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Appeals Coordinator
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
Specialist, Appeals
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
EDI Operations II Associate
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
Sr. Provider Education Consultant (LPN, LVN, RN)
Summary Provides education to medical providers as warranted. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the
RN Medical Reviewer II - Palmetto GBA-13
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization
Business Analyst I
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
Business Analyst I
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
Business II Analyst- Palmetto GBA
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 Carolina community. We are the largest insurance company in
Operations Analyst I
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
Analyst, Provider Enrollment
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 established standards and guidelines. Description Logistics: Palmetto GBA– one of BlueCross Blu
Part-Time Customer Service Advocate I
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in
Part-Time Customer Service Advocate I
RN Medical Reviewer II
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization
Auditor III
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description 50% Conducts internal and/or external timely operational, financial, and
Accountant I (Banking)
Summary Responsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other c
Summer Accounting Student Intern - Palmetto GBA
Summary Join one of Columbia’s top employers for our 2027 Summer Internship! This is an exciting opportunity to gain real-world, industry experience and the first step towards building a long-lasting, stable career after graduation. Working with your assigned team, the Student Intern will embark on
Analyst, Appeals
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 determine if the requested services meet medical necessity guidelines. Documents decisions within ma
Auditor III
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description WHAT YOU'LL DO: Conducts internal and/or external timely operational, fi
Medicare Contractor Medical Director
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies?Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in S
Clerk, Document Control
Summary Performs assigned document control functions on a routine basis or as needed. Functions include: preparation of documents for imaging; ensuring documents are sorted; notifies scanner operator of special instructions; boxing, storage, and workflow movement for an area; scans/images data into
IT Training Program Analyst (ELTP) – IT Services and Support - Palmetto GBA
Summary ELTP is a technical training program in Columbia, SC in which participants are in an initial 4 to 5-month paid classroom training. After successful completion of the program, they will join one of our technology areas related to their field of study where they will continue to grow their car