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 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 administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose:

In this role, you will provide direction and guidance to customer service, claims processing, and/or appeals staff for multiple operational areas for our Medicaid contracts.

Description
 

Logistics:

This position is full-time (40-hours/week) Monday-Friday in a typical office environment during our normal business hours of 8:00am-5:00pm. You may be required to travel between buildings in the Columbia area. This role is located at the Government Programs Complex, 17 Technology Circle, Columbia, SC 29203.

What You’ll Do:

• Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries.

• Develops and supports strategic initiatives to enhance provider and customer satisfaction.

• Works closely with areas to track performance and develop measures of success. Implements process improvements.

• Identifies system limitations and serves as project leader on system enhancements and updates.

• Leads and supports achievement of departmental, divisional, and corporate strategic objectives.

• Collaborates with other functional areas to resolve multi-functional issues.

• Provides necessary assistance and resources when necessary.

• Develops and monitors budget and resources for all assigned areas.

• Responsible for the selection, training, and development of staff.

• Ensures excellent customer service is given to employees, customers, management, etc.

 To Qualify for This Position, You'll Need the Following:

• Required Education:  Bachelor’s Degree

• Required Work Experience: Seven years of healthcare program or customer service experience to include budget management experience including three years of management/supervisory experience OR three years of equivalent military experience in grade E4 or above (may be concurrent)

• Required Skills and Abilities:

  • Strong organizational, analytical, presentation, and customer service skills.

  • Strong oral and written communication skills.

  • Ability to persuade, negotiate or influence.

  • Ability to handle confidential or sensitive information with discretion.

  • Proficient spelling, punctuation, grammar, and basic business math.

• Required Software and Tools: Microsoft Office

We Prefer That You Have the Following:

• Understanding of Power BI is a plus

• Project Management Certification is a plus

• Tech savvy

• Ability to multitask

• Relationship building skills are paramount for this role

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits the first of the month following 28 days of employment.  

• Subsidized health plans, dental and vision coverage

• 401k retirement savings plan with company match

• Life Insurance

• Paid Time Off (PTO)

• On-site cafeterias and fitness centers in major locations

• Education Assistance

• Service Recognition

• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications.

 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information. 

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.