BlueCross BlueShield of South Carolina, the state's largest insurance company, has been a part of the national landscape for over six decades. With an A+ Superior rating from A.M. Best, the company is a leading government contract administrator and operates one of the most advanced data processing centers in the Southeast. BlueCross offers employees robust benefits, including retirement plans, health coverage, and education assistance, while fostering a culture of community support, with employees actively contributing to numerous nonprofit organizations each year.

Finance

BlueCross BlueShield of South Carolina

South Carolina’s largest and oldest health insurance company

You need a high school diploma, 1 year of related experience, 2 years in quality audits, strong analytical skills, proficiency in Microsoft Office, and excellent communication abilities.

You will conduct quality audits, document findings, recommend improvements, train employees, compile reports, and assist with special projects to enhance operational quality and efficiency.

Customer Relations

Columbia

Summary Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Identifies problems, analyzes cause and effect, and makes recommendations for improvements. Description Location This role is full time M-F 8am-5pm, onsite at our Columbia, SC location. What You Will Do * Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed * Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors * Identifies areas of weakness and communicates recommendations on changes and improvements to training materials * Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes * Develops and implements a quality control and improvement program based on targets identified through the quality reviews * Monitors and evaluates the implementation of corrective action plans * Compiles data, provides feedback, and generates reports for operations and/or training areas on quality performance * Train new employees and remains current with all guideline changes, work instructions, etc * Writes or assists in writing desk procedures and training materials for departments. * Provides assistance with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc. To Qualify For This Position, You Will Need * Required Education: High School Diploma OR equivalent * Required Work Experience: 1 year of related claims processing, customer service, auditing, training, analysis or operations experience. 2 years of experience performing quality audits * Required Software and tools: Microsoft Office * Required Skills and Abilities: Strong analytical, presentation, customer service, persuasion, and organization skills. Strong business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Strong written and verbal communication skills. What We Can Do For You * 401(k) retirement savings plan with company match * Subsidized health plans and free vision coverage * Life insurance * Paid annual leave – the longer you work here, the more you earn * Nine paid holidays * On-site cafeterias and fitness centers in major locations * Wellness programs and healthy lifestyle premium discount * Tuition assistance * Service recognition * Incentive Plan * Merit Plan * Continuing education funds for additional certifications and certification renewal 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 a recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. 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 mycareer.help@bcbssc.com 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.

SummaryPerforms quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Identifies problems, analyzes cause and effect, and makes recommendations for improvements.DescriptionLocationThis role is full time M-F 8am-5pm, onsite at our Columbia, SC location.What You Will Do * Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed * Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors * Identifies areas of weakness and communicates recommendations on changes and improvements to training materials * Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes * Develops and implements a quality control and improvement program based on targets identified through the quality reviews * Monitors and evaluates the implementation of corrective action plans * Compiles data, provides feedback, and generates reports for operations and/or training areas on quality performance * Train new employees and remains current with all guideline changes, work instructions, etc * Writes or assists in writing desk procedures and training materials for departments. * Provides assistance with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc.      To Qualify For This Position, You Will Need * Required Education: High School Diploma OR equivalent * Required Work Experience: 1 year of related claims processing, customer service, auditing, training, analysis or operations experience. 2 years of experience performing quality audits * Required Software and tools: Microsoft Office * Required Skills and Abilities: Strong analytical, presentation, customer service, persuasion, and organization skills. Strong business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Strong written and verbal communication skills.      What We Can Do For You * 401(k) retirement savings plan with company match * Subsidized health plans and free vision coverage * Life insurance * Paid annual leave – the longer you work here, the more you earn * Nine paid holidays * On-site cafeterias and fitness centers in major locations * Wellness programs and healthy lifestyle premium discount * Tuition assistance * Service recognition * Incentive Plan * Merit Plan * Continuing education funds for additional certifications and certification renewal      What To Expect NextAfter 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 a recruiter to verify resume specifics and salary requirements.Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.Equal Employment Opportunity StatementBlueCross 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 mycareer.help@bcbssc.com 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.

Senior Quality Assurance Analyst - BlueCross BlueShield of South Carolina

&lt;strong&gt;Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Identifies problems, analyzes cause and effect, and makes recommendations for improvements.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Location&lt;br&gt;&lt;br&gt;&lt;/strong&gt;This role is full time M-F 8am-5pm, onsite at our Columbia, SC location.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What You Will Do&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed&lt;/li&gt;&lt;li&gt;Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors&lt;/li&gt;&lt;li&gt;Identifies areas of weakness and communicates recommendations on changes and improvements to training materials&lt;/li&gt;&lt;li&gt;Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes&lt;/li&gt;&lt;li&gt;Develops and implements a quality control and improvement program based on targets identified through the quality reviews&lt;/li&gt;&lt;li&gt;Monitors and evaluates the implementation of corrective action plans&lt;/li&gt;&lt;li&gt;Compiles data, provides feedback, and generates reports for operations and/or training areas on quality performance&lt;/li&gt;&lt;li&gt;Train new employees and remains current with all guideline changes, work instructions, etc&lt;/li&gt;&lt;li&gt;Writes or assists in writing desk procedures and training materials for departments.&lt;/li&gt;&lt;li&gt;Provides assistance with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;To Qualify For This Position, You Will Need&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Required Education: High School Diploma OR equivalent&lt;/li&gt;&lt;li&gt;Required Work Experience: 1 year of related claims processing, customer service, auditing, training, analysis or operations experience. 2 years of experience performing quality audits&lt;/li&gt;&lt;li&gt;Required Software and tools: Microsoft Office&lt;/li&gt;&lt;li&gt;Required Skills and Abilities: Strong analytical, presentation, customer service, persuasion, and organization skills. Strong business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Strong written and verbal communication skills.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What We Can Do For You&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;401(k) retirement savings plan with company match&lt;/li&gt;&lt;li&gt;Subsidized health plans and free vision coverage&lt;/li&gt;&lt;li&gt;Life insurance&lt;/li&gt;&lt;li&gt;Paid annual leave – the longer you work here, the more you earn&lt;/li&gt;&lt;li&gt;Nine paid holidays&lt;/li&gt;&lt;li&gt;On-site cafeterias and fitness centers in major locations&lt;/li&gt;&lt;li&gt;Wellness programs and healthy lifestyle premium discount&lt;/li&gt;&lt;li&gt;Tuition assistance&lt;/li&gt;&lt;li&gt;Service recognition&lt;/li&gt;&lt;li&gt;Incentive Plan&lt;/li&gt;&lt;li&gt;Merit Plan&lt;/li&gt;&lt;li&gt;Continuing education funds for additional certifications and certification renewal&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What To Expect Next&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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 a recruiter to verify resume specifics and salary requirements.&lt;br&gt;&lt;br&gt;Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Employment Opportunity Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com 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.&lt;br&gt;&lt;br&gt;We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.&lt;br&gt;&lt;br&gt;Some states have required notifications. Here's more information.

Senior Quality Assurance Analyst

You need a high school diploma, 1 year of healthcare or insurance experience, strong analytical and communication skills, and proficiency in word processing, spreadsheets, and databases.

You will research and process claims, verify codes, resolve edits and errors, and coordinate with departments to update patient and provider information.

Data

Healthcare

Florence

Summary Responsible for the accurate and timely processing of claims. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 300 North Dozier Blvd. Florence, SC 29501. What You’ll Do * Research and process claims according to business regulation, internal standards and processing guidelines. Verify the coding of procedure and diagnosis codes. * Resolve system edits, audits and claim errors through research and use of approved references and investigative sources. * Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary. To Qualify For This Position, You'll Need The Following * Required Education: High School Diploma or equivalent * Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills. We Prefer You Have * Ability to use complex mathematical calculations. * 1 year of experience in a healthcare or insurance environment. * Proficient in word processing and spreadsheet applications. Proficient in database software. Our Comprehensive Benefits Package Includes The Following We offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 mycareer.help@bcbssc.com 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.

SummaryResponsible for the accurate and timely processing of claims.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 300 North Dozier Blvd. Florence, SC 29501.What You’ll Do * Research and process claims according to business regulation, internal standards and processing guidelines. Verify the coding of procedure and diagnosis codes. * Resolve system edits, audits and claim errors through research and use of approved references and investigative sources. * Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.      To Qualify For This Position, You'll Need The Following * Required Education: High School Diploma or equivalent * Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills.      We Prefer You Have * Ability to use complex mathematical calculations. * 1 year of experience in a healthcare or insurance environment. * Proficient in word processing and spreadsheet applications. Proficient in database software.      Our Comprehensive Benefits Package Includes The FollowingWe offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 YouWe 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 NextAfter 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 StatementBlueCross 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 mycareer.help@bcbssc.com 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.

Claims Processor I - BlueCross BlueShield of South Carolina

&lt;strong&gt;Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Responsible for the accurate and timely processing of claims.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Location:&lt;/strong&gt; This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 300 North Dozier Blvd. Florence, SC 29501.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What You’ll Do&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Research and process claims according to business regulation, internal standards and processing guidelines. Verify the coding of procedure and diagnosis codes.&lt;/li&gt;&lt;li&gt;Resolve system edits, audits and claim errors through research and use of approved references and investigative sources.&lt;/li&gt;&lt;li&gt;Coordinate with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;To Qualify For This Position, You'll Need The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Required Education: High School Diploma or equivalent&lt;/li&gt;&lt;li&gt;Required Skills and Abilities: Strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient spelling, punctuation and grammar skills. Good judgment skills. Basic business math skills.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;We Prefer You Have&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Ability to use complex mathematical calculations.&lt;/li&gt;&lt;li&gt;1 year of experience in a healthcare or insurance environment.&lt;/li&gt;&lt;li&gt;Proficient in word processing and spreadsheet applications. Proficient in database software.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Our Comprehensive Benefits Package Includes The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Subsidized health plans, dental and vision coverage&lt;/li&gt;&lt;li&gt;401k retirement savings plan with company match&lt;/li&gt;&lt;li&gt;Life Insurance&lt;/li&gt;&lt;li&gt;Paid Time Off (PTO)&lt;/li&gt;&lt;li&gt;On-site cafeterias and fitness centers in major locations&lt;/li&gt;&lt;li&gt;Education Assistance&lt;/li&gt;&lt;li&gt;Service Recognition&lt;/li&gt;&lt;li&gt;National discounts to movies, theaters, zoos, theme parks and more.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What We Can Do For You&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What To Expect Next&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Employment Opportunity Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com 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.&lt;br&gt;&lt;br&gt;We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.&lt;br&gt;&lt;br&gt;Some states have required notifications. Here's more information.

Claims Processor I

You need a high school diploma, 1 year of relevant experience, strong communication and organizational skills, and proficiency in Microsoft Office.

You will verify provider information, maintain provider data in systems, assign providers to networks, contribute to production standards, and participate in special projects like audits and quality improvements.

Logistics

Summary Responsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims adjudication, and provider billing. Description Logistics: PGBA – is a subsidiary company of BlueCross BlueShield of South Carolina. Location: This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 8:00 AM –5:00 PM. Training will be Monday – Friday 8:00 AM - 4:30/5:00 PM for approximately 6-8 weeks. This role is located on site at 200 North Dozier Boulevard, Florence SC 29501 * Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. * SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do * Verifies necessary/needed information (written notifications, faxes, emails, or telephone contacts) and/or establishes certification of healthcare service providers. Prepares provider files/maintains provider data (updates, additions, deletions) on the provider information management system (PIMS) or appropriate provider system/database. * Identifies/assigns providers to the appropriate network and provider system/database. * Contributes to department's production standard by working on PIMS and AMMS (automated medical management systems) or appropriate provider system/database maintenance/error reports. * Contributes to and participates on special projects, which may include but are not limited to the following: mass rate updates, quality improvement, audits, etc. To Qualify for This Position, You’ll Need the Following: * Required Education: * High School Diploma or equivalent * Required Work Experience: * 1 year of administrative/clerical support, customer service, claims processing, and/or provider network/certification experience. * Required Skills and Abilities: * Working knowledge of word processing and spreadsheet software. Knowledge/understanding of or ability to acquire PIMS. * Good judgment skills. * Effective customer service and organizational skills. * Demonstrated verbal and written communication skills. * Basic business math proficiency. * Ability to handle confidential or sensitive information with discretion. * Required Software and Tools: * Microsoft office We Prefer You Have The Following * Ability to learn DB2, SQL language to create/run PIMS queries for QC/research purposes. 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 * Wellness program and healthy lifestyle premium discount * Tuition assistance * Service recognition * Employee Assistance * 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. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications 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 mycareer.help@bcbssc.com 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.

SummaryResponsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims adjudication, and provider billing.DescriptionLogistics:PGBA – is a subsidiary company of BlueCross BlueShield of South Carolina.Location:This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 8:00 AM –5:00 PM. Training will be Monday – Friday 8:00 AM - 4:30/5:00 PM for approximately 6-8 weeks. This role is located on site at 200 North Dozier Boulevard, Florence SC 29501 * Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. * SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.      What You’ll Do * Verifies necessary/needed information (written notifications, faxes, emails, or telephone contacts) and/or establishes certification of healthcare service providers. Prepares provider files/maintains provider data (updates, additions, deletions) on the provider information management system (PIMS) or appropriate provider system/database. * Identifies/assigns providers to the appropriate network and provider system/database. * Contributes to department's production standard by working on PIMS and AMMS (automated medical management systems) or appropriate provider system/database maintenance/error reports. * Contributes to and participates on special projects, which may include but are not limited to the following: mass rate updates, quality improvement, audits, etc.      To Qualify for This Position, You’ll Need the Following: * Required Education: * High School Diploma or equivalent * Required Work Experience: * 1 year of administrative/clerical support, customer service, claims processing, and/or provider network/certification experience. * Required Skills and Abilities: * Working knowledge of word processing and spreadsheet software. Knowledge/understanding of or ability to acquire PIMS. * Good judgment skills. * Effective customer service and organizational skills. * Demonstrated verbal and written communication skills. * Basic business math proficiency. * Ability to handle confidential or sensitive information with discretion. * Required Software and Tools: * Microsoft office      We Prefer You Have The Following * Ability to learn DB2, SQL language to create/run PIMS queries for QC/research purposes.      Our Comprehensive Benefits Package Includes The FollowingWe 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 * Wellness program and healthy lifestyle premium discount * Tuition assistance * Service recognition * Employee Assistance * Discounts to movies, theaters, zoos, theme parks and more      What We Can Do For YouWe 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 NextAfter 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.Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualificationsEqual Employment Opportunity StatementBlueCross 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 mycareer.help@bcbssc.com 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.

Provider File Specialist I - BlueCross BlueShield of South Carolina

&lt;strong&gt;Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Responsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims adjudication, and provider billing.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Logistics: &lt;br&gt;&lt;br&gt;&lt;/strong&gt;PGBA – is a subsidiary company of BlueCross BlueShield of South Carolina.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Location:&lt;br&gt;&lt;br&gt;&lt;/strong&gt;This position is full-time (40 hours/week) Monday-Friday in a typical office environment. Employees are required to have flexibility work any our 8-hour shift scheduled during hours of 8:00 AM –5:00 PM. Training will be Monday – Friday 8:00 AM - 4:30/5:00 PM for approximately 6-8 weeks. This role is located on site at 200 North Dozier Boulevard, Florence SC 29501&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.&lt;/li&gt;&lt;li&gt;SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What You’ll Do&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Verifies necessary/needed information (written notifications, faxes, emails, or telephone contacts) and/or establishes certification of healthcare service providers. Prepares provider files/maintains provider data (updates, additions, deletions) on the provider information management system (PIMS) or appropriate provider system/database.&lt;/li&gt;&lt;li&gt;Identifies/assigns providers to the appropriate network and provider system/database.&lt;/li&gt;&lt;li&gt;Contributes to department's production standard by working on PIMS and AMMS (automated medical management systems) or appropriate provider system/database maintenance/error reports.&lt;/li&gt;&lt;li&gt;Contributes to and participates on special projects, which may include but are not limited to the following: mass rate updates, quality improvement, audits, etc.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;To Qualify for This Position, You’ll Need the Following:&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Required Education:&lt;/li&gt;&lt;li&gt;High School Diploma or equivalent&lt;/li&gt;&lt;li&gt;Required Work Experience: &lt;/li&gt;&lt;li&gt;1 year of administrative/clerical support, customer service, claims processing, and/or provider network/certification experience.&lt;/li&gt;&lt;li&gt;Required Skills and Abilities: &lt;/li&gt;&lt;li&gt;Working knowledge of word processing and spreadsheet software. Knowledge/understanding of or ability to acquire PIMS.&lt;/li&gt;&lt;li&gt;Good judgment skills. &lt;/li&gt;&lt;li&gt;Effective customer service and organizational skills. &lt;/li&gt;&lt;li&gt;Demonstrated verbal and written communication skills. &lt;/li&gt;&lt;li&gt;Basic business math proficiency. &lt;/li&gt;&lt;li&gt;Ability to handle confidential or sensitive information with discretion.&lt;/li&gt;&lt;li&gt;Required Software and Tools:&lt;/li&gt;&lt;li&gt;Microsoft office&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;We Prefer You Have The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Ability to learn DB2, SQL language to create/run PIMS queries for QC/research purposes.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Our Comprehensive Benefits Package Includes The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Subsidized health plans, dental and vision coverage&lt;/li&gt;&lt;li&gt;401K retirement savings plan with company match&lt;/li&gt;&lt;li&gt;Life Insurance&lt;/li&gt;&lt;li&gt;Paid Time Off (PTO)&lt;/li&gt;&lt;li&gt;On-site cafeterias and fitness centers in major locations&lt;/li&gt;&lt;li&gt;Wellness program and healthy lifestyle premium discount&lt;/li&gt;&lt;li&gt;Tuition assistance&lt;/li&gt;&lt;li&gt;Service recognition&lt;/li&gt;&lt;li&gt;Employee Assistance&lt;/li&gt;&lt;li&gt;Discounts to movies, theaters, zoos, theme parks and more&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What We Can Do For You&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What To Expect Next&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the required qualifications&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Employment Opportunity Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com 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.&lt;br&gt;&lt;br&gt;We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.&lt;br&gt;&lt;br&gt;Some states have required notifications. Here's more information.

Provider File Specialist I

You need a bachelor's degree (or associate plus 2 years), 2 years of research/analysis experience, Microsoft Office, SQL, strong analytical skills, and knowledge of programming languages.

You will analyze data, create reports, develop database programs, document procedures, and perform focused analyses to support operational and financial decisions.

Research & Development

Myrtle Beach

Summary Analyze data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzing results in support of operational functions. Description Logistics: PGBA – one of BlueCross BlueShield's SC subsidiary companies. Location: This position is onsite at 8733 Highway 17 Bypass Myrtle Beach, SC 29575. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. What You'll Do * Review, extract, and analyze data to formulate procedures, processes, and other requirements. Provide reports of relevant activity to identify problematic areas and provide the basis for modifying and/or eliminating operations issues. * Assist with developing complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Perform focused analyses as needed. Create data search programs to identify pertinent data required to provide supporting documentation for system or operational enhancements/changes. * Document reporting procedures so other staff can run ad hoc reports independently. Design, code, and maintain complex database programs to extract and analyze data to support financial and operational decisions. To Qualify For This Position, You'll Need The Following * Required Education: Bachelor's degree in a job-related field or associate degree and two (2) years of job-related work experience * Degree Equivalency: Four (4) years of job-related work experience. * Required Work Experience: 2 years of research and analysis experience * Required Software and tools: Microsoft Office. Knowledge of tools such as VBA, SQL, and Excel Required Skills And Abilities * Strong organizational, customer service, communications, and analytical skills. * Ability to use complex mathematical calculations. * Advanced knowledge of mathematical and statistical concepts. Knowledge of relevant computer support systems. * Knowledge of programming languages across various software platforms using DB2, SQL, and/or relational databases. * Ability to analyze data results, determine the source of aberrant statistics, and resolve data issues. We Prefer That You Have The Following * Preferred Work Experience: 4 years of research and analysis experience. * Preferred Skills and Abilities: Computer programming skills. Negotiation or persuasion skills. Knowledge of ICD9/CPT4 coding. * Computer programming skills * Preferred Software and Other Tools: SAS experience. Our Comprehensive Benefits Package Includes The Following We offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 * Tuition Assistance * Service Recognition * Employee Assistance * 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 mycareer.help@bcbssc.com 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.

SummaryAnalyze data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzing results in support of operational functions.DescriptionLogistics: PGBA – one of BlueCross BlueShield's SC subsidiary companies.Location: This position is onsite at 8733 Highway 17 BypassMyrtle Beach, SC 29575.SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.What You'll Do * Review, extract, and analyze data to formulate procedures, processes, and other requirements. Provide reports of relevant activity to identify problematic areas and provide the basis for modifying and/or eliminating operations issues. * Assist with developing complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Perform focused analyses as needed. Create data search programs to identify pertinent data required to provide supporting documentation for system or operational enhancements/changes. * Document reporting procedures so other staff can run ad hoc reports independently. Design, code, and maintain complex database programs to extract and analyze data to support financial and operational decisions.      To Qualify For This Position, You'll Need The Following * Required Education: Bachelor's degree in a job-related field or associate degree and two (2) years of job-related work experience * Degree Equivalency: Four (4) years of job-related work experience. * Required Work Experience: 2 years of research and analysis experience * Required Software and tools: Microsoft Office. Knowledge of tools such as VBA, SQL, and Excel      Required Skills And Abilities * Strong organizational, customer service, communications, and analytical skills. * Ability to use complex mathematical calculations. * Advanced knowledge of mathematical and statistical concepts. Knowledge of relevant computer support systems. * Knowledge of programming languages across various software platforms using DB2, SQL, and/or relational databases. * Ability to analyze data results, determine the source of aberrant statistics, and resolve data issues.      We Prefer That You Have The Following * Preferred Work Experience: 4 years of research and analysis experience. * Preferred Skills and Abilities: Computer programming skills. Negotiation or persuasion skills. Knowledge of ICD9/CPT4 coding. * Computer programming skills * Preferred Software and Other Tools: SAS experience.      Our Comprehensive Benefits Package Includes The FollowingWe offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 * Tuition Assistance * Service Recognition * Employee Assistance * Discounts to movies, theaters, zoos, theme parks and more      What We Can Do For YouWe 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 NextAfter 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 StatementBlueCross 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 mycareer.help@bcbssc.com 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.

Data Analyst II - PGBA - BlueCross BlueShield of South Carolina

&lt;strong&gt;Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Analyze data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzing results in support of operational functions.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Logistics: &lt;/strong&gt; PGBA &lt;strong&gt;– &lt;/strong&gt;one of BlueCross BlueShield's SC subsidiary companies.&lt;br&gt;&lt;br&gt;&lt;strong&gt;&lt;strong&gt;&lt;strong&gt;&lt;strong&gt;&lt;strong&gt;Location:&lt;/strong&gt; &lt;/strong&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;/strong&gt;This position is onsite at 8733 Highway 17 Bypass&lt;br&gt;&lt;br&gt;Myrtle Beach, SC 29575.&lt;br&gt;&lt;br&gt;&lt;strong&gt;SCA Benefit Requirements: &lt;/strong&gt;BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (&lt;em&gt;SCA&lt;/em&gt;). &lt;strong&gt;Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Government Clearance: &lt;/strong&gt;&lt;strong&gt;This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;What You'll Do&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Review, extract, and analyze data to formulate procedures, processes, and other requirements. Provide reports of relevant activity to identify problematic areas and provide the basis for modifying and/or eliminating operations issues.&lt;/li&gt;&lt;li&gt;Assist with developing complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Perform focused analyses as needed. Create data search programs to identify pertinent data required to provide supporting documentation for system or operational enhancements/changes.&lt;/li&gt;&lt;li&gt;Document reporting procedures so other staff can run ad hoc reports independently. Design, code, and maintain complex database programs to extract and analyze data to support financial and operational decisions.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;To Qualify For This Position, You'll Need The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Required Education: Bachelor's degree in a job-related field or associate degree and two (2) years of job-related work experience&lt;/li&gt;&lt;li&gt;Degree Equivalency: Four (4) years of job-related work experience. &lt;/li&gt;&lt;li&gt;Required Work Experience: 2 years of research and analysis experience&lt;/li&gt;&lt;li&gt;Required Software and tools: Microsoft Office. Knowledge of tools such as VBA, SQL, and Excel &lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Required Skills And Abilities&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Strong organizational, customer service, communications, and analytical skills. &lt;/li&gt;&lt;li&gt;Ability to use complex mathematical calculations. &lt;/li&gt;&lt;li&gt;Advanced knowledge of mathematical and statistical concepts. Knowledge of relevant computer support systems. &lt;/li&gt;&lt;li&gt;Knowledge of programming languages across various software platforms using DB2, SQL, and/or relational databases. &lt;/li&gt;&lt;li&gt;Ability to analyze data results, determine the source of aberrant statistics, and resolve data issues.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;We Prefer That You Have The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Preferred Work Experience: 4 years of research and analysis experience.&lt;/li&gt;&lt;li&gt;Preferred Skills and Abilities: Computer programming skills. Negotiation or persuasion skills. Knowledge of ICD9/CPT4 coding.&lt;/li&gt;&lt;li&gt;Computer programming skills&lt;/li&gt;&lt;li&gt;Preferred Software and Other Tools: SAS experience.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Our Comprehensive Benefits Package Includes The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.&lt;br&gt;&lt;br&gt;Subsidized health plans, dental and vision coverage&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;401K retirement savings plan with company match&lt;/li&gt;&lt;li&gt;Life Insurance&lt;/li&gt;&lt;li&gt;Paid Time Off (PTO)&lt;/li&gt;&lt;li&gt;On-site cafeterias and fitness centers in major locations&lt;/li&gt;&lt;li&gt;Tuition Assistance&lt;/li&gt;&lt;li&gt;Service Recognition&lt;/li&gt;&lt;li&gt;Employee Assistance&lt;/li&gt;&lt;li&gt;Discounts to movies, theaters, zoos, theme parks and more&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What We Can Do For You&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What To Expect Next&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Employment Opportunity Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com 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.&lt;br&gt;&lt;br&gt;We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.&lt;br&gt;&lt;br&gt;Some states have required notifications. Here's more information.

Data Analyst II - PGBA

You must have a high school diploma, 2 years of clerical experience, proficiency in Microsoft Office, and possess strong communication, organizational, and math skills.

You will scan, index, and verify documents, prepare mailings, maintain logs and inventory, and assist colleagues with related tasks as needed.

People, HR & Administration

Summary Performs varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, and distributing mail. Applies knowledge of department policies and procedures, and utilizes a general understanding of other departments' functions to resolve most issues. Maintains records, prepares forms, verifies information and resolves routine problems. May assist in orienting and training others. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-4:30PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 4101 Percival Road, Columbia, SC 29229. What You’ll Do * Scans, images and indexes documents. Verifies accuracy of data and corrects errors discovered during review or research of documents. Compares or researches incoming mail or work requests to ensure related components are put together appropriately and free of errors and duplicates. Sorts and distributes documentation appropriately. * Prepares correspondence or packages for internal/external mailing. Tracks correspondence and/or packages and follows up as needed. * Maintains departmental logs, spreadsheets or databases. May prepare basic reports/statistics for management on work received for production and workload assessment. * Orders supplies and maintains departmental supply inventory. * Assists other staff members in related duties as needed. To Qualify For This Position, You'll Need The Following * Required Education: High School Diploma or equivalent * Required Experience: 2 years of clerical or office support experience. * Required Software and tools: Microsoft Office * Required Skills and Abilities: Good communication and organizational skills. Detail-oriented. Basic business math, computer skills. Our Comprehensive Benefits Package Includes The Following We offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 mycareer.help@bcbssc.com 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.

SummaryPerforms varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, and distributing mail. Applies knowledge of department policies and procedures, and utilizes a general understanding of other departments' functions to resolve most issues. Maintains records, prepares forms, verifies information and resolves routine problems. May assist in orienting and training others.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-4:30PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 4101 Percival Road, Columbia, SC 29229.What You’ll Do * Scans, images and indexes documents. Verifies accuracy of data and corrects errors discovered during review or research of documents. Compares or researches incoming mail or work requests to ensure related components are put together appropriately and free of errors and duplicates. Sorts and distributes documentation appropriately. * Prepares correspondence or packages for internal/external mailing. Tracks correspondence and/or packages and follows up as needed. * Maintains departmental logs, spreadsheets or databases. May prepare basic reports/statistics for management on work received for production and workload assessment. * Orders supplies and maintains departmental supply inventory. * Assists other staff members in related duties as needed.      To Qualify For This Position, You'll Need The Following * Required Education: High School Diploma or equivalent * Required Experience: 2 years of clerical or office support experience. * Required Software and tools: Microsoft Office * Required Skills and Abilities: Good communication and organizational skills. Detail-oriented. Basic business math, computer skills.      Our Comprehensive Benefits Package Includes The FollowingWe offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 YouWe 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 NextAfter 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 StatementBlueCross 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 mycareer.help@bcbssc.com 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.

Data Preparation Technician II - BlueCross BlueShield of South Carolina

&lt;strong&gt;Summary&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Performs varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, and distributing mail. Applies knowledge of department policies and procedures, and utilizes a general understanding of other departments' functions to resolve most issues. Maintains records, prepares forms, verifies information and resolves routine problems. May assist in orienting and training others.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Location:&lt;/strong&gt; This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-4:30PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 4101 Percival Road, Columbia, SC 29229.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What You’ll Do&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Scans, images and indexes documents. Verifies accuracy of data and corrects errors discovered during review or research of documents. Compares or researches incoming mail or work requests to ensure related components are put together appropriately and free of errors and duplicates. Sorts and distributes documentation appropriately.&lt;/li&gt;&lt;li&gt;Prepares correspondence or packages for internal/external mailing. Tracks correspondence and/or packages and follows up as needed.&lt;/li&gt;&lt;li&gt;Maintains departmental logs, spreadsheets or databases. May prepare basic reports/statistics for management on work received for production and workload assessment.&lt;/li&gt;&lt;li&gt;Orders supplies and maintains departmental supply inventory.&lt;/li&gt;&lt;li&gt;Assists other staff members in related duties as needed.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;To Qualify For This Position, You'll Need The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Required Education: High School Diploma or equivalent&lt;/li&gt;&lt;li&gt;Required Experience: 2 years of clerical or office support experience.&lt;/li&gt;&lt;li&gt;Required Software and tools: Microsoft Office&lt;/li&gt;&lt;li&gt;Required Skills and Abilities: Good communication and organizational skills. Detail-oriented. Basic business math, computer skills.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Our Comprehensive Benefits Package Includes The Following&lt;br&gt;&lt;br&gt;&lt;/strong&gt;We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Subsidized health plans, dental and vision coverage&lt;/li&gt;&lt;li&gt;401k retirement savings plan with company match&lt;/li&gt;&lt;li&gt;Life Insurance&lt;/li&gt;&lt;li&gt;Paid Time Off (PTO)&lt;/li&gt;&lt;li&gt;On-site cafeterias and fitness centers in major locations&lt;/li&gt;&lt;li&gt;Education Assistance&lt;/li&gt;&lt;li&gt;Service Recognition&lt;/li&gt;&lt;li&gt;National discounts to movies, theaters, zoos, theme parks and more&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;What We Can Do For You&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What To Expect Next&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Employment Opportunity Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com 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.&lt;br&gt;&lt;br&gt;We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.&lt;br&gt;&lt;br&gt;Some states have required notifications. Here's more information.

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