South Carolina, United States · Remote Solely
Summary We are currently hiring for a Chronic Disease Coach to join BlueCross BlueShield of South Carolina. In this role as a Chronic Disease Coach, you will provide support to members for disease prevention and healthy …
Skills: Motivational Interviewing, Reflective Listening, Patient Education, Case Management, Clinical Risk Assessment
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, Customer Service, Spelling, Punctuation
Columbia, South Carolina, United States · On-site
Summary Responsible for providing support for day-to-day compensation operations. Perform various activities including conducting basic compensation research; reviewing and processing requests in Human Capital Management…
Skills: Compensation Research, HCM System Maintenance, Data Integrity, Salary Survey Analysis, FLSA 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: System Analysis, Software Engineering, Technical Design, Project Management, Requirements Gathering
Faulkner County, Arkansas, United States · Remote Solely
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, Human Relations, Organizational Skills, Stress Management
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, Customer Service, Spelling, Punctuation
Columbia, South Carolina, United States · On-site
Summary Depending on department needs, this job includes the following: cashier, prep cook, food server, dishwasher/pot washer, catering delivery, restocking as needed, and any other need as asked by management. Sponsors…
Skills: Food Preparation, Customer Service, Basic Business Math, Oral Communication, Written Communication
South Carolina, United States · Remote Solely
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, Clinical Assessment, Utilization Review, Motivational Interviewing, Patient Education
Columbia, South Carolina, United States · On-site
Summary Description 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 roo…
Skills: General Ledger Maintenance, Account Reconciliation, Journal Entries, Financial Reporting, Financial Analysis
Florence, South Carolina, United States · On-site
Summary Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental…
Skills: Management, Organization, Communication, Decision-making, Analytical Skills
Florence, South Carolina, United States · On-site
Summary Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental…
Skills: Management, Organization, Communication, Decision-making, Analytical Skills
Columbia, South Carolina, United States · Hybrid
Summary We are currently hiring for a Medical Assistant to join BlueCross BlueShield of South Carolina. In this role as a Medical Assistant, you will assist with health management activities/programs for BlueCross BlueSh…
Skills: Health Coaching, Patient Documentation, Quality Indicator Monitoring, Educational Material Development, Customer Service
Columbia, South Carolina, United States · On-site
Summary Description 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 roo…
Skills: General Ledger Reconciliation, Journal Entries, Financial Reporting, Financial Analysis, Budgeting
Columbia, South Carolina, United States · On-site
Summary Provides education and training support for network providers, staff, suppliers, physicians, beneficiaries, referral agents as necessary. Develops and produces training and educational materials. Sponsorship: Thi…
Skills: Training Materials Development, Classroom Presentation, Word Processing, Spreadsheet Software, Customer Service
Columbia, South Carolina, United States · On-site
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roo…
Skills: Financial Analysis, Financial Modeling, Valuation, GAAP, Discounted Cash Flow
Columbia, South Carolina, United States · On-site
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roo…
Skills: Inventory Balancing, Reconciliations, Accounts Payable, Accounts Receivable, Journal Entries
Georgia, United States · Remote OK
$206k–$414k/yr
Summary As a member of the senior management team, the Physical Medicine and Rehabilitation Medical Director provides administrative oversight to the medical staff, analyzes medical review utilization data, researches ne…
Skills: Medical Review, Utilization Review, Medical Policy Development, Case Review, Claim Adjudication
Columbia, South Carolina, United States · Hybrid
Summary Description Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with…
Skills: Systems Analysis, Software Engineering, Application Systems Analysis, Data Migration, System Integration
Columbia, South Carolina, United States · Hybrid
Summary Description Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with…
Skills: Statistical Programming, Data Extraction, Data Analysis, Statistical Modeling, Database Management
Columbia, South Carolina, United States · On-site
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roo…
Skills: Inventory Balancing, Reconciliations, Journal Entries, Accounts Payable, Accounts Receivable
South Carolina, United States • Remote Solely
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Provide personalized guidance, education, and support to members for chronic disease prevention and healthy promotion. Collaborate with members to set health goals, navigate healthcare systems, and implement action plans using motivational interviewing techniques.
Requires an Associate's degree in a related field or nursing graduation and 3 years of professional health and wellness experience. Candidates must be proficient in Microsoft Office and obtain a health coaching certification within 4 years of hire.
This position is full-time (40 hours/week) Monday-Friday from 8:30am-5:00pm and will be fully remote in South Carolina, North Carolina, or Georgia.
What You’ll Do:
Assess for needs related to a member’s chronic condition, clinical risk and readiness for change via company needs questionnaire. Based on the needs assessment, complete and coordinate action plans in cooperation with members, then implement plans to include member goals. Provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to elicit behavior change and increase member program engagement.
Participates in patient education with members and providers regarding the member’s condition and available benefit plans. Serves as member advocate through continued communication and education. Promotes enrollment in health and chronic condition management programs.
Provides appropriate communications (written, telephone) regarding member conditions to both health care providers and members.
Participates in data collection/input into system for clinical information flow. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
Maintains current knowledge of network status of all service providers to educate members on care they may receive related to their chronic condition(s). Assists members with referrals to appropriate internal support areas to ensure proper processing of authorized or unauthorized services, as needed.
To Qualify for This Position, You'll Need the Following:
Required Education: Associate's in job related field
Degree Equivalency: Graduate of Accredited School of Nursing OR graduate of a health-related degree OR 2 years job related work experience
Required work experience: 3 years of professional health and wellness experience
Required skills and abilities: Working knowledge of word processing software.
Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application.
Ability to work independently, prioritize effectively, and make sound decisions.
Good judgment skills.
Demonstrated customer service, organizational, and presentation skills.
Demonstrated proficiency in spelling, punctuation, and grammar skills.
Demonstrated oral and written communication skills.
Ability to persuade, negotiate, or influence others.
Analytical or critical thinking skills.
Ability to handle confidential or sensitive information with discretion.
Software and other tools: Microsoft Office
Licenses and Certifications: Within 4 years of hire, must get certification in health coaching (ex: National Board-Certified Health and Wellness Coach).
We Prefer That You Have the Following:
Preferred Education: Bachelor’s degree in health-related field (e.g. Nursing, Social Work, Health Ed, Wellness, Health Promotion, Behavioral Health)
Preferred Work experience: 5 years - healthcare management
Preferred Specialized Training: Health Coaching Certification
Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for 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
What We Can Do for You:
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.
What To Expect Next:
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.
Some states have required notifications. Here's more information.
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
