Remote Jobs at BlueCross BlueShield of South Carolina
Find your next remote opportunity · 25 Open Positions
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape.
Our roots are firmly embedded in the state.
We are the largest insurance company in South Carolina.
We are also the only one that has an A+ Superior A.M.
Best rating.
We are one of the nation's leading government contract administrators.
We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies.
Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance.
If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty.
BlueCross has a dedicated corporate culture of community support.
Our employees are some of the most giving in the country.
They support dozens of nonprofit organizations every year.
If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!
BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
We are an Equal Opportunity/Affirmative Action Employer.
We will consider all qualified applicants for employment regardless of age, race, color, national origin, gender, religion, veteran status, disability, weight, gender orientation, gender identity, genetic information or any other legally protected status.
RN Medical Reviewer II
RN medical reviewer evaluating complex claims, medical necessity, and coverage decisions for BlueCross BlueShield subsidiary Palmetto GBA. Remote home-office role supporting utilization review and coding operations.
Customer Service Advocate I
Customer service advocate resolving customer inquiries for BlueCross BlueShield of South Carolina. Researching issues, documenting complaints, and coordinating resolutions remotely across the USA.
Quality Medical Auditor
Medical auditor validating DRG/APC coding, medical records, and claims rates. Producing trend reports and coordinating HIPAA records for South Carolina’s largest insurer.
Web Business Specialist
Web Business Specialist improving BlueCross BlueShield enterprise websites, portals, and digital experiences. Leading web projects, content quality, accessibility, analytics, and cross-functional implementation.
Senior Consultant, Provider Education
Senior provider educator helping Palmetto GBA, a BlueCross BlueShield South Carolina subsidiary, educate providers on Medicare coverage and medical review. Analyzing utilization and audits.
Data Analyst II
Data II Analyst querying DB2 databases and producing reports for BlueCross BlueShield of South Carolina’s Medicare Advantage Operations. Analyzing data and maintaining reporting programs.
Strategic Sales Representative
Strategic Sales Representative handling marketing for group and individual accounts. Responsible for executing marketing plans and developing professional relationships within assigned territory.
Chronic Disease Coach, Registered Nurse
Chronic Disease Coach at BlueCross BlueShield of South Carolina providing support for wellness. Empowering members to achieve health goals and navigate healthcare benefits.
Reviewer II, Medical
Reviewer II, Medical performing medical reviews for claims in a remote role with BlueCross BlueShield. Requires nursing licensure and clinical experience for this full-time position.
Automation Specialist
Automation Specialist improving operational efficiency through process improvements and automation solutions at BlueCross BlueShield of South Carolina. Collaborating with department stakeholders and supporting continuous improvement initiatives.
Appeals Specialist – CGS Admin
Appeals Specialist performing non-medical reviews and processing redetermination letters for BlueCross BlueShield of South Carolina. Collaborating with teams to ensure accuracy and timeliness in documentation.
Customer Service Advocate II
Customer Service Advocate providing prompt, accurate responses to customer inquiries and resolving issues effectively. Maintaining records and assisting with customer service improvements in a remote setting.
Medical Reviewer III – Home Health and Hospice
Medical Reviewer III conducting medical reviews for claims and services at BlueCross BlueShield of South Carolina. Analyzing medical information and educating staff on coverage determinations while ensuring compliance.
Medicare Cost Reporting Auditor II
Medicare Cost Reporting Auditor II responsible for financial compliance investigations in a remote capacity. Conducting audits and evaluations of business risks within the corporation.
Case Management Coordinator, Maternity Focus
Case Management Coordinator focusing on maternity care management at BlueCross BlueShield of South Carolina. Responsible for care coordination and serving as an advocate for clients with chronic conditions.
Auditor III
Auditor III conducting comprehensive audits and evaluations for BlueCross. Responsible for identifying risks and improving processes, including management training and reporting.
RN Case Management Coordinator
Case Management Coordinator improving care coordination and managing member health services at BlueCross BlueShield of South Carolina. Ensuring effective care management and collaboration with healthcare providers in South Carolina.
E-learning Designer, Developer
E-learning Designer/Developer producing e-learning solutions for high-performing workforce. Utilizing advanced technologies and instructional designs to meet business goals.
Medicare Cost Report Auditor III
Medicare Cost Report Auditor III conducting operational audits and financial evaluations. Responsible for internal controls and training audits at BlueCross BlueShield of South Carolina.
Product Executive
Managed Care Stop Loss Reinsurance Sales role with Summit Reinsurance responsible for developing relationships with brokers and managed care organizations. Focuses on marketing and selling reinsurance and provider excess of loss solutions.