Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

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 insurance company in South Carolina ... and much more. We are one of the nation's leading administrator

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 insurance company in South Carolina ... and much more. We are one of the nation's leading administrator

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 insurance company in South Carolina ... and much more. We are one of the nation's leading administrator

We are seeking a passionate and experienced Systems Quality Assurance Auditor to join our dynamic team. This is an on site position in Nashville, TN. If you're enthusiastic about technology, enjoy audits and coordinating Capability Maturity Model Integration (CMMI) Appraisals, then look no further and join CGS Administrators, LLC! Responsibilities include audit tasks supp

Researches, resolves, and tracks suspected compliance/privacy issues and provides guidance to management and employees. Conducts internal/external compliance audits. Provides information on compliance activities as needed. Description Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than

Responsible for managing contract staff and administration of all contracts to ensure that contractual obligations are met and compliance is maintained with mandatory governmental regulations, applicable laws and corporate policies and procedures. Ensures effective relationships between the company and the customer contracting officers on all contractual matters in order