Jobs at BlueCross BlueShield of South Carolina

The Director will manage sales and service activities for small group accounts, oversee sales teams, develop marketing strategies, and maintain relationships with agents and partners to drive growth.

Oversees a team optimizing performance and service levels in customer service centers, implementing workforce strategies and enhancing processes.

Responsible for the provider enrollment process, including reviewing applications for compliance, entering data into databases, and resolving discrepancies. Communicates effectively with customers and participates in provider education and special projects.

The role entails managing provider enrollment applications, ensuring data integrity, verifying provider information, and assisting with compliance and communication with stakeholders.

The Claims Processor II reviews and adjudicates complex claims, ensures adherence to regulations, and assists in training staff. Responsibilities include claim verification, error correction, and research on claim issues.

The Accountant III reconciles complex general ledger accounts, processes accounting transactions, ensures compliance with regulations, and provides support to junior accountants.

Assists the Retail Manager by driving sales, mentoring staff, executing marketing plans, and providing customer service in retail and outside sales.

Manages business development activities, including proposal creation, staff management, and strategic partnerships to enhance new business opportunities.

The SAS Programming Analyst II designs, codes and maintains database programs to produce reports, assists in statistical analysis, and verifies data. The role requires analytical skills and proficiency in mathematical concepts and programming.

Design technical onboarding and training programs, evaluate their effectiveness, manage projects related to e-learning solutions, and troubleshoot issues with e-learning tools.

Manages a team of analysts overseeing data retrieval and analysis for business decisions, ensuring report accuracy, and coordinating with various departments.

Supports project management by monitoring project progress, preparing reports, providing training, and coordinating activities among teams to ensure compliance and effectiveness.

Under supervision, perform quality control audits on claims and service processes, analyze problems, recommend improvements, and assist in training.

The Business Systems Analyst I defines customer needs, documents user requirements, and guides the development of systems to meet business objectives, improving processes and ensuring accurate solution deployment.

Responsible for the accurate processing of claims, verifying codes, and resolving claims errors while coordinating with internal departments.

The role involves clerical support for the training department, managing data in the LMS, assisting with class preparation, and generating reports.

Responsible for accurate and timely processing of claims, coordinating with internal departments, and verifying coding of procedures and diagnoses.

Manages a claims processing team, ensuring compliance and efficient operations while providing training and maintaining customer service standards.

Responsible for accurate processing of claims, verifying coding, resolving errors, and coordinating with departments as necessary.

Responsible for identifying training needs, developing materials, and facilitating training. Provides guidance and leadership for new specialists and evaluates training effectiveness.