
10,000+ employees
Founded 1946
๐ฅ Healthcare
๐ผ Consulting
โ๏ธ Legal
Healthcare โข Consulting โข 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: ๐บ๐ธ United States โ Remote USA.
Selected: ๐ Date Added.
๐ 2 days ago
Senior Product Designer shaping BlueCross health insurance portal and app experiences. Conducting research, prototyping, and usability improvements across digital platforms.
๐ 2 days ago
Remote database report writer/analyst creating SQL and DB2 reports for BlueCross BlueShield of South Carolina. Maintaining reporting logic, data-retrieval systems, and recurring internal and external reports.
๐ 2 days ago
Appeals Analyst reviewing complex healthcare appeals and medical necessity for BlueCross BlueShield of South Carolina. Documenting compliant decisions for member and provider requests.
๐ September 23
Lead Medicare cost reporting auditor coordinating complex audits, reviewing reports, and guiding audit staff for BlueCross BlueShield of South Carolina. Remote Monday-Friday role.
๐ 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.
๐ August 6
Behavioral Health Intensive Care Management Coordinator delivering in-person member assessments and case management. Supporting BlueCross BlueShield of South Carolina health management programs across Low-Country South Carolina.
๐ 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.
๐ Alabama, Alaska, +44 more states โ Remote
๐ต $206k - $413.5k / year
โฐ Full Time
๐ด Lead
๐จโโ๏ธ Medical Director
๐ป Ghost score 32%
๐ August 5
Physical Medicine and Rehabilitation Medical Director guiding medical policy, utilization review, and provider practices for BlueCross BlueShieldโs healthcare operations. Remote across eligible U.S. states or onsite in Columbia, South Carolina.
๐ Alabama, Alaska, +44 more states โ Remote
๐ต $206k - $413.5k / year
โฐ Full Time
๐ด Lead
๐จโโ๏ธ Medical Director
๐ป Ghost score 32%
๐ July 17
Stop loss claims auditor auditing and authorizing medical reimbursement claims for Companion Life, a BlueCross BlueShield of South Carolina subsidiary. Mitigating costs and managing carrier investigations remotely.
๐ Alabama, Alaska, +44 more states โ Remote
๐ต $49.4k - $94.7k / year
โฐ Full Time
๐ Senior
๐ Auditor
๐ป Ghost score 53%
Likely ghost job
๐ July 15
Likely ghost job
RN medical reviewer evaluating complex claims, medical necessity, and coverage decisions for BlueCross BlueShield South Carolina subsidiary. Remote role supporting clinical reviews, coding, appeals, and utilization practices.
๐ Alabama, North Carolina, +1 more states โ Remote
โฐ Full Time
๐ข Junior
๐ก Mid-level
๐๐ฅ Medical Reviewer
๐ป Ghost score 64%
๐ July 7
Medicare cost reporting auditor conducting financial, compliance, and operational audits for BlueCross BlueShield of South Carolina. Evaluating controls, risks, systems, and corrective actions.
๐ด South Carolina โ Remote
๐ต $57.8k - $110.4k / year
โฐ Full Time
๐ก Mid-level
๐ Senior
๐ Auditor
๐ป Ghost score 45%
๐ July 2
Medicare cost reporting auditor conducting financial, compliance, and operational audits for BlueCross BlueShield. Evaluating controls, detecting risks and fraud, and reporting recommendations to management.
๐ Alabama, Arizona, +43 more states โ Remote
๐ต $49.4k - $94.7k / year
โฐ Full Time
๐ข Junior
๐ก Mid-level
๐ Auditor
๐ป Ghost score 55%
๐ June 11
Medical Director developing and revising Medicare medical policies for BlueCross BlueShieldโs government-contract insurance operations. Reviewing utilization data, procedures, and claim criteria while guiding providers and staff.
๐บ๐ธ United States โ Remote
โฐ Full Time
๐ด Lead
๐จโโ๏ธ Medical Director
๐ป Ghost score 55%