16 to 30 of 73
Acting as an internal consultant, advocate, mentor, and change agent, plan, design, and develop the most complex and business critical software solutions, utilizing appropriate software development methodologies either individually or as part of a project team. Responsible for ensuring that browser based systems and applications meet client requirements and operate properly, using software develop
Posted 1 day ago
Plan, design, and develop complex and business critical software solutions, utilizing appropriate software development methodologies either individually or as part of a project team. Responsible for ensuring that browser based systems and applications meet client requirements and operate properly, using software development methodologies. Description Multiple positions available. Job Duties Plan
Posted 1 day ago
Manages the daily activities of a multi functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals. Description 35% Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed in a timely and efficient manner to maintain
Posted 1 day ago
Develops difficult statistical analysis using standard reporting, AD HOC reporting, and data mining tools in order to identify patterns and trends. Prepares charts, illustrations, and other graphics and narrative reports to identify and explain data findings. Description 30% Develops, maintains, and executes complex database programs for the extraction and presentation of data for standard and a
Posted 1 day ago
Leads corporate distribution systems, general agents, brokers, and other market support personnel. Responsible for planning, product development, marketing services, production and profitability for as few as two states to regions with as many as ten states. Customarily and regularly engaged in outside sales. Description 25% Leads, markets, recruits, and motivates general agents, brokers, and ot
Posted 1 day ago
BlueCross BlueShield of South Carolina
- Baltimore, MD / Philadelphia, PA / Wilmington, DE / 2 more...
Leads corporate distribution systems, general agents, brokers, and other market support personnel. Responsible for planning, product development, marketing services, production and profitability for as few as two states to regions with as many as ten states. Customarily and regularly engaged in outside sales. Description 25% Leads, markets, recruits, and motivates general agents, brokers, and ot
Posted 1 day ago
Leads corporate distribution systems, general agents, brokers, and other market support personnel. Responsible for planning, product development, marketing services, production and profitability for as few as two states to regions with as many as ten states. Customarily and regularly engaged in outside sales. Description 25% Leads, markets, recruits, and motivates general agents, brokers, and ot
Posted 1 day ago
Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommends installations of new systems/procedures. Reviews organizational functions and structure to avoid overlapping or duplication. May provide security administration to application supported by are
Posted 1 day ago
Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Description 70% Performs medical claim reviews for one or more of the following claims for medi
Posted 1 day ago
Coordinates the quality control program for the medical review area. Researches the Center for Medicare and Medicaid services (CMS) changes. Trains new staff and provides continuing education to clinical staff. Description 30% Reviews medical review decisions for accuracy and to ensure CMS instructions have been applied correctly. 25% Develops/implements the quality control program used as an in
Posted 1 day ago
Responsible for moderately complex accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements. Description 30% Reconciles assigned general ledger accounts of routine to moderate complexity. Initiates and/or processes journal entries into various accounts. Performs reviews of various systems activ
Posted 1 day ago
Acting as an internal consultant, advocate, mentor, and change agent, plan, design, and develop the most complex and business critical software solutions, utilizing appropriate software development methodologies either individually or as part of a project team. Responsible for ensuring that browser based systems and applications meet client requirements and operate properly, using software develop
Posted 1 day ago
Acting as an internal consultant, advocate, mentor, and change agent, plan, design, and develop the most complex and business critical software solutions, utilizing appropriate software development methodologies either individually or as part of a project team. Responsible for ensuring that browser based systems and applications meet client requirements and operate properly, using software develop
Posted 1 day ago
Researches, analyzes and troubleshoots information systems compliance and security issues. Identifies, validates and reports on security incidents and events based on enterprise policies and procedures. Performs forensic information security investigations involving enterprise computers, servers and/or networking infrastructure. Assists in providing security infrastructure and support for enterpri
Posted 1 day ago
Design, evaluate, and implement new and/or enhanced healthcare solutions to meet the market need. Ensure solutions meet state and federal regulations and compliance. File the correct product/benefits portfolio with state and federal agencies to ensure that BlueChoice can sell products/benefits in the individual and small group markets. Based on internal and external research, acts as a management
Posted 1 day ago
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