
10,000+ employees
Founded 1946
🏥 Healthcare
💼 Consulting
⚖️ Legal
Healthcare • Consulting • Legal
BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.
Selected: 🆕 Date Added.
🕒 4 days ago
Medical Reviewer II conducting clinical claims reviews for BlueCross BlueShield of South Carolina subsidiary Palmetto GBA. Determining medical necessity, reimbursement, and coverage decisions.
🕒 5 days ago
RN medical reviewer evaluating complex claims, medical necessity, and coverage decisions for BlueCross BlueShield subsidiary Palmetto GBA. Remote home-office role supporting utilization review and coding operations.
🏈 Alabama, North Carolina, +2 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔍🏥 Medical Reviewer
👻 Ghost score 10%
🕒 October 9
Physician Advisor guiding medical necessity, utilization management, and care protocols for BlueCross BlueShield of South Carolina. Reviewing clinical cases and supporting compliant, evidence-based healthcare decisions.
🏈 Alabama, Alaska, +44 more states – Remote
💵 $176.1k - $355k / year
⏰ Full Time
🟠 Senior
🔴 Lead
👻 Ghost score 0%
🕒 October 7
Senior provider educator helping Palmetto GBA, a BlueCross BlueShield South Carolina subsidiary, educate providers on Medicare coverage and medical review. Analyzing utilization and audits.
🕒 October 2
Senior Product Designer improving BlueCross BlueShield South Carolina’s health insurance portal and app. Leading UX research, prototyping, testing, and accessible interface design.
🕒 September 10
Remote provider education consultant educating Medicare providers on coverage, documentation, and medical review for Palmetto GBA. Conducting workshops, audits, and corrective-action visits.
🕒 August 17
RN Behavioral Health Concierge Care Manager coordinating complex case management for BlueCross BlueShield members. Delivering personalized care plans, outreach, and healthcare coordination remotely.
🌴 South Carolina – Remote
💵 $57.8k - $110.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
👻 Ghost score 42%
🕒 August 5
Physical Medicine and Rehabilitation Medical Director overseeing utilization review, medical policy, and provider relations for BlueCross BlueShield of South Carolina. Remote across eligible U.S. states or onsite in Columbia.
🏈 Alabama, Alaska, +44 more states – Remote
💵 $206k - $413.5k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
👻 Ghost score 39%
🕒 August 5
Physical Medicine and Rehabilitation Medical Director guiding medical policy, utilization review, and provider practices for BlueCross BlueShield’s healthcare operations. Remote across eligible U.S. states or onsite in Columbia, South Carolina.
🏈 Alabama, Alaska, +44 more states – Remote
💵 $206k - $413.5k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
👻 Ghost score 39%
🕒 June 11
Medical Director developing and revising Medicare medical policies for BlueCross BlueShield’s government-contract insurance operations. Reviewing utilization data, procedures, and claim criteria while guiding providers and staff.