Join to apply for the processor, claims i role at bluecross blueshield of south carolina 1 day ago be among the first 25 applicants join to apply for the processor, claims i role at bluecross blueshield of south carolina summary responsible for the accurate and timely processing of claims. description logistics: this is a full-time (40 hpw) position, and our ideal candidate will work on-site at our columbia, sc location. 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). employees must enroll in our health insurance, even if they have other coverage. employees will receive supplemental pay for health insurance until enrolled, starting the first of the month following 28 days after hire. what you'll do research and process claims according to business regulation, internal standards, and processing guidelines. verify coding of procedure and diagnosis codes. resolve system edits, audits, and claims errors through research and use of approved references and investigative sources. coordinate with internal departments to work edits and deferrals, updating relevant 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 servic...
Join to apply for the analyst, business test i role at bluecross blueshield of south carolina get ai-powered advice on this job and more exclusive features. summary coordinates and performs testing for major system enhancements, including reviewing documents for testing, creating test matrices, and executing test cases. acts as a liaison between operations and information systems by researching technical production issues for immediate and long-term resolution. may also partner and communicate with internal and external customers and plans. description location: this position is full-time (40 hours/week), monday-friday, 8 am-5 pm, onsite in columbia, sc. what you will do prepare and review test data and test matrices for system changes. develop test matrices to reflect changes and expected outcomes. execute test cases and evaluate results for errors. report problems and suggest corrections for successful implementation. utilize internal and external software to support testing and develop skills. research and document system problems and assist in resolution. review daily reports to ensure system performance. prepare reports and analyses, including recommendations on system functionality. use internal and external applications for technical research of system issues. act as a liaison between production operations, other testers, and information systems. assist customers and testers with issues arising in production and testing. minimum qualifications high school diploma or equivalent. at least 2 years of experience with related ...
Project manager overview: responsible for project coordination, status reporting, and stability. manages multiple projects of varying complexity to ensure timely delivery, quality standards, and budget adherence. key responsibilities: - develop and monitor project plans, risk management, and documentation. - manage scope, budget, resources, and project issues. - foster effective communication among stakeholders. - ensure comprehensive documentation for audit purposes. - coach and mentor team members, oversee project artifacts. work environment: a fast-paced dynamic environment requiring flexibility and responsiveness. qualifications: - u.s. citizenship and security clearance required. - bachelor's degree or equivalent experience necessary. - 7+ years it leadership experience, including 4+ years managing multiple project teams. - strong communication, leadership, problem-solving, and organizational skills essential. - proficiency in project management tools and microsoft office required. - pmp certification and experience with tricare disaster recovery preferred. benefits: - includes 401(k), health plans, paid time off, holidays, wellness programs, tuition assistance, and recognition. application process: - review by recruiting team - potential interview - prioritization based on qualifications diversity and equal opportunity statement: we are committed to diversity and equal opportunity employment. accommodations available for applicants with disabilities....
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