA
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047319 Summary Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities...
1d
| Job Type | Full Time |