BlueCross BlueShield of South Carolina
This role provides education to medical providers on Medicare coverage, utilization statistics, documentation, and medical review processes. The position involves conducting formal conference calls, in-person educational visits, and workshops for provider staff to address over-utilization and improve compliance. The specialist also researches and prepares regulatory-based education materials and analyzes reports to determine necessary actions regarding medical reviews and audits.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for BlueCross BlueShield of South Carolina.
Provider Education Specialist
Palmetto GBA
Provider Education Consultant
Palmetto GBA
Senior Provider Auditor
Noridian Administrative Services,
LVN - Quality Assurance/Utilization Review - Business Development - Full Time 8hr
Emanate Health
Senior Provider Auditor
Noridian Healthcare Solutions
Molecular Diagnostics Medicare Medical Director
Palmetto GBA