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: 21 - 30 of 225 |

Managed Care Coordinator I - Pharmacy UM
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046349 Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role as Managed Care Coordinator I you will be responsible for reviewing and evalua...
1d
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046528 Summary Analyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzin...
1d
Job Type | Full Time |

Pharmacy Technician - Utilization Management
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046887 Summary Responsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authori...
1d
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046403 Summary This position completes research efficiently and accurately to ensure the departmental goals to prevent aging of claims and erroneous disbursements or claims from processing incorrectly. This posi...
1d
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046756 Summary Serves in a lead capacity as an expert data analyst and may also lead a team. Creates and analyzes reports to support operations. Presents report findings in a concise manner to appropriate manage...
1d
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046778 Summary Identifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually.Description Position P...
1d
Job Type | Full Time |

Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046935 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...
1d
Job Type | Full Time |

Part-Time Medicare Cost Auditor
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046830 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...
2d
Job Type | Part Time |

Part-Time Medicare Cost Auditor
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046829 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...
2d
Job Type | Part Time |

Account Services Supervisor (Remote)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1046962 Summary Builds and maintains effective long term relationships with internal and external partners. Ensuring high levels of satisfaction and increase revenues through profitable new case pricing and drive...
2d
Job Type | Full Time |