Remote Jobs at BlueCross BlueShield of South Carolina
Find your next remote opportunity · 21 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.
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.
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.
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.
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.
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.
Auditor III
Auditor III responsible for financial and compliance audits at BlueCross BlueShield of South Carolina. Conducting internal and external audits and drafting recommendations for improvement.
Lead Auditor, Medicare
Lead Auditor coordinating and completing Medicare audits. Responsible for planning, executing, and reporting on audit findings while mentoring junior staff.
Senior Medical Reviewer
Team Lead for specialty programs, providing guidance and support to medical review staff. Overseeing quality assurance and compliance initiatives at Palmetto GBA, a BlueCross BlueShield subsidiary.
Sales Representative
Sales Representative responsible for successful marketing of group and individual accounts. Focused on developing relationships with local Chamber of Commerce for ACA Medicare and health insurance sales.
Senior Stoploss Claim Auditor
Audit and authorize medical stop loss claims for BlueCross BlueShield's subsidiary. Mitigating client claims while ensuring excellent customer service and compliance with regulations.
Quality Medical Auditor
Quality Medical Auditor performing validation reviews and coding oversight for healthcare services at BlueCross BlueShield. Managing records and compliance amidst innovative healthcare operations.
Sales Representative
Sales Representative responsible for marketing group and individual accounts. Developing marketing plans and maintaining relationships within assigned territory while working remotely in South Carolina.