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NewBe an early applicant HybridNorth AmericaContract

4 days ago

Pharmacy Technician - Prior Authorization Focus

Summary Responsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authorization…

NewBe an early applicant North AmericaContract

4 days ago

Physical Medicine and Rehabilitation Medical Director

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…

NewBe an early applicant RemoteContract

4 days ago

Behavioral Health Intensive Care Management Coordinator (Chareston, SC)

Summary We are currently hiring for an Intensive Care Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as an Intensive Care Management Coordinator, you will serve as an Intensive Case…

New HybridNorth AmericaContract

7 days ago

RN Medical Reviewer II - CGS

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…

New North AmericaFellowship

last week

Molecular Diagnostics Medicare Medical Director - Palmetto GBA

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…

2 weeks ago

RN Medical Reviewer II - Palmetto GBA

RemoteContract

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…

2 weeks ago

Physician Advisor

Contract

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…

Hipaa

2 weeks ago

RN Behavioral Health Concierge Care Manager

RemoteContract

Summary We are currently hiring for an RN Behavioral Health Concierge Care Manager to join BlueCross BlueShield of South Carolina. In this role as an RN Behavioral Health Concierge Care Manager, you will provide care…

3 weeks ago

RN Medical Reviewer III (W@H SC)

Open 15d RemoteContract

Summary We are currently hiring for an RN Medical Reviewer III to join BlueCross BlueShield of South Carolina. In this role as an RN Medical Reviewer III, you will perform medical reviews using clinical/medical…

Open 30d RemoteContractSenior

last month

RN Senior Medical Reviewer (South Carolina)

Summary We are currently hiring for an RN Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as an RN Senior Medical Reviewer, you will act as Team Lead for specialty programs, medical…

RemoteNorth AmericaContract

2 months ago

Medical Director (Medicare Policy)

Summary Analyzes medical review utilization data, researches new medical procedures or technology, and acts as a lead resource to providers and internal staff on issues concerning medical policies. Heavily involved in…

4 months ago

RN Case Management Coordinator (Maternity and/or NICU)

Open 118d Contract

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