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 157 |
RN Case Management Coordinator (Maternity and/or NICU)
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051223 Summary We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on impr...
10h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050460 Summary 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 decad...
10h
| Job Type | Full Time |
Myrtle Beach, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050893 Summary Responsible for the accurate and timely processing of claims.Description Logistics:PGBA- one of BlueCross BlueShield's South Carolina subsidiary companies Location:This position is full-time (40-h...
10h
| Job Type | Full Time |
Assistant, Qualified Independent Contractor
Nashville, Tennessee
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050986 Summary Provides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and track...
10h
| Job Type | Full Time |
RN Medical Reviewer III (Remote in SC)
Lexington, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051213 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...
10h
| Job Type | Full Time |
(RN) Senior Medical Reviewer (Remote in SC)
Lexington, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051212 Summary Acts as Team Lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guida...
10h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051290 Summary Prepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all ...
20h
| Job Type | Full Time |
Chronic Disease Coach - Registered Nurse (W@H SC, NC, or GA)
South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1051003 Summary We are currently hiring for a Chronic Disease Coach to join BlueCross BlueShield of South Carolina. In this role as a Chronic Disease Coach, you will provide support to members for disease prevent...
20h
| Job Type | Full Time |
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1050317 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...
1d
| Job Type | Full Time |
Auditor II (Medicare Cost Reporting)
Beaufort, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1047882 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 ...
1d
| Job Type | Full Time |