
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.
🕒 Yesterday
Appeals Analyst researching clinical appeals and retrospective reviews for BlueCross BlueShield South Carolina subsidiary. Determining medical necessity and documenting compliant healthcare decisions.
🌴 South Carolina – Remote
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 5 days ago
RN medical reviewer evaluating complex healthcare claims and medical necessity for Palmetto GBA, a BlueCross BlueShield subsidiary. Documenting determinations and guiding quality and coding processes.
🏈 Alabama, North Carolina, +2 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🕒 August 14
Medical Reviewer assessing complex, preauthorization, appeal, fraud, and coding claims for BlueCross BlueShield of South Carolina. Determining medical necessity and payment outcomes using clinical guidelines.
🏈 Alabama, South Carolina, +1 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
👻 Ghost score 20%
🕒 July 2
Medicare cost reporting auditor conducting financial, compliance, and operational audits for Palmetto GBA, a healthcare administration and claims-processing provider. Evaluating controls, detecting fraud, and recommending process improvements.
🌺 Hawaii, South Carolina, +2 more states – Remote
💵 $49.4k - $94.7k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔎 Auditor
🦅 H1B Visa Sponsor
👻 Ghost score 32%