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Results based on filters ( 23 jobs found )

Consultant, Sr Provider Education

CGS Administrators, LLC
Located in Ohio
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Summary Provides education to medical providers as warranted. Description ...
Details
Summary
About the job:
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 during our normal business hours of 8:00 a.m.-5:00 p.m. Monday - Friday . What You’ll Do: - Communicates/educates providers on issues such as...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
Himalayas
Certifications / Licenses:
Licensed Practical Nurse
Certified Registered Nurse
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Auditor II

CGS Administrators, LLC
Located in Ohio
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Summary Responsible for providing a full range of financial, compliance, and ...
Details
Summary
About the job:
operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description The Auditor II is a full-time remote position working 8:00-5:00 p.m. What You'll Do: - Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Documents issues, the causes of...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Certified Internal Auditor
Certified Information Systems Auditor
Certified Public Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Auditor III, Medicare

CGS Administrators, LLC
Grove City, OH
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85267776_1 293129133 Internal Reference Number: R1047647 Summary Responsible ...
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Summary
About the job:
for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources.Description The Medicare Auditor III position is a full-time remote position working 8:30-5:00pm working Monday through Friday. What You'll Do: Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
OhioMeansJobs.com
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
apply
Detailed Job Information

Medicare Cost Reporting Auditor II

CGS Administrators, LLC
Grove City, OH
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86092187 293128440 Internal Reference Number: R1048836 Summary Responsible ...
Details
Summary
About the job:
for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.Description This position is a full-time remote position working Monday-Friday 8:00am- 5:00pm. What You'll Do: Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies,...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
OhioMeansJobs.com
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
apply
Detailed Job Information

Claims Processor II-2

CGS Administrators LLC
Tennessee
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CGS Administrators LLC $ 13.21$ 17.38$ 24.33 life insurance, paid time off, ...
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About the job:
401(k) United States, Tennessee Jan 26, 2026 Summary Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. 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 from 8:00am-4:30pm EST and can be on-site or fully remote depending on where the...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Processor II-2

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC $ 13.21$ 17.38$ 24.33 life insurance, paid time off, ...
Details
Summary
About the job:
401(k) United States, Tennessee, Nashville Jan 26, 2026 Summary Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. 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 from 8:00am-4:30pm EST and can be on-site or fully remote depending on where...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Auditor I

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC $ $19.36 $ $27.51 $ $35.67Pay Transparency Statement: ...
Details
Summary
About the job:
* Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, life insurance, paid time off, 401(k) United States, Tennessee, Nashville Jan 26, 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,...
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:
Certified Internal Auditor
Certified Information Systems Auditor
Certified Public Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Processor II-2

CGS Administrators, LLC
Grove City, OH
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86084694 293126986 Internal Reference Number: R1048931 Summary Reviews and ...
Details
Summary
About the job:
adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members.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 from 8:00am-4:30pm and will be fully remote. What You'll Do: Examines and processes complex or specialty claims according to business/contract regulations,...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
OhioMeansJobs.com
Certifications / Licenses:
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
3
apply
Detailed Job Information

Claims Customer Service Advocate II

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 Jan 23, 2026 Summary We are currently hiring for a Claims Customer Service Advocate II to join CGS/BlueCross BlueShield of South Carolina. You will be responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and...
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
apply
Detailed Job Information

Auditor II

CGS Administrators LLC
Nashville, TN
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CGS Administrators LLC $51,107.00$74,418.00$97,729.00 United States, ...
Details
Summary
About the job:
Tennessee, Nashville Jan 22, 2026 Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description The Auditor II is a full-time remote position working 8:00-5:00 p.m. What You'll Do: - Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of...
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:
Certified Internal Auditor
Certified Information Systems Auditor
Certified Public Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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