Company · 288 open roles
Careers at Ourhrconnect
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288 positions at Ourhrconnect
Provider File Specialist I
Ourhrconnect·Columbia, South Carolina
Summary Responsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider directories, accurate/timely claims adjudication, and provider billing. Why should you join the BlueCross BlueSh…
Senior Product Designer
Ourhrconnect·W@H Richland County, SC
Summary We're hiring a Senior Product Designer to join our Digital Experience team. The work will primarily be for our health insurance portal and app, used by members across the country. This is a generalist role requiring a breadth of skills. You’ll work closely with the Dig…
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…
Program Specialist - Remote in Columbia, South Carolina
Ourhrconnect·W@H South Carolina
Summary Conducts market research to support product and program development, strategic planning and market growth initiatives. Leads implementation and evaluation of marketing projects, providing recommendations for product enhancements and performance optimization. Oversees th…
Knowledge Systems Specialist I
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…
DME Accreditation Auditor
Ourhrconnect·Columbia, 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 position working in Columbia,…
Manager, Customer Service - Palmetto GBA - Onsite, Columbia, SC
Ourhrconnect·Columbia, South Carolina
Summary Accountable for managing one or more teams responsible for customer service on the Part A call center team. Manages the day-to-day operations and workload issues for staff. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical off…
Pharmacy Technician - Prior Authorization Focus
Ourhrconnect·Columbia, South Carolina
Summary Responsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authorization requests by interfacing with internal and external customers and th…
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…
Accounting Technician II
Ourhrconnect·Columbia, South Carolina
Summary 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 our roots firmly embedded in the South Carolina community. We …
AVP, Quality and Risk Performance Officer - Medicare Advantage
Ourhrconnect·Columbia, South Carolina
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 larg…
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…
Retail Center Sales Representative - Irmo, South Carolina
Ourhrconnect·Columbia, South Carolina
Summary This position is responsible for selling individual ACA policies. Experience selling on the Federally Facilitated Marketplace and the FFM certification strongly preferred. Responsible for providing consultative sales and service to customers seeking health and ancillar…
Manager, Enrollment
Ourhrconnect·Columbia, South Carolina
Summary Manages the provider enrollment unit ensuring the accurate and timely enrollment of providers, meeting all regulatory requirements, and maintains the national provider file database. Description Logistics: Palmetto GBA– one of BlueCross BlueShield's South Carolina sub…
Accountant III-CDS
Ourhrconnect·Columbia, South Carolina
Summary 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…
Production Support Clerk
Ourhrconnect·Columbia, South Carolina
Summary Receive shipments from supply department and outside vendors. Pull inventory (inserts, envelopes) for each job/operator. Deliver/Replenish operator supplies. Keep inserts and envelopes organized on production floor and in warehouse. Keep production floor and warehouse f…
Customer Service Advocate II
Ourhrconnect·Columbia, South Carolina
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description National Alliance - …
Customer Service Advocate I
Ourhrconnect·Columbia, South Carolina
Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Logistics: Planned Administrators Inc. (PAI) – One of BlueCross BlueShield's South Carolina subsidiary companies. Loc…
Operations Analyst
Ourhrconnect·Columbia, South Carolina
Summary Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommends installations of new systems/procedures. Reviews organizationa…
Claims Customer Service Advocate II
Ourhrconnect·Columbia, South Carolina
Summary 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 w…
RN Managed Care Coordinator II - UM
Ourhrconnect·W@H South Carolina
Summary We are currently hiring for a Managed Care Coordinator II – Utilization Management to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator II – Utilization Management, you will review and evaluate medical or behavioral eligibility rega…
FCMB Claims Customer Service Advocate II
Ourhrconnect·Myrtle Beach, 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 •60% Researches and responds to telephone inqu…
Clerk, Records I
Ourhrconnect·CGS Document Management Control
Summary Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system. 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 n…
Mainframe Storage Technology Analyst
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.…