Company · 197 open roles
Careers at Ourhrconnect
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197 positions at Ourhrconnect
Senior Claims Adjuster (Workers Compensation)
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, Customer Service
Ourhrconnect·Augusta, Georgia
Summary Accountable for managing one or more teams responsible for customer service. Manages the day-to-day operations and workload issues for staff. Description Location: This position is full-time (40-hours/week) Monday-Friday located on-site at 2743 Perimeter Parkway, Augu…
Case Management Coordinator - Renal/Nephrology Focus
Ourhrconnect·W@H South Carolina
Summary Care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care m…
Auditor II (Medicare Cost Reporting)
Ourhrconnect·W@H Beaufort County, SC
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 is responsible for providing a full …
Auditor I
Ourhrconnect·Springfield, Illinois
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. …
Senior Proposal Specialist - Hybrid, Columbia, South Carolina
Ourhrconnect·Columbia, South Carolina
Summary This high-level proposal resource will participate in winning and retaining large clients, primarily designated to strategic RFPs and RFIs with a focus on strategy, storytelling, and high-quality responses. This role will collaborate with sales and account management re…
Accounting Technician II (Accounts Payable)
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 …
Healthcare Compliance 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 reporting to 51 Cle…
Accountant IV
Ourhrconnect·Columbia, South Carolina
Summary Description Position Purpose: This is a Cost Accountant position that may include the following tasks: pricing products or services, monthly billings, monthly reconciliations and pool allocations of financial accounts related to direct and indirect costs, intercompa…
Auditor I, Medicare
Ourhrconnect·2 Locations
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. …
Utilization Management Pharmacist
Ourhrconnect·Columbia, South Carolina
Summary Responsible for performing utilization management reviews of prior authorization request for medications by applying clinical guidelines and criteria to ensure appropriate use of medications. Informs and educates patients and their providers about opportunities to optim…
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…
Auditor I, Medicare
Ourhrconnect·2 Locations
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. …
Auditor I
Ourhrconnect·3 Locations
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. …
Accounting and Auditing Year-Round Intern
Ourhrconnect·Columbia, South Carolina
Summary We have a job opening for the position of Accounting/Audit Business Unit Student at Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina. Responsibilities may vary based on departmental needs and the intern’s experience. Working under direct supervision,…
Compliance Auditor (Financial/Sox)
Ourhrconnect·Columbia, South Carolina
Summary Supports the Model Audit Rule (MAR/SOX) Department in the compliance effort that results in annual reporting to the Department of Insurance in activities such as, but not limited to: risk assessments, process documentation (Financial, Operational and I/S Processes), ide…
Medicare Cost Report Auditor III
Ourhrconnect·United States or Florida or Georgia or Vermont or South Carolina or North Carolina or Utah or Texas or Washington or Idaho or Virginia or Ohio or Wyoming or Oklahoma or Wisconsin or Oregon or Illinois or Arkansas or Colorado or Connecticut or Pennsylvania or Delaware or Alabama or Arizona or Kentucky or Maine or Maryland or Indiana or Minnesota or Iowa or Michigan or Kansas or Massachusetts or Mississippi or Missouri or Montana or Nevada or Nebraska or Louisiana or New Jersey or New Hampshire or
Medicare Cost Report Auditor III at Ourhrconnect. Location: United States or Florida or Georgia or Vermont or South Carolina or North Carolina or Utah or Texas or Washington or Idaho or Virginia or Ohio or Wyoming or Oklahoma or Wisconsin or Oregon or Illinois or Arkansas or Colo…
Entry Level Cost Accountant
Ourhrconnect·Springfield, Illinois
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. …
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
Ourhrconnect·Nashville, Tennessee, United States
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH) at Ourhrconnect. Location: Nashville, Tennessee, United States. Role: managing reviews, training staff, improving processes Requirements: Bachelor's degree required; 5 years clinical and utilization rev…
Senior Underwriter - Stop Loss Focus
Ourhrconnect·PACE
Summary Rates and designs benefits for largest and most complex groups. Serves as primary contact to stop loss vendors. 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 nat…
Accountant 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 for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We …
RN Appeals Analyst Medicare Part B - CGS
Ourhrconnect·Nashville or South Carolina
RN Appeals Analyst Medicare Part B - CGS at Ourhrconnect. Location: Nashville or South Carolina. Role: researching appeals, documenting decisions, performing reviews Requirements: Active unrestricted US RN license, associate degree or nursing school graduate, 2–3+ years clinical …
Accounting Technician II
Ourhrconnect·Columbia, South Carolina, United States
Accounting Technician II at Ourhrconnect. Location: Columbia, South Carolina, United States. Role: prepare data, reconcile accounts, process disbursements Requirements: Performs clerical/accounting functions such as disbursements, deposits, journal entries, and reconciliations; r…
IT Senior Project Manger- CGS Administrators, LLC
Ourhrconnect·Nashville, Tennessee
Summary Working at CGS Administrators, LLC CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of o…