RN Corporate Appeals Manager

Columbiahybridmanager

Posted today · via Workday

About this role

Summary We are currently hiring for a Corporate Appeals Manager to join BlueCross BlueShield of South Carolina. In this role as a Corporate Appeals Manager, you will oversee appeals process/case review process and staff ensuring all documentation, timeliness, and quality standards are met. Ensures cost effective plans provide a positive impact on the quality of life and clinical outcomes of individuals. Ensures compliance with state and federal requirements. Identifies and implements process improvement opportunities. Presents programs and program results to internal/external customers. Description Location: This position is full-time (40 hours/week) Monday-Friday, from 8:30am – 5:00pm EST and will be hybrid in Columbia, SC.…

Read the full description on Ourhrconnect's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: hipaa

2

Level fit

This role is manager-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in Columbia. We weight your proximity and willingness to relocate.

Score yourself on this role.
Free · no card · written explanation included
See if I'm a fit →

Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

hipaa

More at Ourhrconnect

See all open jobs at Ourhrconnect →