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Results based on filters ( 26 jobs found )

Reviewer III, Medical

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC life insurance, paid time off, 401(k), remote work ...
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Summary
About the job:
United States, Tennessee, Nashville 2 Vantage Way ( Show on map ) Dec 16, 2025 Summary 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 Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
Certified Registered Nurse
Licensed Practical Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Supervisor, Customer Service

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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About the job:
Tennessee, Nashville 2 Vantage Way ( Show on map ) Dec 15, 2025 Summary Supervises a team of employees responsible for customer service. 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 position is remote. What You'll Do: - Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner....
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
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

Medical Review Director - CGS Administrators, LLC

CGS Administrators, LLC
Nashville, TN
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Summary Why should you join the BlueCross BlueShield of South Carolina ...
Details
Summary
About the job:
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 centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Healthjobsnationwide
Certifications / Licenses:
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Developer IV - OnBase - CGS Administrators, LLC (Nashville, TN)

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC life insurance, paid holidays, tuition assistance, ...
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About the job:
401(k) United States, Tennessee, Nashville 2 Vantage Way ( Show on map ) Dec 05, 2025 Summary 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. Position Purpose: Responsible for analysis, design, programming, and implementation of complex applications...
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
apply
Detailed Job Information

Medical Review Director - CGS Administrators, LLC

CGS Administrators LLC
Columbia, SC
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
South Carolina, Columbia Dec 05, 2025 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 centers in the...
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
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 Director - CGS Administrators, LLC

CGS Administrators LLC
Springfield, IL
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
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About the job:
Illinois, Springfield 3021 Montvale Drive ( Show on map ) Dec 05, 2025 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...
Location:
Springfield, IL
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Provider Relations Representative - CGS

CGS Administrators LLC
Tennessee
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
Tennessee Dec 05, 2025 Summary As a member of the DMEPOS (Durable Medical Equipment Prosthetics, Orthotics and Supplies) team you will provide education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. You will develop and produce all training and educational materials for virtual and onsite training classes. Description Logistics: CGS (cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a hybrid...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Training and Development Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Consultant, Sr Provider Education

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
Tennessee, Nashville 2 Vantage Way ( Show on map ) Dec 03, 2025 Summary Provides education to medical providers as warranted. Description Logistics: CGS (cgsadmin.com) - one of BlueCross BlueShield's South Carolina subsidiary companies. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. Location: This a hybrid position. Onsite work will be performed at 26 Century Blvd. Nashville, TN 37214. You will work an 8-hour shift scheduled...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
Security clearance
Licensed Practical Nurse
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Analyst, Business III

CGS Administrators, LLC
Grove City, OH
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85561221 292916684 Internal Reference Number: R1047948 Summary Conducts ...
Details
Summary
About the job:
complex business process analyses, needs assessments and cost/benefits analyses in an effort to align operations solutions with business initiatives. Prepares functional, system and program specifications. Provides management support in review of various internal and external reports and data. Provides assistance with complex testing efforts and may provide security administration to application supported by area when the appropriate written and approved request is received.Description Logistics: Palmetto GBA - one of...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
OhioMeansJobs.com
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Associate Medical Director DME

CGS Administrators, LLC
Grove City, OH
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85561226 292916686 Internal Reference Number: R1048061 Summary Why should ...
Details
Summary
About the job:
you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, 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 centers in the Southeast. We also have a diverse family of subsidiary...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
OhioMeansJobs.com
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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