Company · 265 open roles
Careers at Ourhrconnect
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265 positions at Ourhrconnect
Enterprise Technical Architect - IBM z/OS Storage
Ourhrconnect·Columbia, South Carolina
Summary Companion Data Services provides leading IT solutions and managed services. We operate multiple geographically disperse data centers, including two of the nation’s largest healthcare data centers – both rated among the top five percent of data centers worldwide by MIPS.…
Medical Review Manager
Ourhrconnect·Myrtle Beach, South Carolina
Summary We are currently hiring for a Medical Review Manager to join BlueCross BlueShield of South Carolina. In this role as a Medical Review Manager, you will oversee the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance wit…
Food Services Specialist I
Ourhrconnect·Columbia, South Carolina
Summary Depending on department needs, this job includes the following: cashier, prep cook, food server, dishwasher/pot washer, catering delivery, restocking as needed, and any other need as asked by management. Why should you join the BlueCross BlueShield of South Carolina fa…
Specialist, Subrogation
Ourhrconnect·Columbia, South Carolina
Summary Identifies and pursues subrogation and workers compensation recoveries. Manages a workload of approximately 500 cases and the collection of approximately $1,000,000 annually. Description Why should you join the BlueCross BlueShield of South Carolina family of companie…
Lead Medicare Cost Reporting Auditor
Ourhrconnect·Columbia, South Carolina
Summary 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 th…
Director, Ancillary Sales & Marketing Representative
Ourhrconnect·W@H Georgia
Summary Leads corporate distribution systems, general agents, brokers, and other market support personnel. Responsible for planning, product development, marketing services, production and profitability for as few as two states to regions with as many as ten states. Customarily…
Director, Ancillary Sales & Marketing Representative with Companion Life - Onsite Columbia, South Carolina
Ourhrconnect·W@H Kansas
Summary Leads corporate distribution systems, general agents, brokers, and other market support personnel. Responsible for planning, product development, marketing services, production and profitability for as few as two states to regions with as many as ten states. Customarily…
Medicare Cost Reporting Auditor II
Ourhrconnect·W@H South Carolina
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description This is a full time remote position working Monda…
FCMB Customer Service Advocate II
Ourhrconnect·Florence, South Carolina
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 actions. Description Position Purpose: From the moment of login, yo…
Associate Actuary
Ourhrconnect·Columbia, South Carolina
Summary Description Summary BlueCross BlueShield of South Carolina seeks an Associate Actuary for its Columbia, SC location. This position is not eligible for sponsorship now or in the future. There are multiple positions available. Why should you join the BlueCross BlueSh…
Developer IV (Technical Team Lead) - PGBA
Ourhrconnect·Columbia, South Carolina
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 embedded in the South Carolina community. We are the larges…
Sales Excellence Manager
Ourhrconnect·Columbia, South Carolina
Summary Within assigned division, manages various projects and provides management/functional staff support in order to meet sales and retention goals. Manages sales training staff. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical o…
Specialist, Contract Compliance II
Ourhrconnect·Columbia, South Carolina
Summary Researches and interprets insurance laws pertaining to division products form filings and obtains approval from the various state insurance departments. Communicates impact of insurance bulletins, circulars, and directives to appropriate departments and ensures complian…
Processor, Claims I
Ourhrconnect·Myrtle Beach, South Carolina
Summary Responsible for the accurate and timely processing of claims. Description 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 o…
Senior AI Security Architect
Ourhrconnect·Columbia, South Carolina
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 embedded in the South Carolina community. We are the largest…
Accountant I - Palmetto GBA
Ourhrconnect·Columbia, South Carolina
Summary Responsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements. Description Why should you join the BlueCross BlueShield of South Carolina fami…
RN Senior Medical Reviewer (South Carolina)
Ourhrconnect·W@H South Carolina
Summary We are currently hiring for an RN Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as an RN Senior Medical Reviewer, you will act as Team Lead for specialty programs, medical review, utilization management, and case management areas b…
Customer Service Advocate III
Ourhrconnect·Columbia, South Carolina
Summary Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Locat…
Strategic Account Executive with National Alliance - Hybrid
Ourhrconnect·Columbia, South Carolina
Summary The Strategic Account Executive (SAE) is responsible for the retention, growth, and overall strategic management of an assigned portfolio of health plan, employer group, consultant, and partner relationships. The SAE serves as the primary client advocate, ensuring succe…
Utilization Management Pharmacist
Ourhrconnect·Columbia, South Carolina
Summary Responsible for performing comprehensive medication reviews and outreach to inform and educate patients and their providers about opportunities to optimize medication related outcomes, ensure patient safety, and utilize cost effective therapies. Collaborates with other …
RN Behavioral Health Concierge Care Manager
Ourhrconnect·W@H South Carolina
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 services to more than 2 million members in South C…
Provider Audit Specialist - LPN or RN
Ourhrconnect·Columbia, South Carolina
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 billing practices and to…
Senior Provider Education Consultant - IRF RCD
Ourhrconnect·W@H Georgia
Summary Provides education to medical providers as warranted. Description Logistics: Palmetto GBA– one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a full-time remote position. You must reside in Alabama, Georgia, or Tennessee. You will wo…
Senior Provider Relations Representative - IRF RCD
Ourhrconnect·W@H Georgia
Summary Provides education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. Develops and produces all training and educational materials. Description Logistics: Palmetto GBA– one of BlueCross BlueShield's South…