Search the 70 jobs at BlueCross BlueShield of South Carolina

The Policy Communications Specialist will create and manage internal and external communication materials, ensuring adherence to branding guidelines. This role involves writing, editing, and coordinating communications while working closely with business partners and Corporate Communications for optimal marketing strategies. The specialist will also manage and update website content and track project statuses to ensure high customer service levels.

The Appeals Specialist performs non-medical reviews and processes redetermination letters. Responsibilities include preparing reports, analyzing workload, ensuring accuracy, and updating documentation. This role also involves gathering documentation for legal inquiries and requires strong customer service and communication skills.

The Financial Analyst III will perform complex financial analyses, prepare reports, manage financial data related to Medicare Trust Fund activities, and support government requirements. Primary tasks include general ledger reconciliations, cash management, and financial statement monitoring in an office environment.

The Accounting Manager is responsible for directing accounting functions, overseeing the financial statement close-out process, ensuring compliance with corporate policies, and managing the accounting staff. This role involves collaboration with management for reporting and audit coordination while maintaining the accuracy and integrity of financial data.

The Auditor II conducts operational, compliance, and financial audits, evaluates internal controls, and identifies business risks. They draft recommendations to improve processes and reduce risks, prepare detailed audit reports, and assist other auditors to maximize efficiency.

The Senior Quality Assurance Analyst conducts quality audits to evaluate departmental operations. Responsibilities include documenting findings, identifying problems, communicating recommendations, generating reports on quality performance, and training new employees. The role involves supporting special projects related to business implementation or system changes.

The Systems Software Specialist develops and maintains software applications and operating systems, analyzes system functionality, and recommends improvements. Responsibilities include installing software, managing hardware, performing data backups, providing help desk support, and ensuring data security to enhance efficiency in the business area.

The Training Specialist II is responsible for identifying training needs, developing training materials, and facilitating training sessions. This role includes managing performance assessments, coaching new trainers, and evaluating training methods to meet business goals. The specialist must possess strong organizational and project management skills to ensure timely delivery of training solutions.

Promote effective quality management system in accordance with ISO 9001:2015 standards through maintenance of control of documents program, internal audits, and monitoring corrective, preventive, and improvement actions.

Responsible for interpreting, reviewing, and analyzing benefit plan designs, programming benefits, and developing process solutions. Full-time position in Columbia, SC with remote work option. Requires 2 years of related experience and strong analytical skills.

The Accountant I is responsible for maintaining accurate general ledger accounts, processing journal entries, preparing financial reports, performing account reconciliations, and assisting with financial analysis and reporting. They will also support special projects assigned by management, ensuring compliance with internal and regulatory requirements.

The Senior Programming Change Administrator is responsible for managing software changes, ensuring audit compliance, and improving IT processes. This role includes designing and writing code or JCL for data extraction and reporting, analyzing processes for efficiency, and collaborating with teams for business improvement.

The Accountant II will manage complex accounting activities, including maintaining the general ledger, preparing financial reports, performing account reconciliations, and assisting with audits. The role requires analysis of financial data and collaboration with supervisors on projects.

The Business Systems Analyst I will define customer needs in both technical and business contexts, ensuring proposed solutions meet customer objectives. The role involves eliciting and documenting user requirements, guiding departments in system development, and validating business needs for improvements.

The Accountant III prepares complex account reconciliations, ensures compliance with accounting regulations, manages general ledger transactions, supports financial closing activities, and provides training and advice to junior accountants. They are responsible for analyzing transactions and resolving discrepancies, generating financial reports, and improving departmental documentation.

Responsible for the accurate and timely processing of claims by researching claims according to business regulations and internal standards. The role involves verifying coding, resolving errors, and coordinating with internal departments for updates.

As a Claims Processor I, you will accurately and timely process claims according to regulations and guidelines. Responsibilities include verifying coding, resolving claims errors, and coordinating with internal departments for necessary updates. Strong analytical and communication skills are essential.

Responsible for reviewing and adjudicating complex claims, processing claims according to business regulations, verifying correct coding, and correcting processing errors. Mentoring new staff may also be a part of the role, along with resolving claims issues using policy resources.

As a Provider File Operations Supervisor, you will manage provider enrollment and quality assurance staff, ensuring accurate and timely provider onboarding, credentialing, file maintenance, and compliance with contract requirements. You will also supervise, train, and provide support to your team, participate in system design, and handle provider inquiries.

As a Corporate Attorney, you will provide legal counsel related to a variety of corporate matters, manage litigation and complaints, negotiate complex contracts, and collaborate with business areas to support organizational growth. Duties include research, analysis, contract drafting, and addressing legal risks in a business environment.