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largest insurance company in South Carolina
diverse family of subsidiary companies
Specialist, Provider File I
Comp not disclosed
6 shown for "utilize programming languages like JavaScript Java HTMLCSS TypeScript SQL Python and Go"
Summary
BlueCross BlueShield of South Carolina is seeking a Provider File Specialist to establish and maintain healthcare provider files. The role involves verifying provider information, preparing and updating provider files, and contributing to departmental production standards. The company offers a compr...
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Provider File I5 Specialist
Healthcare provider files
Specialist, Provider File I-5
Comp not disclosed
Summary
This job posting is for a Provider File I5 Specialist position at BlueCross BlueShield of South Carolina. The role involves establishing and maintaining certification and preparation review of healthcare provider files, supporting provider directories, accurate and timely claims adjudication, and pr...
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Sr Provider Education Consultant
Work at Home (WAH) role
Sr. Provider Education Consultant
Comp not disclosed
Summary
This is a job posting for a Sr Provider Education Consultant at BlueCross BlueShield of South Carolina. The position is a Work at Home (WAH) role with hours from 8am to 5pm, Monday to Friday. The role involves communicating and educating providers on issues such as Medicare coverage, utilization sta...
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Perform quality control audits
Identify problems and analyze cause and effect
Senior Quality Assurance Analyst - PGBA
Comp not disclosed
Summary
This role involves conducting focused quality audits across various operations functions, documenting analysis findings, and preparing recommendations for implementing new systems or organizational changes. The position also requires identifying weaknesses, providing feedback to management, and deve...
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Work at Home WH position
Flexible hours from 8:00 am to 5:00 pm
Sr. Provider Relations Representative
Comp not disclosed
Summary
This is a Work at Home (WH) position with flexible hours from 8:00 am to 5:00 pm, Monday to Friday. The role involves developing, preparing, reviewing, updating all provider education materials, conducting meetings, workshops, training classes, and teleconferences with providers. The position requir...
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coordinates market conduct and regulatory reporting activities
researches and interprets state and federal insurance laws and regulations
Lead Contract/Compliance Specialist
Comp not disclosed
Summary
The job description for a Compliance Audit and Legal position at BlueCross BlueShield of South Carolina highlights the company's commitment to regulatory compliance, data management, and business growth. The role involves coordinating market conduct and regulatory reporting activities, researching a...
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