
501 - 1000 employees
⚕️ Healthcare Insurance
🤝 B2B
Healthcare Insurance • B2B • Fraud Prevention
CGS Administrators, LLC is a company that provides scalable administrative services focused on optimizing operational performance and reducing costs for health plans. With over 50 years of experience, CGS delivers a range of services including credentialing, member services, claims processing, and fraud prevention to the Centers for Medicare & Medicaid Services (CMS) and various healthcare providers. Their aim is to streamline operations and enhance customer satisfaction, contributing positively to the healthcare delivery system.
🕒 5 days ago
Appeals Specialist performing non-medical reviews and processing redetermination letters at BlueCross BlueShield of South Carolina. Ensuring timeliness and accuracy in reviews and documentation.
🕒 July 2
Auditor III responsible for conducting financial, compliance, and operational audits. Evaluating internal controls and providing business advisory services in a remote position.
🕒 June 18
Auditor conducting financial and operational audits for healthcare services with a focus on Medicare cost reports. Requires expertise in auditing and compliance with regulatory standards.
🐊 Florida, North Carolina, +2 more states – Remote
💵 $57.8k - $110.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🕒 June 11
Chief Medical Officer responsible for case review and regulatory matters at BlueCross BlueShield. Developing medical policies and leading initiatives within the organization.