106 to 120 of 142
Position Purpose We are hiring a Customer Service Advocate II! This role provides prompt, accurate, thorough, and courteous responses to all customer inquiries. This job can be complex and may require research as well as the ability to answer member's questions correctly. The successful candidate for this position will be someone who pays strong attention to detail and is
Posted 11 days ago
Responsible for the accurate and timely processing of claims. Position located in our Nashville, TN office. Work hours 8 00 am to 4 30 pm, Monday through Friday Description Job Description CGS is now hiring full time work Claims Processor I with a competitive starting salary in the government healthcare industry. CGS Administrators, LLC "We IMPACT Lives." Is our mission w
Posted 12 days ago
Responsible for the attainment of assigned sales and renewal goals by managing a team of representatives and administrative personnel while at the same time enhancing the image of the company within the regional area. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades
Posted 12 days ago
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
Posted 12 days ago
Provides supervision and direction of the statistical reporting function. Ensures adherence to external and/or internal requirements and guidelines as they relate to data reporting functions. Description Monitors adherence to statistical reporting requirements, updates systems as necessary. Sets and maintains general direction/focus of statistical reporting function . Sup
Posted 12 days ago
Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description We participate in E Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employ
Posted 15 days ago
Responsible for the maintenance of all provider files through assignment and enrollment on specified provider systems/databases. Responsible for running various queries for reporting on corporate, division, and department levels. Description Position Purpose As a member of the CGS team you will responsible for the maintenance of all provider files through assignment and e
Posted 15 days ago
This position functions as a project/team leader in developing and executing formal test plans to ensure quality software applications. Defines and analyzes quality assurance metrics on test results defects etc. Monitors the system for exceptions and other items requiring review during testing and post testing. Responsible for providing expertise to clients so they unders
Posted 15 days ago
Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions Description Position Purpose This role directly helps our customers in a timely, prompt, and accurate way to answer some of their most worrisome health care question
Posted 15 days ago
Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description This position is full time (40 hours/week) Monday Friday and can be located in any of our primary CGS locations including Nashv
Posted 15 days ago
Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and specia
Posted 15 days ago
The Compliance Director position is an essential business role with a focus on Product Development, Form & Network Filings, Department of Insurance Inquiries, Consumer Complaints, Advertising Reviews and Business /Audit Support. Companion Life operates nationally and this role manages and coordinates corporate and contractual requirements and filings as they relate to reg
Posted 15 days ago
Working at Companion Data Services 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 working with proposals? How about facilitating all phases of the proposal life cycle? Creating strategies? Or maybe you like finding a solution to a problem while being innovative? If this career opportunity sounds l
Posted 17 days ago
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,
Posted 18 days ago
Manages claims and customer service areas. Description 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
Posted 18 days ago
Email this Job to Yourself or a Friend
Indicates required fields