Are you an experienced Desk Account Manager who is customer-minded, solution-oriented, and ready for a new challenge? Then we are looking for you. As Desk Account Manager, you will be part of our Building Automation EMEA
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 clinical guidelines. Provides support and review of medical claims and utilization practices.
Summary Audit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service. Description Position Purpose Audit and authorize reimbursement of specific medical stop loss claims.
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 management
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but weve been part of the national landscape for more than seven decades, with our roots
Summary Oversees the day-to-day underwriting operations including budget and staff planning as well as direct supervision of personnel to successfully accomplish company underwriting objectives and compliance. Identifies, analyzes, and manages the assigned line of business for
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but weve been part of the national landscape for more than seven decades, with our roots firmly
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
Only the best engineers are being built here. At Productboard, were building the place where AI-first engineering gets defined. Removing every bottleneck as it surfaces, we are fundamentally reimagining whats possible when AI becomes a first-class
Only the best engineers are being built here. At Productboard, were building the place where AI-first engineering gets defined. Removing every bottleneck as it surfaces, we are fundamentally reimagining whats possible when AI becomes a first-class
Summary Prepares for and performs institutional audits to assess appropriate provider billing and to identify any aberrant billings that may have an impact on reimbursement. Responsible for reviewing all aspects of claim processing to include fraudulent
Only the best engineers are being built here. At Productboard, we are defining AI-first Product Engineering. Not as a one-time achievement, but as a baseline we raise every time we reach it. We remove every bottleneck
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 clinical guidelines. Provides support and review of medical claims and utilization practices.
Premium Coordinator Summary Premium accuracy directly impacts our clients, our contracts, and our credibility. The Premium Coordinator ensures that every payment, every reconciliation, and every disbursement is handled with the professionalism and precision our partners expect. If