Columbia, South Carolina, United States · Hybrid
Summary Description Position Purpose: Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists wi…
Skills: Statistical Programming, Data Analysis, Database Programming, Sampling Design, Data Mining
Columbia, South Carolina, United States · On-site
Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. De…
Skills: Claims Processing, Appeals Processing, Customer Service, Verbal Communication, Written Communication
Columbia, South Carolina, United States · Hybrid
Summary Provides oversight/direction for all activities of a membership area/function to include any or all of the following: enrollment, application processing, billing, account administration and management (mailings, …
Skills: Membership Administration, Billing Systems, Staff Management, Customer Service, Operational Compliance
Columbia, South Carolina, United States · Hybrid
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly em…
Skills: AI Security Architecture, GenAI Threat Modeling, IAM, Data Protection, Cloud Protection
South Carolina, United States · Hybrid
Summary We are currently hiring for a Credentialing Manager to join BlueCross BlueShield of South Carolina. In this role as a Credentialing Manager, you will be responsible for the management of all provider credentialin…
Skills: Credentialing Management, NCQA Standards, JCAHO Standards, Healthcare Program Management, Provider Network Management
Greenville, South Carolina, United States · Hybrid
Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Dete…
Skills: Claims Processing, Customer Service, Written Communication, Verbal Communication, Microsoft Office
Columbia, South Carolina, United States · On-site
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Location: This position is a full-time (40-hours/week) Monday-F…
Skills: Verbal Communication, Written Communication, Human Relations, Organizational Skills, Stress Management
Nashville, Tennessee, United States · Remote Solely
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Location: This position is a full-time remote position (40-hour…
Skills: Verbal Communication, Written Communication, Human Relations, Organizational Skills, Stress Management
South Carolina, United States · Hybrid
Summary We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coord…
Skills: Care Management, Case Coordination, Medical Necessity Review, Motivational Interviewing, Patient Education
Columbia, South Carolina, United States · On-site
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as neede…
Skills: Verbal Communication, Written Communication, Spelling, Punctuation, Grammar
Columbia, South Carolina, United States · On-site
Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. De…
Skills: Claims Processing, Appeals Processing, Customer Service, Verbal Communication, Written Communication
San Francisco, California, United States · Remote OK
$22/hr–$40/hr
Summary Premium accuracy directly impacts our clients, our contracts, and our credibility. The Premium Coordinator ensures that every payment, every reconciliation, and every disbursement is handled with the professional…
Skills: Premium Application Processing, Payment Reconciliation, Data Analysis, Customer Service, Organizational Skills
Columbia, South Carolina, United States · On-site
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly em…
Skills: SAS, SQL, Python, DB2, Data Extraction
Columbia, South Carolina, United States · On-site
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as neede…
Skills: Customer Relations, Claims Processing, Verbal Communication, Written Communication, Organizational Skills
Columbia, South Carolina, United States · Hybrid
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed…
Skills: Bilingual Spanish, Customer Service, Claims Processing, Appeals Processing, Verbal Communication
Columbia, South Carolina, United States · On-site
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as neede…
Skills: Customer Relations, Claims Processing, Verbal Communication, Written Communication, Organizational Skills
Columbia, South Carolina, United States · On-site
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed…
Skills: English Fluency, Spanish Fluency, Customer Service, Claims Processing, Verbal Communication
Columbia, South Carolina, United States · On-site
Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. You will be responsible for responding to customer inquiries. Inquiries may be non-routine and req…
Skills: Customer Service, Claims Processing, Appeals Processing, Verbal Communication, Written Communication
Florence, South Carolina, United States · On-site
Summary We are currently hiring for a Customer Service Phone Advocate I to join BlueCross BlueShield of South Carolina. You will be responsible for providing prompt, accurate, thorough and courteous responses to all tele…
Skills: Verbal Communication, Human Relations, Organizational Skills, Stress Management, Judgment Skills
Columbia, South Carolina, United States · Hybrid
Summary Prepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all aspects of claim…
Skills: Institutional Auditing, Medical Billing Review, Claim Processing, Medical Coding, Analytical Thinking
Columbia, South Carolina, United States • Hybrid
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Develops comprehensive reports and utilizes statistical programming tools to identify patterns and trends in data. Designs and maintains database programs for data extraction and creates visual materials to illustrate analytical findings.
Requires a bachelor's degree in a job-related field and at least 2 years of experience in statistical programming or interpretation. Proficiency in SAS, Python, Tableau, and relational databases is preferred.
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts.
Logistics: BlueCross and BlueShield of South Carolina.
Location: This position is full-time (40 hours per week), Monday through Friday, in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00 AM to 5:00 PM. Based on performance, there may be an opportunity to work from home after a six-month training period. Occasional overtime may be required depending on business needs. This role is located at 4101 Percival Road, Columbia, SC 29229.
Designs, codes, maintain and executes simple to complex database programs for the extraction and presentation of data for standard and ad hoc reporting. Utilizes statistical programming tools to identify patterns and trends in data. Assists in sampling design, sample selection, and relevant projections. Performs statistical validations of sampling and related projections. Assists with the preparation of charts, illustrations, other graphics and narrative reports to explain findings.
Assists with development of complex statistical analysis, including standard reporting, AD HOC reporting, and data mining tools. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts.
Provides assistance in development of project plans and system life cycle maintenance, development of change requests and test plans impacting existing databases, and in the research of new sources for data.
Verifies data in existing databases and assists in the collection of data and management of existing databases. Creates supporting documentation outlining procedures within scope of responsibility.
To Qualify For This Position, You'll Need The Following:
Bachelor's in a job-related field
2 Years statistical programming or statistical interpretation.
Good organizational, customer service, and analytical skills.
Ability to use complex mathematical calculations.
Demonstrated knowledge of mathematical or statistical concepts.
Relevant computer programming skills.
Required Software and Tools: Microsoft Office.
We Prefer That You Have The Following:
Bachelor's degree-Statistics/Biostatistics, mathematics, computer science, or other job-related field.
2 years experience with statistical practices. 2 years relational database experience. (may be concurrent).
Strong proficiency and hands on experience with SAS, Python and Tableau.
Computer systems support knowledge.
We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
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South Carolina’s largest and oldest health insurance company
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies. Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year. If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now! BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. We are an Equal Opportunity Employer. We will consider all qualified applicants for employment regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information, or any other legally protected status.
Offices: I-20 E at Alpine Road, Columbia, South Carolina 29219, US
South Carolina’s largest and oldest health insurance company
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies. Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year. If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now! BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. We are an Equal Opportunity Employer. We will consider all qualified applicants for employment regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information, or any other legally protected status.
Offices: I-20 E at Alpine Road, Columbia, South Carolina 29219, US
