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Molecular Diagnostics Medicare Medical Director - Palmetto GBA

CGS Administrators, LLC
Grove City, OH
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86292650 293206722 Internal Reference Number: R1048417 Summary As member of ...
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About the job:
the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. May also write and revise medical policies.Description Location: This position is full-time (40-hours/week) Monday-Friday-Hourly). This position can be worked remotely. Position Purpose: The Molecular Diagnostics Medicare Medical Director at Palmetto GBA...
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Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
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CUSTOMER SERVICE ADVOCATE I

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
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Tennessee, Nashville Feb 11, 2026 Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Logistics: CGS - One of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 26 Century Blvd ST610, Nashville, TN 37214. Training is from 7:30am-4pm for 6 weeks. Work hours will be from...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Mainframe Developer III- CGS Administrators, LLC (Nashville, TN)

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC life insurance, paid time off, paid holidays, tuition ...
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assistance, 401(k) United States, Tennessee, Nashville Feb 10, 2026 Summary Working at CGS Administrators CGS Administrators, LLC (CGS) is part of BCBSSC's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. We deliver outstanding service to our customers. If you are dedicated to the same philosophy,...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Auditor I

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC $19.36$27.36$35.67 life insurance, paid time off, ...
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401(k) United States, Tennessee, Nashville Feb 10, 2026 Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits....
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Auditor I

CGS Administrators LLC
Columbia, SC
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CGS Administrators LLC $19.36$27.36$35.67 life insurance, paid time off, ...
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401(k) United States, South Carolina, Columbia Feb 10, 2026 Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits....
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
4
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Detailed Job Information

Auditor I

CGS Administrators LLC
Springfield, IL
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CGS Administrators LLC $19.36$27.36$35.67 life insurance, paid time off, ...
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401(k) United States, Illinois, Springfield 3021 Montvale Drive ( Show on map ) Feb 10, 2026 Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits...
Location:
Springfield, IL
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Job Posting Title RN Appeals Analyst (W@H TN)

CGS Administrators LLC
Tennessee
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
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About the job:
Tennessee Feb 10, 2026 Summary We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as a RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within mandated timeframes and in compliance with applicable...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
National Committee for Quality Assurance
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Operation Systems Analyst

CGS Administrators, LLC
Located in Ohio
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Summary Researches, analyzes and documents business processes for developing ...
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About the job:
or enhancing Medicare systems. Assists with needs assessments to align operation solutions with government initiatives. Create and review test data for system changes. Identify, document and assist in the resolution of system-related problems. Coordinate activities for implementation of changes, as well as debugging and retesting of system changes. Description Location: This position is full time (40 hours/week) Monday-Friday 8am-5pm and will be remote Government Clearance : This position requires the ability to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Enrollment Analyst- CGS

CGS Administrators LLC
Columbia, SC
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
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About the job:
South Carolina, Columbia Feb 06, 2026 Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description Logistics: CGS (cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift...
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Computer User Support Specialists
Career Level / Education:
Some college, no degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Review Supervisor

CGS Administrators LLC
Philadelphia, PA
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CGS Administrators LLC life insurance, paid time off, 401(k), remote work ...
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About the job:
United States, Pennsylvania, Philadelphia Feb 05, 2026 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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