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BlueCross BlueShield of South Carolina

www.web.southcarolinablues.com

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.

  • 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.

  • We offer the largest provider networks in the state, offering members the greatest choice in doctors, hospitals and other health care providers.

  • 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 159
New
BlueCross BlueShield of South Carolina

Specialist, Sales Training (Onsite, Columbia, SC)

Columbia, South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1046285 Summary Develops and delivers sales, service, and product training to sales and service representatives in all sales channels and independent sales agents. Assists representatives in effectively acquiring...

Job Type Full Time
Remote New
BlueCross BlueShield of South Carolina

Medical Reviewer III

South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1046102 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...

Job Type Full Time
New
BlueCross BlueShield of South Carolina

Staff Development Specialist

Columbia, South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1046837 Summary Responsible for ensuring that the training and educational needs of employees are met by creating, developing, writing and implementing training material, programs and curriculums. Responsible for...

Job Type Full Time
New
BlueCross BlueShield of South Carolina

Claims Customer Service Coordinator

Columbia, South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1047221 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...

Job Type Full Time
New
BlueCross BlueShield of South Carolina

Analyst, Provider Enrollment

Columbia, South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1047198 Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with...

Job Type Full Time
Remote New
BlueCross BlueShield of South Carolina

Customer Service Advocate I

Florida

BlueCross BlueShield of South Carolina

Internal Reference Number: R1046370 Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Perform research as needed to resolve inquiries. Why should you join the BlueCross BlueShield of South Caroli...

Job Type Full Time
New
BlueCross BlueShield of South Carolina

Specialist, Appeals

Nashville, Tennessee

BlueCross BlueShield of South Carolina

Internal Reference Number: R1047150 Summary Performs non-medical reviews and processes redetermination letters.Description Logistics: CGS (cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This pos...

Job Type Full Time
New
BlueCross BlueShield of South Carolina

Claims Customer Service Advocate I

Columbia, South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1047159 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...

Job Type Full Time
Remote New
BlueCross BlueShield of South Carolina

RN Appeals Analyst

South Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1046297 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...

Job Type Full Time
Remote New
BlueCross BlueShield of South Carolina

Customer Service Advocate I

North Carolina

BlueCross BlueShield of South Carolina

Internal Reference Number: R1046370 Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Perform research as needed to resolve inquiries. Why should you join the BlueCross BlueShield of South Caroli...

Job Type Full Time
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