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Results based on filters ( 8 jobs found )

Vp, Business Development

CGS Administrators, LLC
Grove City, OH
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85286686 292795960 Internal Reference Number: R1047627 Summary Why should ...
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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...
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5
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5
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Auditor III, Medicare

CGS Administrators, LLC
Grove City, OH
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85267776 292790490 Internal Reference Number: R1047647 Summary Responsible ...
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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 50% Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Develops written audit programs. Conducts testing and...
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5
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5
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6
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Design/Developer e-Learning

CGS Administrators, LLC
Grove City, OH
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85177567 292754398 Internal Reference Number: R1047428 Summary Promotes ...
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blended learning solutions and the use of innovative technology and tools to meet business goals of developing a high-performing workforce. Produces web-enabled e-learning, traditional educational materials, or a blended solution using leading-edge technologyDescription Logistics: Palmetto GBA, PGBA ,- one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday remote opportunity. You will work an 8-hour shift scheduled during our normal business...
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5
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5
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Lean Operational Excellence Project Manager - CGS

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 2 Vantage Way ( Show on map ) Oct 13, 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...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
5
apply
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Lead Medicare Cost Reporting Auditor

CGS Administrators, LLC
Grove City, OH
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85117271 292729297 Internal Reference Number: R1047266 Summary Responsible ...
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for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects.Description The Lead Medicare Auditor is a full-time remote position working 8:00-5:00pm. What You'll Do: Independently and objectively helps plan and...
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Applied Math
5
Graphic Literacy
5
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6
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Senior Medical Director (Palmetto GBA)

CGS Administrators, LLC
Grove City, OH
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84495309 292544306 Internal Reference Number: R1045875 Summary Position ...
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Purpose As a member of the leadership team, you will oversee and direct the synthesis of data and clinical knowledge in the development of information that is used to inform the detection, correction and prevention of claims payment errors. You will lead a Medical Review team in the development and implementation of an efficient and effective medical review strategy which includes the integration of policy and education, that optimizes critical medical review cycle times. In this role you will also serve as the Medical...
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Applied Math
5
Graphic Literacy
5
Workplace Documents
5
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Auditor II (Medicare Cost Reporting)

CGS Administrators, LLC
Grove City, OH
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84675378 292488602 Internal Reference Number: R1044120 Summary Why should ...
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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...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
apply
Detailed Job Information

Registered Nurse Senior Medical Reviewer (Medicare Part B Appeals) - CGS

CGS Administrators, LLC
Grove City, OH
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84495308 292300460 Internal Reference Number: R1045305 Summary We are ...
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currently hiring for a Registered Nurse Senior Medical Reviewer to join CGS, a Celerian Group Company and subsidiary of BlueCross BlueShield of South Carolina. The team the position will work on handles Medicare Part B DME claims. In this role you will Act as Team Lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. You will also ensure appropriate levels of healthcare...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information
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Salary: Six Figures Jobs ($100K+)
Company Name: CGS Administrators, LLC
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