Jobs at BlueCross BlueShield of South Carolina

Seeking a Lead UI Developer to manage the DocFinity enterprise content management solution, focusing on transitioning to React and maintaining legacy systems while mentoring team members and enhancing UX/UI standards.

Responsible for researching and processing healthcare claims, verifying codes, resolving errors, and coordinating with internal departments.

Responsible for managing the provider enrollment process, ensuring application integrity, compliance, and effective communication with stakeholders while also supporting provider education and process improvements.

The role involves performing non-medical reviews, processing redetermination letters, preparing reports, and managing documentation for legal inquiries.

The Senior Developer will analyze, design, and implement complex applications. They will provide technical direction, mentor junior staff, and enhance existing systems while ensuring alignment with business strategies.

Lead the development and execution of test plans for software quality assurance, analyze metrics, and provide client training. Research and improve systems, make recommendations, and manage defect records while participating in cross-departmental projects.

The Processor, Claims I is responsible for the timely processing of claims, coding verification, resolving claims errors, and coordinating internal edits.

Assist in defining systems scope, conduct business process analyses, document issues, prepare test cases, and communicate workflow procedures with management.

The IT Contracts Advisor will manage IT vendor contracts, provide contract-related advice to project teams, oversee contract negotiations, and act as a liaison among various teams.

Serve as the primary contact for IT vendor contracts, manage contract activities, and lead continuous improvement efforts in contract processes. Oversee team workloads, support negotiations, and ensure timely completion of contracts while acting as a liaison among stakeholders.

Responsible for marketing and selling group and individual health insurance products, managing relationships with local chambers, and executing sales strategies in South Carolina.

The Analyst, Financial III is responsible for creating and analyzing financial reports, ensuring data accuracy for financial decisions, and supporting senior management with complex financial analyses and projects.

The Claims Processor I-19 is responsible for the accurate and timely processing of claims, verifying procedure and diagnosis codes, and resolving claims errors through research.

The Training Specialist I develops and delivers blended learning solutions, evaluates training outcomes, and enhances programs to meet business objectives. Responsibilities include conducting assessments, designing training materials, and collaborating with SMEs to ensure effective instructional methods are applied.

The Statistical Programming Analyst III performs advanced statistical analyses, develops complex database programs, maintains SQL databases, and creates visualizations and reports to support decision-making.

The Analyst is responsible for submitting stop loss claims, tracking submissions, performing audits, and generating complex reports based on data analysis.

The Operations Analyst analyzes data and processes, recommends improvements, prepares reports, monitors compliance, and assists management with reviews and training.

The Stop Loss Accounting Analyst prepares and files stop loss claim packets, audits stop loss positions, responds to audit letters, tracks claims submissions, and performs complex reviews of claims data.

Reviews and adjudicates complex claims, determines outcomes, assists in training new staff, and ensures claims processing meets quality standards.

Responsible for reviewing, analyzing, and processing provider enrollment applications while ensuring compliance with standards and guidelines. Communicates with internal and external customers, manages provider data, and assists with improvements in the enrollment process.