Blue Cross Blue Shield Jobs in United States

Performs routine clerical duties in accordance with standard procedures. · ...

We are currently hiring for a Case Administrator Coordinator to join BlueCross BlueShield of South Carolina. · Maintains the outpatient authorization process to include ensuring benefit coverage, reviewing/determining eligibility, reviewing of established utilization review crite ...

Intern position utilized for training an active college student towards a professional-level role. · Responsibilities vary and are based upon the needs of the area and the experience of the incumbent at the time of employment. · ...

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. · ...

We are currently hiring for a Medical Reviewer III to join BlueCross BlueShield of South Carolina. · ...

We are part of the national landscape, with our roots firmly embedded in the South Carolina community. We deliver outstanding service to our customers. · ...

This is an entry-level account specialist position responsible for providing support in the sale and implementation of National Accounts. · ...

Join the BlueCross BlueShield of South Carolina family of companies and be part of a team that delivers outstanding service to customers. · ...

Responsible for responding to customer inquiries. · ...

This role will focus on managing corporate strategy projects to support BCBSA Board-directed needs. Responsibilities include scoping out projects, developing and managing teams, building relationships with key stakeholders, facilitating / delivering key findings and insights to s ...

Assists in membership/enrollment, billing, collections, and/or customer service aspects for assigned department(s). Responsible for providing prompt, quality processing, · enrollment,customer service,cash management activities,and administrative services for groups/agents,small g ...

++Reviews and adjudicates complex or specialty claims.+Determines whether to return, deny or pay claims following organizational policies and procedures.+Assists in training or mentoring new staff members. · ...

Underwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations, Third Party Administrators (TPAs), Brokers, Hospitals, and BlueCross BlueShield organizations. · ...

Performs front office functions. Provides executive support. Represents the company in a professional manner. · ...

We are currently hiring for a Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. · Functions as team leader/senior-level Medical Reviewer. · Assists management with monitoring workflow and workloads. · ...

Description · Summary: · This role is responsible for leading and managing small to mid-size projects and portions of larger projects addressing critical strategic issues for the Blue System. The role is responsible for applying analytical rigor (e.g., data collection and analysi ...

This role serves as a compensation expert analyzing compensation data to ensure market competitiveness and pay equity. · Required Bachelor's Degree in human resources Business Administration Finance or related field or equivalent work experience. · ,L · eads data audits and testi ...

We are currently hiring for a Workforce and Reporting Manager to join BlueCross BlueShield of South Carolina. · You will be responsible for managing one or more teams responsible for customer service. · ...

This position is responsible for identifying training needs, developing training materials, and facilitating training. Provides training and guidance for new training specialists. · ...

Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. · ...