
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.
🕒 Yesterday
Medical Review Supervisor overseeing utilization, case management, and medical review staff. BlueCross BlueShield of South Carolina administers health insurance and government healthcare contracts.
🕒 2 days ago
Senior Stop Loss Claims Auditor auditing and adjudicating medical claims for BlueCross BlueShield of South Carolina. Managing reimbursement, investigations, reserves, and claims reporting remotely from Texas.
🕒 2 days ago
RN Behavioral Health Concierge Care Manager providing high-touch case management for BlueCross South Carolina members. Coordinating specialized healthcare programs, care plans, authorizations, and quality outcomes remotely.
🌴 South Carolina – Remote
💵 $57.8k - $110.4k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
👻 Ghost score 0%
🕒 5 days ago
Medical Reviewer II evaluating medical claims for BlueCross BlueShield of South Carolina’s government-contract health plans. Determining medical necessity, coverage, reimbursement, and appeals outcomes remotely.
🏈 Alabama, South Carolina, +1 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔍🏥 Medical Reviewer
👻 Ghost score 10%
🕒 August 5
Medical Director overseeing utilization review, medical policy, and provider guidance for BlueCross BlueShield’s health insurance and government-contract operations. Researching procedures, analyzing claims data, and supporting medical and regulatory decisions.
🌺 Hawaii, South Carolina, +2 more states – Remote
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
👻 Ghost score 10%
🕒 July 31
RN Concierge Care Manager coordinating high-risk maternity, NICU, and complex-care services for BlueCross health plan members. Delivering remote case management, care plans, outreach, and healthcare coordination to improve member outcomes.
🌴 South Carolina – Remote
💵 $57.8k - $110.4k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
👻 Ghost score 10%
🕒 July 17
Senior auditor adjudicating medical stop loss claims for South Carolina’s largest health insurer. Authorizing reimbursements, investigating claims, and identifying cost mitigation opportunities remotely.
🕒 July 2
Medicare cost reporting auditor conducting financial, compliance, and operational audits for BlueCross BlueShield of South Carolina. Evaluating controls, detecting fraud, and reporting recommendations to executive management.
🌺 Hawaii, South Carolina, +2 more states – Remote
💵 $49.4k - $94.7k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔎 Auditor
👻 Ghost score 26%