Company · 197 open roles
Careers at Ourhrconnect
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197 positions at Ourhrconnect
Auditor III
Ourhrconnect·Alabama, United States
Auditor III at Ourhrconnect. Location: Alabama, United States. Role: conducting audits, drafting recommendations, preparing reports Requirements: Bachelor's degree, 5 years auditing experience, knowledge of auditing principles, strong analytical and communication skills, Microsof…
Auditor III
Ourhrconnect·W@H Alabama
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 WHAT YOU'LL DO: • Conducts internal and/or ext…
Medicare Cost Report Auditor III
Ourhrconnect·W@H Florida
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 The Auditor position is a full-time (40 hours) r…
Processor, Claims I-2
Ourhrconnect·Florence, South Carolina
Summary Responsible for the accurate and timely processing of claims. Description Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role is located on-site at 200 N Dozier Blvd, Florence, SC 29501. What You’…
Corporate Accounting Analyst (CPA)
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 …
Manager, P & C Claims (Workers Compensation & General Liability)
Ourhrconnect·Columbia, South Carolina
Summary Responsible for the management of assigned claims operation(s) to ensure that investigation and adjudication of claims meet established performance standards and objectives. Position may be assigned to multiple lines of business, contracts, and specialty claims operatio…
Claims Technician - PGBA (Part-Time)
Ourhrconnect·Florence, South Carolina
Summary Performs routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and docu…
Technician, Accounting II (Medicare)
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 …
Physical Medicine and Rehabilitation Medical Director
Ourhrconnect·45 Locations
Summary As a member of the senior management team, the Physical Medicine and Rehabilitation Medical Director provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource…
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…
Claims 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. Reviews and adjudic…
RN Case Management Coordinator - NICU/Maternity (W@H SC)
Ourhrconnect·W@H South Carolina
Summary We are currently hiring for an RN Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as an RN Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the serv…
Case Management Coordinator (Maternity Focus)
Ourhrconnect·W@H South Carolina
Summary We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the…
Cost Containment and MLR Optimization Program Lead
Ourhrconnect·W@H South Carolina
Summary We are currently hiring for a Cost Containment and MLR Optimization Program Lead to join BlueCross BlueShield of South Carolina. In this role as a Cost Containment and MLR Optimization Program Lead, you will be responsible for the development and management of various h…
Claims Customer Service Advocate II
Ourhrconnect·Columbia, South Carolina
Summary Provide prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Perform research as needed to resolve inquiries. Description Location: This positio…
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…
Actuarial Assistant I
Ourhrconnect·Columbia, South Carolina
Summary Supports actuarial services by providing research data, reports, and analysis of the profitability of existing and new lines of business. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but w…
Claims Processor I
Ourhrconnect·Columbia, South Carolina
Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA – one of BlueCross BlueShield's South Carolina subsidiary companies Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environme…
Claims Customer Service Advocate II
Ourhrconnect·Columbia, 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 Logistics: PGBA – is a subsidiary company of …
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 …
Systems Analyst and Software Engineer
Ourhrconnect·Columbia, South Carolina
Summary Description 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 commu…
Statistical Programming Analyst
Ourhrconnect·Columbia, South Carolina
Summary Description 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 commu…
Medical Director (Medicare Policy)
Ourhrconnect·W@H Tennessee
Summary Analyzes medical review utilization data, researches new medical procedures or technology, and acts as a lead resource to providers and internal staff on issues concerning medical policies. Heavily involved in policy generation to include the development of new policy a…
Analyst, Statistical Programming II
Ourhrconnect·Columbia, South Carolina
Summary Description Position Purpose: Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and…