Search the 91 jobs at BlueCross BlueShield of South Carolina

The Provider Enrollment Analyst is responsible for managing the provider enrollment process by reviewing and processing enrollment applications, ensuring data accuracy and compliance, providing customer service, and contributing to process improvements. The role involves data entry, verification through various databases, and assisting in training and quality service delivery.

As a Sr. Provider Enrollment Analyst, act as a team lead by providing guidance, direction, and training to Provider Enrollment Analysts. Responsible for processing difficult enrollment applications and complex inquiries.

Responsible for provider enrollment process including reviewing, researching, analyzing, and processing applications. Ensures provider file integrity and compliance with standards. Communicates with internal and external customers, resolves discrepancies, and assists with special projects and process improvements.

The role involves providing system and production support, monitoring applications, resolving issues, and ensuring successful execution of batch processes. Responsibilities include performing installations, analyzing performance, coordinating with teams, documenting procedures, and seeking improvements in processes and automation.

The Training and Development Manager is responsible for overseeing training activities, managing curriculum development, and ensuring that organizational training needs are met. This includes coaching staff, evaluating training effectiveness, and promoting a culture of development through comprehensive training plans and programs.

The Enrollment Representative II at BlueCross BlueShield of South Carolina processes enrollment applications, updates databases, resolves customer inquiries, and coordinates billing activities. The role requires effective customer service and organizational skills, as well as the ability to train new staff and handle sensitive information.

The Compensation Consultant develops employee compensation programs aligned with organizational objectives and culture. They conduct job content analyses, recommend salary ranges, participate in market surveys, and collaborate with HR and management to ensure compensation practices support diversity and compliance. Responsibilities include maintaining pay administration processes, presenting compensation-related findings, and participating in strategic HR initiatives.

Manages the daily activities of a multi-functional area, monitoring productivity, attendance, and quality of work produced. Motivates associates to meet goals. Directs and supervises claims/documents processing and support team associates. Prepares and analyzes reports, administers quality control procedures, maintains customer service, participates in policy changes, and assists in budget preparation.

The Sr Systems Support Administrator is responsible for system and production support for applications and batch cycles. Duties include installation and configuration, performance monitoring, troubleshooting issues, and participating in implementation meetings and work sessions. The role focuses on ensuring proper system function and performance optimization through collaboration and continuous improvement.

The Provider File Specialist I is responsible for maintaining healthcare provider files, ensuring accurate provider directories, claims adjudication, and billing processes. This role involves verifying information, preparing and managing provider data in relevant systems, and participating in special projects related to quality improvement and audits.

The Senior System Support Administrator is responsible for providing production support and monitoring of applications, handling batch cycles and releases, analyzing and resolving issues, ensuring system performance, and facilitating system backups and improvements.

The Strategic Account Executive is responsible for sales, service, and management of relationships with existing and prospective accounts, including analyzing data and market trends, mentoring team members, and managing new account sales strategies.

As an IT Senior Project Manager, you'll coordinate project efforts, ensuring quality delivery within timelines and budgets. You'll develop project plans and monitor resources, managing communication and documentation throughout the project lifecycle to maintain compliance and address issues as they arise.

The Developer IV position involves analyzing, designing, programming, and implementing complex applications. Responsibilities include producing project deliverables, testing, debugging software, and providing guidance to junior staff. The role requires close collaboration with stakeholders to ensure IT solutions meet business strategies.

Performs quality control audits across various operations functions to ensure quality standards are met. Develops and implements quality control programs and provides feedback on errors detected. Assists with special projects and training new employees.

The Computer Operator II operates, monitors, and troubleshoots computing platforms and systems. Responsibilities include managing production schedules, resolving technical issues, and collaborating with I/S groups for optimal service delivery. The role also requires ensuring proper function of peripheral equipment and monitoring job control languages.

The Assistant, Actuarial I supports actuarial services through research, data analysis, and reporting. Responsibilities include preparing actuarial models, analyzing competitive pricing, enhancing financial reporting databases, and maintaining regulatory compliance. This role requires strong analytical skills and knowledge of mathematical concepts, with a focus on supporting profitability assessments for business lines.

As an Appeals Specialist, you will perform non-medical reviews and process redetermination letters, ensuring accuracy and timeliness. Your duties include preparing unit reports, analyzing workload, and utilizing various software tools to manage documentation and customer inquiries.

The Statistical Programming Analyst I will utilize multiple software platforms for producing reports, ensuring data integrity, and maintaining database programs. They will support the creation of materials for report design and assist in quality checks of database changes while identifying improvement opportunities through data evaluations.

The System Support Manager oversees the testing and implementation of system changes, investigates system problems, develops business requirements for corrections, and ensures compliance with regulations. They coordinate efforts with various stakeholders, prepare technical responses, manage staff, and provide training and documentation related to system enhancements.