Search the 63 jobs at BlueCross BlueShield of South Carolina

The Provider Quality Improvement Manager oversees coaching and support to healthcare providers to enhance their care systems. They manage quality improvement projects, ensure relationship building with providers, analyze data for performance improvement, and lead communication and outreach strategies. This role also involves training, project planning, and the use of various QI methodologies.

The role involves maintaining a portfolio of technologies, providing guidance and training to junior staff, and performing technical analyses with vendors. Responsibilities include lifecycle management, establishing best practices, and supporting the infrastructure and application environment for healthcare claims processing.

The Provider Relations Consultant will maintain relationships with network providers, resolve issues related to network contracts, and create educational materials. Responsibilities include conducting training, preparing reports, and some travel for workshops or meetings.

The Mainframe Identity & Access Management Analyst will ensure adherence to IT security policies by managing security profiles and permissions. Responsibilities include creating security reports, investigating violations, configuring access rules, conducting audits for compliance, and providing technical support and training to users.

The Group Actuary Manager oversees actuarial reporting systems and directs the preparation of various actuarial reports. They ensure the accuracy of reports, manage profitability analysis, and support the actuarial staff. Responsibilities include preparing rate filings, making premium comparisons, and completing ad hoc reporting. The role requires strong analytical skills and management experience.

As a Provider Enrollment Analyst, you will review, analyze, and process provider enrollment applications, ensuring compliance with standards and guidelines. You will provide quality service, communicate effectively with customers, resolve discrepancies, and assist with process improvements and provider education.

As a Sr. Provider Education Consultant, you will educate medical providers on Medicare coverage and related issues, conduct educational workshops, analyze utilization statistics, and collaborate with the medical review department. You'll document interactions, provide training, and target providers with high Medicare program abuse.

As a Senior Quality Assurance Analyst, you will perform quality audits across various operational functions, document findings, and recommend improvements to training materials and processes. You'll compile data, generate quality performance reports, conduct employee training, and assist with special projects related to quality assessments. Your goal is to enhance quality standards and reduce errors in operations.

The Sr. Provider Relations Representative will provide education and training for network providers and conduct workshops and teleconferences. They will develop educational materials and act as a liaison between providers and agencies, ensuring training needs are met while producing reports for management.

Coordinates market conduct and regulatory reporting activities, researches state and federal laws, drafts and maintains regulatory filings, and provides compliance guidance to business units.

This entry-level Accountant position involves maintaining an accurate general ledger, preparing financial reports, reconciling accounts, and performing financial analysis. The role may include assisting with special projects, and requires good communication and analytical skills.

The System Testing II Analyst role involves participating in the design phase of projects, performing testing duties, creating test cases, executing tests, and mentoring testing staff. The position requires collaboration with clients and IS staff while ensuring effective testing methodologies are applied. Administrative tasks include planning and reporting on projects to enhance testing activities.

The Specialist, Digital Media at BlueCross BlueShield of South Carolina is responsible for developing and maintaining digital media strategies, coordinating marketing campaigns, managing content, and analyzing feedback across various digital properties. The role requires collaboration with business partners to enhance digital content and engagement as part of full-service marketing efforts.

The Lead Marketing Communications Coordinator manages project coordination from concept to completion, creating and producing marketing materials and educational content for internal and external clients. The role involves leading brainstorming sessions, responding to RFPs, managing resources, and developing content for the website.

The Specialist, Training II is responsible for assessing training needs, developing and delivering training materials, and managing trainees. This role involves utilizing various training technologies, facilitating training sessions, and ensuring that training projects meet deadlines and specifications.

The Senior Network Engineer will design network infrastructure, oversee planning and implementation, ensure network security, optimize system performance, resolve design problems, lead technical support teams, and maintain vendor relationships for project management.

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.

The Sr. Provider Enrollment Analyst will lead the team in guiding staff, processing difficult enrollment applications, conducting quality reviews, ensuring audits are completed, and participating in special projects while providing effective communication to internal and external stakeholders.

As a Sr. Provider Enrollment Analyst, you will lead a team by guiding and training analysts in provider enrollment, handling complex applications, conducting audits, and resolving issues. You will ensure effective communication with internal and external customers and generate reports for management.

The Provider Enrollment Analyst is responsible for processing and validating provider enrollment applications, ensuring compliance with standards, maintaining provider file integrity, and providing customer service. Duties include data verification, updates to enrollment databases, and assisting with system testing and process improvements.