Provides clerical and administrative support to the training and development function by entering data into the Learning Management System (LMS), maintaining training library, ordering supplies and assisting trainers with class preparation. Description Logistics This role is located on site at 51 Clemson Road, Columbia SC. This position is full time (40 hours/week) Monday

Create and maintain documentation for systems, programming, operations, testing, project management, RFPs, and/or RFIs. Translate technical and/or complicated information into clear, concise documents appropriate for various target audiences. Description What You'll Do Reviews, critiques, and edits documentation including design documents, RFP/RFI responses, programmer no

Screen, code and key claims in claims system. Review claims for services. Description Position Purpose The Claims Clerk II role is responsible for screening, coding and keying claims into the claims system. Employees in this position also review claims for services. Logistics This position is full time (40 hours/week) Monday Friday in a typical office environment. Employe

Working at CGS Administrators, LLC Are you looking to be a part of a great professional team working in a fast paced environment where you will be valued and can make a difference? Do you enjoy working with project management processes? Process improvements CMMI L3 to L5? Or maybe utilizing Agile and Waterfall methodologies? How about all of these and more? CGS Administra

Under general supervision, promote blended learning solutions and the use of innovative technology and tools to meet business goals. Contribute expertise as a member of high level I/S functional committees focused on developing a high performing workforce. Description Job Description 40% Collaborate with and/or lead committees with cross functional subject matter experts

Abstract and review medical records for HEDIS (Health Plan Employer Data Information Set) for both prospective and retrospective seasons to ensure that our Company complies with NCQA (National Committee for Quality Assurance) standards and achieves its CMS (Centers for Medicare & Medicaid Services) Star rating. Location This role is primarily remote but must be a resident

Position Purpose As a member of our Data Analysis team, you will be responsible for the accuracy of data as financial and operational decisions are made based on the data provided. Your analytical skills will be used to create and analyze reports to support operations. You will also Ensures correctness of analysis, and reports findings in a concise manner to senior manage

Assists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses, needs assessments and cost/benefits analyses for aligning operations solutions with business initiatives. Provides assistance in testing efforts and may provide security administ

Position Purpose As a member of our Finance and Accounting team, you will be responsible for the accountability and supervision of different aspects of accounting functions for different lines of business. This involves approving journal entries, analyzing balances, account payables, expense tracking, researching data and assisting to identify variances. Your responsibili

Calling all Business Systems Analyst amazing opportunities with CGS Administrators, LLC!!! Are you looking to be a part of a great professional team where you will be valued and can make a difference? Do you enjoy creating test plans and capturing requirements? Maybe you like finding a solution to a problem while being innovative! CGS Administrators is based in Nashville,

Working at CGS Administrators, LLC Are you looking to be a part of a great professional team working in a fast paced environment where you will be valued and can make a difference? Do you enjoy working with project management processes? Process improvements CMMI L3 to L5? Or maybe utilizing Agile and Waterfall methodologies? How about all of these and more? CGS Administra

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 adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description Posit

Working at CGS Administrators, LLC Are you looking to be a part of a great professional team working in a fast paced environment where you will be valued and can make a difference? Do you enjoy working with project management processes? Process improvements CMMI L3 to L5? Or maybe utilizing Agile and Waterfall methodologies? How about all of these and more? CGS Administra

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 embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrator

Serve as an advisor and liaison between human resources, area management, and employees. Location This role is onsite at our HR building in Columbia, SC. Work Environment The work hours are Monday Friday 8 AM 5 PM. Description What You'll Do Serve as a consultant to management/employees on various HR related issues. These include but are not limited to corrective action,