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ourhrconnect

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51 jobs
ourhrconnect
15 hours ago

FCMB Claims Customer Service Advocate II

NewBe an early applicant North AmericaFull-time
United States

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing
ourhrconnect
15 hours ago

Customer Service Advocate II

NewBe an early applicant North AmericaFull-time
United States

Summary This role directly helps our customers in a timely, prompt, thorough, courteous and accurate way to answer some of their most worrisome health care questions and concerns. This job can be complex and may…
ourhrconnect
5 days ago

Senior Quality Assurance Analyst

New Europe, North AmericaContractSenior

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…
ourhrconnect
5 days ago

Operations Analyst

New North AmericaContract
United States

Summary Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommends…

Cohere Db2 Statistics
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ourhrconnect
6 days ago

Bilingual Customer Service Advocate II

New On-siteNorth AmericaContract
United States

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as…
ourhrconnect
1 views 6 days ago

HRIS System Analyst I

New On-siteNorth AmericaContract
United States

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…

Process Modeling Requirements Gathering SharePoint
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ourhrconnect
1 views 6 days ago

Senior Quality Assurance Analysts

New Europe, North AmericaContractSenior

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…
ourhrconnect
6 days ago

Operations Analyst

New North AmericaContract
United States

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 our roots…
ourhrconnect
1 views last week

Analyst, Appeals

New RemoteContractMiddle

Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the…
ourhrconnect
last week

Customer Service Advocate II

New North AmericaContract
United States

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…
ourhrconnect
1 views 2 weeks ago

Enterprise Technical Architect - IBM z/OS Storage

On-siteNorth AmericaContract
United States

Enterprise Technical Architect responsible for advancing IBM z/OS storage capabilities across geographically dispersed data centers, providing technical direction, managing technology roadmaps, and leading cross-functional architectural discussions for a healthcare data center operator.

Cloud Mainframe
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ourhrconnect
2 views 2 weeks ago

Accounting Technician II (EFT Processor)

North AmericaContract
United States

Summary Description

Accounts Payable Accounts Receivable Financial Reporting
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ourhrconnect
1 views 2 weeks ago

Customer Service Advocate I

North AmericaContract
United States

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve
ourhrconnect
2 weeks ago

RN Case Management Coordinator (W@H SC)

RemoteContract

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…

Program Management
ourhrconnect
2 weeks ago

RN Medical Reviewer II - Palmetto GBA

Contract

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or…
ourhrconnect
1 views 2 weeks ago

Sales Representative II - Hybrid

North AmericaContract
United States

Summary Responsible for the successful marketing (sales, renewals, and/or service) of group and/or individual accounts for products as defined by production quotas within assigned territory. Customarily and regularly…
ourhrconnect
2 views 2 weeks ago

Accreditation Data Coordination Analyst

North AmericaContract
United States

The Accreditation Data Coordination Analyst manages data and reporting requests for accreditation programs, performing preliminary analysis and validating data accuracy. The role involves coordinating with internal teams to resolve data discrepancies and maintaining a centralized inventory of reporting requirements.

Data Quality Db2 SQL Statistics
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ourhrconnect
2 views 2 weeks ago

Strategic Account Executive with National Alliance - Hybrid

North AmericaContract
United States

Summary The Strategic Account Executive (SAE) is responsible for the retention, growth, and overall strategic management of an assigned portfolio of health plan, employer group, consultant, and partner relationships.…

Account Executive Program Management
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ourhrconnect
2 views 2 weeks ago

Claims Customer Service Advocate II

North AmericaContract
United States

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing
ourhrconnect
2 views 2 weeks ago

Claims Customer Service Advocate II

North AmericaContract
United States

Summary Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and…

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