ourhrconnect

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…

Open 118d HybridNorth AmericaContractSenior

Senior AI Security Architect

AI AWS Azure Cism Cissp +7 skills

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…

Open 128d Europe, North AmericaContract

FCMB Customer Service Advocate II

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

Open 119d North AmericaContract

Claims Customer Service Advocate I

Summary Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals.…

Open 98d North AmericaContract

AVP, Institutional Contracting

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…

Open 127d North AmericaContract

4 months ago

Representative, Provider Relations

Summary Provides education and training support for network providers, staff, suppliers, physicians, beneficiaries, referral agents as necessary. Develops and produces training and educational

Hipaa Microsoft Access