
1001 - 5000 employees
Founded 1965
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.
Selected: 🆕 Date Added.
🕒 4 days ago
Medical Reviewer II evaluating complex medical claims, coverage, and reimbursement decisions for BlueCross BlueShield of South Carolina. Remote South Carolina role requiring active RN licensure and clinical experience.
🌴 South Carolina – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 5 days ago
RN medical reviewer evaluating complex claims, medical necessity, utilization, and coding for BlueCross BlueShield subsidiary Palmetto GBA. Remote home-office role supporting payment decisions, quality control, and staff education.
🏈 Alabama, North Carolina, +2 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 October 7
Remote senior provider educator guiding Medicare coverage, documentation, and medical review. Supporting providers and audits for BlueCross BlueShield of South Carolina’s subsidiary Palmetto GBA.
🕒 September 10
Remote provider education consultant guiding Medicare providers on coverage, documentation, utilization, and medical review. Supporting Palmetto GBA’s Medicare oversight and education programs.
🕒 September 9
Remote provider education representative creating training materials and educating healthcare stakeholders for Palmetto GBA, a BlueCross BlueShield subsidiary. Supporting provider relations across Alabama, Georgia, and Tennessee.
🏈 Alabama, Tennessee – Remote
⏰ Full Time
🟠 Senior
✨ Representative
🦅 H1B Visa Sponsor
👻 Ghost score 29%
🕒 August 4
Medical Director overseeing physical medicine and rehabilitation utilization review for BlueCross BlueShield. Developing medical policies, adjudication criteria, and provider guidance.
🏈 Alabama, Alaska, +45 more states – Remote
💵 $206k - $413.5k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
👻 Ghost score 39%