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Blue Cross Blue Shield

Senior Provider Enrollment Analyst – Palmetto GBA

Columbia, SC 29203

Summary Acts as a Team Lead by providing guidance/direction/training to Provider Enrollment Analysts and/or other Provider Enrollment area staff. Responsible for the processing of difficult enrollment applications and/or complex inquiries. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a full-time (40-hours/week) Monday-Friday position located onsite at 17 Technology Circle, Columbia, SC, 29203. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. What You’ll Do: Functions as Team Leader/senior-level Enrollment Analyst. Provides leadership/guidance/direction/training to staff. Distributes work and is available to answer questions from staff. Acts as a resource for staff regarding any escalating issues. Keeps manager informed of any problems/issues that need resolving. Conducts quality reviews of completed work. Ensures that all audits are completed, verified, and closed. Performs analysis of audits to determine areas for training, development, and education. Ensures that quality work instructions/forms/documents are developed/revised as needed. Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone). Obtains information from internal departments, providers, government and/or private agencies, etc. to resolve discrepancies/problems. Interprets various guidelines and provides input to required procedures. Generates and analyzes various provider reports to management. Participates in testing system changes related to provider files. Contributes/participates/completes special projects as assigned. To Qualify for this Position, You’ll Need the Following: Required Education: 4 years job related work experience or Associate's and 2 years job related work experience. Required Work Experience: 2 years of provider network enrollment/certification experience. Required Skills and Abilities: Working knowledge of word processing, spreadsheet, and database software. Working knowledge of provider certification process and claims processing operations/systems. Good judgment skills required. Effective customer service, organizational, and presentation skills required. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Basic business math proficiency required. Analytical or critical thinking skills required. Ability to handle confidential or sensitive information with discretion. In-depth knowledge of pricing methodology and discount programs. In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues. Required Software and Tools: Microsoft Office. We Prefer That You Have the Following : Medicare Part A/B MAC experience Proficient with PECOS and IFLOW What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage. 401k retirement savings plan with company match. Life Insurance. Paid Time Off (PTO). On-site cafeterias and fitness centers in major locations. Education Assistance. Service Recognition. National discounts to movies, theaters, zoos, theme parks and more. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Posted 3 weeks ago

Blue Cross Blue Shield

Auditor I – Palmetto GBA

Columbia, SC 29203

Summary Why should 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 companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audit the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Review assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday working Remote in the U.S., or onsite at our 17 Technology Circle, Columbia, SC location. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do: Conduct audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings. Develop detailed reports on each audit conducted. Report includes a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Conducts testing of corrective actions as identified. Conduct special audit studies for management, such as those required to discover controls for prevention of fraud. Prepare reports of finding and recommendations for management. Assist other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor’s Degree in a job-related field (This position is open to students who are expected to graduate in May 2025) Required Work Experience: No previous work experience required. Required Software and tools: Microsoft Office Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills and the ability to work professionally with persons at all levels. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. We Prefer That You Have the Following: • Bachelor's Degree with 12 credit hours of Accounting or Finance (You will need to provide your transcripts) • Strong Microsoft Excel skills • Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA). Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Posted 3 weeks ago

Blue Cross Blue Shield

Claims Customer Service Advocate II

Columbia, SC 29229

Summary We are currently hiring for a Claims Customer Service Advocate II to join 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 procedures. 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 Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future. Description Position Purpose: This role is part of an inbound call center and directly helps our customers by responding to inquiries that may be non-routine and require deviation from standard screens, scripts and procedures. Research may be required to resolve these inquiries. Other responsibilities include review and adjudication of claims and/or non-medical appeals, determining whether to return, deny or pay claims while following policies and procedures. Location: This position is full-time (40 hours/week) Monday - Friday in a typical office environment. Employees are required to work a training and work schedule of 8:00am to 4:30. It may be necessary, given the business need to work occasional overtime and weekends. This role is located at 4101 Percival Road, Columbia SC. What You'll Do: You'll ensure effective customer relations by responding accurately, timely and courteously to our customers. These responses may be by telephone, written, web or walk-in inquiries. You will handle situations which may require a different set of responses or extensive research. Adhering to department guidelines, you will also identify claims that have been incorrectly processed and will enact process adjustments and reprocessing actions. You will examine and process claims and/or non-medical appeals while ensuring business/contract regulations, internal standards and examining guidelines. Another responsibility is to enter claims into the claim system after verifying correct coding of procedures and diagnosis codes. Claims must be processed according to established quality and production standards. You'll identify complaints and inquiries that may be complex and that cannot be resolved following usual procedures and guidelines and refer to a team lead or manager for resolution. You will also identify and report fraud and abuse situations. To Qualify for This Position, You'll Need: Required Education: High School Diploma or equivalent Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience. Required Skills and Abilities : Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Our Comprehensive Benefits Package Includes The Following 401(k) retirement savings plan with company match. Subsidized health plans and free vision coverage. Life insurance. Paid annual leave - the longer you work here, the more you earn. Nine paid holidays. On-site cafeterias and fitness centers in major locations. Wellness programs and a healthy lifestyle premium discount. Tuition assistance. Service recognition. What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Posted 3 weeks ago

University of South Carolina

Research Impact Librarian

Richland, SC

Posting Number FAC00102PO25 Advertised Title Research Impact Librarian Campus Columbia College/Division University Libraries Department LIBR Digital Research Srvs & Collec Advertised Salary Range Commensurate with Experience Location of Vacancy Part/Full Time Full Time Hours per Week 37.5 Position Category Full-time Equivalent (FTE) Basis 12 months Work County Richland Tenure Information Tenure-Track/Tenured Job Search Category Faculty About USC About University of South Carolina From the Upstate to the Lowcountry, the University of South Carolina system is transforming the lives of South Carolinians through the impact of our eight institutions and 20 locations throughout the state. More than 50,000 students are enrolled at one of eight institutions, including the research campus in Columbia and comprehensive four-year universities in Aiken, Upstate and Beaufort. In addition, our Palmetto College campuses in Salkehatchie, Union, Lancaster and Sumter enable students to earn associate or bachelor’s degrees through a combination of in-person, online or blended learning. All of our system institutions place strong emphasis on service — helping to build healthier, more educated communities in South Carolina and beyond. Benefits for FTE Positions The University of South Carolina (USC), through the State of SC and Public Employee Benefit Authority (PEBA), offers state employees a valuable benefits package, including health and life insurance, generous paid leave and retirement programs. To learn more about USC benefits, access the "Working at USC" section on the Applicant Portal at https://uscjobs.sc.edu. Position Description Advertised Job Summary University of South Carolina Libraries is seeking an innovative and user-focused Research Impact librarian who will work in a collaborative environment to support the research needs of faculty across the university. The Research Impact Librarian strengthens the USC research enterprise by building knowledge of and fluency with advanced bibliometrics and research impact analyses. This person will develop and promote a suite of services supporting faculty and students’ research impact. The Librarian provides consultation and training for faculty, administrators, and students to elevate researcher profiles in scholarly platforms and optimize the dissemination and publication of scholarly works. Training topics would cover research impact concepts, bibliometrics approaches, citation analysis, finding data sources, and developing researcher profiles. The Librarian also supports programs designed to monitor attribution of USC-produced research in bibliometric data sources and supports researcher disambiguation to attribute USC authorship correctly. The librarian works with large data sets to analyze research metrics data in support of requests for research impact reporting and supports grant reporting requirements around impact metrics. The position complements our research support service areas within the Libraries. Required Education and Experience Required Education and Experience: MLIS from an ALA-accredited program (or equivalent); another graduate degree and relevant experience will be given equal consideration Experience providing research analytics support services Experience working with research metric data sources (e.g., Web of Science, Scopus, Google Scholar) Demonstrated knowledge of emerging trends in research impact and assessment. Demonstrated experience supporting library resources or tools Required Knowledge, Skills, and Abilities/Competencies: Ability to communicate effectively with users at all levels of expertise across disciplines Projects an approachable and customer service-oriented attitude Ability to collaborate effectively and work on teams Ability to effectively and efficiently learn new resources Knowledge of statistics and/or data science Preferred Qualifications Preferred Qualifications: Second master’s or PhD in a STEM or other data-dependent field 2+ years’ experience working in research libraries Experience and/or training in conducting systematic reviews Experience with data visualization and data analysis Knowledge of Python and R Demonstrated involvement in professional activities, including evidence of ability to contribute to librarianship, research, and service as well as capacity for leadership within the profession. Experience in developing and producing workshops and tutorials Posting Detail Information Desired Start Date 08/18/2025 Job Open Date 07/14/2025 Job Close Date 07/29/2025 Open Until Filled No Special Instructions to Applicant Positions are advertised for a minimum of five (5) business days on our job website. After five (5) business days, positions can be closed at the discretion of the department at any time. This employment site is updated on a regular basis. The length of the recruitment and screening process may vary from position to position, depending upon a variety of factors. Should review of your qualifications result in a decision to pursue your candidacy, you will be contacted by phone or email. Quicklink for Posting https://uscjobs.sc.edu/postings/190819 EEO Statement The University of South Carolina does not discriminate in educational or employment opportunities or decisions for qualified persons on the basis of age, ancestry, citizenship status, color, disability, ethnicity, familial status, gender (including transgender), gender identity or expression, genetic information, HIV/AIDs status, military status, national origin, pregnancy (false pregnancy, termination of pregnancy, childbirth, recovery therefrom or related medical conditions, breastfeeding), race, religion (including religious dress and grooming practices), sex, sexual orientation, veteran status, or any other bases under federal, state, local law, or regulations.

Posted 3 weeks ago

University of South Carolina

Assistant Scientist

Richland, SC

For Posting Posting Number RTF00153PO25 USC Market Title Assistant Scientist Link to USC Market Title https://uscjobs.sc.edu/titles/156373 Business Title (Internal Title) Assistant Scientist Campus Columbia Work County Richland College/Division College of Engineering and Computing Department CEC Mechanical Engineering Advertised Salary Range Salary commensurate with qualifications Location of Vacancy Part/Full Time Full Time Hours per Week 37.5 Work Schedule Generally Monday – Friday 8:30 a.m. to 5:00 p.m. Must be willing to work a flexible schedule to meet the needs of the department. Type of Staff Position Staff Research Grant (SRGP) Basis 12 months Job Search Category Other Professional About USC About University of South Carolina From the Upstate to the Lowcountry, the University of South Carolina system is transforming the lives of South Carolinians through the impact of our eight institutions and 20 locations throughout the state. More than 50,000 students are enrolled at one of eight institutions, including the research campus in Columbia and comprehensive four-year universities in Aiken, Upstate and Beaufort. In addition, our Palmetto College campuses in Salkehatchie, Union, Lancaster and Sumter enable students to earn associate or bachelor’s degrees through a combination of in-person, online or blended learning. All of our system institutions place strong emphasis on service — helping to build healthier, more educated communities in South Carolina and beyond. Inclusive Excellence Statement At the University of South Carolina, we strive to cultivate an inclusive environment that is open, welcoming, and supportive of individuals of all backgrounds. We recognize diversity in our workforce is essential to providing academic excellence and critical to our sustainability. The University is committed to eliminating barriers created by institutional discrimination through accountability and continuous process improvement. We celebrate the diverse voices, perspectives, and experiences of our employees. Benefits for Research Grant or Time-Limited Positions Are Indicated Below The University of South Carolina (UofSC), through the State of SC and Public Employee Benefit Authority (PEBA), offers employees a valuable benefits package, including health and life insurance, generous paid leave and retirement programs. To learn more about UofSC benefits, access the "Working at USC" section on the Applicant Portal at https://uscjobs.sc.edu. Research Grant or Time-limited positions may be eligible for all, some, or no benefits, based on the grant or project funding. South Carolina Retirement No State Insurance Programs Yes Annual Leave Yes Sick Leave Yes Position Description Advertised Job Summary The Research Associate will conduct research on a Department of Energy (DOE) funded project to support the development of molten salt thermodynamic database; manage and perform work on nuclear fuel-related research grants that include experimental measurements and thermochemical modeling. Job Related Minimum Required Education and Experience Requires a terminal degree (PhD or similar) in an area of research specialty and one year of post-graduate job-related experience. Required Certification, Licensure/Other Credentials Preferred Qualifications PhD in chemistry, physics, materials science, or engineering Knowledge/Skills/Abilities Expertise in chemical thermodynamic calculations and experimental measurement of thermal properties; ability to perform thermochemical modeling and system assessment; Ability to perform or learn to perform thermal measurements such as differential scanning calorimetry; Ability to perform analytical thermochemical calculations using the pycalphad and ESPEI software; Ability to write technical/scientific papers and reports in English; Ability to make technical presentation in English. Job Duties Job Duty Perform Computer Coupling of Phase Diagrams & Thermochemistry (CALPHAD) assessments/calculations for chemical systems of interest. This involves for specific material systems collecting and organizing thermodynamic data, evaluating the data, using the data to fit to thermodynamic models to generate relations that predict thermodynamic properties as a function of temperature, pressure, and composition. Provide these models in a suitable format for a database, adhering to the FactSage/Chemsage format. Essential Function Yes Percentage of Time 50 Job Duty Perform experimental measurements and aid in maintaining laboratory facilities. This involves preparing material samples by mixing and heating reactants under controlled conditions. Analyzing materials using x-ray diffraction, ICP-OES, fusion, and differential scanning calorimetry (DSC). Perform DSC measurements to obtain thermal properties of the material systems. Essential Function Yes Percentage of Time 20 Job Duty Using the results from the assessments and experiments with resultant determination of thermal properties for materials, generate as needed reports, journal publications, and presentations. Support and participate in the preparation of manuscripts/slides for presentations and publications. As requested, report work at conferences and other meetings. Essential Function Yes Percentage of Time 15 Job Duty Lead the preparation of research proposals and conduct literature searches for technical information. Essential Function Yes Percentage of Time 15 Position Attributes Hazardous weather category Non-Essential Employees in Safety-Sensitive or Security-Sensitive positions will be subject to pre-employment and post-employment drug testing in accordance with University policy HR 1.95 Drug and Alcohol Testing. No Posting Detail Information Number of Vacancies 1 Desired Start Date 07/23/2025 Position End Date Job Open Date 07/11/2025 Job Close Date 07/21/2025 Open Until Filled No Special Instructions to Applicant If required, applicants should be prepared to upload: Cover letter Resume and/or CV List of references and their contact information Positions are advertised for a minimum of five (5) business days on our job website. After five (5) business days, positions can be closed at the discretion of the department at any time. This employment site is updated on a regular basis. The length of the recruitment and screening process may vary from position to position, depending upon a variety of factors. Should review of your qualifications result in a decision to pursue your candidacy, you will be contacted by phone or email. We are only accepting applications submitted by July 21, 2025. Quicklink for Posting https://uscjobs.sc.edu/postings/190702 EEO Statement The University of South Carolina does not discriminate in educational or employment opportunities or decisions for qualified persons on the basis of age, ancestry, citizenship status, color, disability, ethnicity, familial status, gender (including transgender), gender identity or expression, genetic information, HIV/AIDs status, military status, national origin, pregnancy (false pregnancy, termination of pregnancy, childbirth, recovery therefrom or related medical conditions, breastfeeding), race, religion (including religious dress and grooming practices), sex, sexual orientation, veteran status, or any other bases under federal, state, local law, or regulations.

Posted 4 weeks ago

Summit Business Group

Sales Leader

Irmo, SC

Join Our Dynamic Team at Summit Business Group Position: Direct Sales Leader Number of Openings: 1 Territory Sales Leadership Position Available About Us: Summit Business Group isn't just an insurance agency; we're a close-knit family committed to delivering top-tier supplemental benefits plans to small and medium-sized businesses and their employees. Our culture revolves around fostering genuine connections and offering empathetic support to all we serve. If you thrive in roles where your contributions directly impact the well-being of others, then our Direct Sales Leader role is tailor-made for you. The Role: We believe in leadership by example anda Direct Sales Leader, you'll have the opportunity to lead by example while fast-tracking into a position where you'll train and mentor others. Leveraging your extensive sales background, you'll absorb and implement our proven sales process, ensuring seamless execution in the field. Within the first 90 days, you'll transition into a hybrid sales/training role, guiding and empowering new team members to excel while building and maintaining your own book of business. Out in the field, you'll autonomously manage your schedule, aligning your hours with the business needs of your clients. Your primary focus will be on cultivating enduring relationships with business owners and key stakeholders, adeptly assessing their needs, and presenting customized insurance solutions that genuinely enrich their lives. Utilizing our cutting-edge Salesforce CRM, you'll engage potential clients through a combination of cold calls and face-to-face interactions. Your aim isn't just to close sales but to become a trusted advisor, offering ongoing support and guidance, particularly during the claims process, to ensure client satisfaction. What We're Looking For: A minimum of 10 years of sales experience, preferably in customer-facing or outside sales roles. Demonstrated ability to conduct comprehensive training cycles, both in-person and online. Exceptional organizational, communication, and presentation skills. A genuine passion for assisting and empowering clients, with a sincere commitment to their well-being. Health & Life general lines license, or the willingness to obtain it within 90 days (with support from Summit). Position Overview: This is a leadership role in outside sales, operating within your designated territory. You'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Your responsibilities will include: Responding promptly to client emails and phone calls. Scheduling follow-up appointments with prospective and current clients to assess their evolving needs. Participating in scheduled calls or meetings with your sales team or manager. Prospecting new businesses, referrals, and existing clients for continued service. Building and maintaining a robust book of business through proactive relationship development. Collaborating with your sales team manager to establish and achieve monthly and quarterly sales targets and quotas. Cultivating meaningful relationships with local business owners within your territory. Selling Business to business. Setting your own working hours and providing weekly schedules to your sales manager. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts. Submitting daily sales metrics and activity reports to track progress and performance. We Offer: Virtual classroom training as well as hands-on sales training in your own territory Weekly draw pay with bonuses and commission eligibility upon start Quarterly and annual incentive trips, cash bonuses, stock share bonuses, and lifetime-vested renewal commissions Advancement and promotions based on personal performance Excellent ongoing professional development, advanced sales training, and leadership training Increased schedule flexibility once you have an established book of business Work around other like-minded, driven, caring people in a culture that feels like a family Additional Position Qualifications: Already licensed in Health & Life general lines (or willing and able to obtain Health & Life producer license - licensing reimbursement offered) Bachelor's degree or a minimum of 10years of professional (post-high school) work experience. Candidates within 6 months or less of degree completion will be considered, as will candidates with less than 10 years of professional work experience who have relevant or specialized outside sales experience. Your New Journey:If you are looking to make a meaningful impact in your career, consider joining Summit Business Group. Here, your compassionate spirit and dedication to service can lead to a fulfilling career. We're excited to redefine what it means to be in insurance sales with a team that values integrity, compassion, and the well-being of its members. Ready to elevate your career at a company that appreciates your nurturing nature? Apply now and let's make a difference together. Learn more and apply at:www.yoursummitinsurance.com

Posted 4 weeks ago

Blue Cross Blue Shield

Provider File Specialist II

Columbia, SC 29203

Summary Responsible for the maintenance of all provider files through assignment and enrollment on specified provider systems/databases. Responsible for running various queries for reporting on corporate, division, and department levels. Description Logistics: Palmetto GBA – 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 scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located onsite at 17 Technology Circle, Columbia, SC, 29203 SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do: Obtains necessary information (written notifications, faxes, emails, or telephone contacts) and establishes certification of healthcare service providers. Prepares provider files/maintains provider data (updates, additions, deletions) on the provider information management system (PIMS)or appropriate provider systems/database. Generates and analyzes various provider reports to management. Assists with providing technical support through system testing to ensure system enhancements/modifications. Researches/resolves issues/problems from providers related to eligibility, recertifications, edits, billing, etc. Contributes to department's production standard by working on PIMS and AMMS (automated medical management systems) or appropriate provider system/database maintenance/error reports. Contributes to and participates on special projects, which may include but are not limited to the following: mass rate updates, quality improvement, audits, etc. To Qualify For This Position, You’ll Need the Following: Required Education: High School Diploma or equivalent. Required Work Experience: 3 years of experience in customer service, claims processing, and/or provider network certification, or combination. Required Skills and Abilities: Working knowledge of word processing, spreadsheet, and database software. Knowledge/understanding of PIMS and AMMS. In-depth knowledge of provider certification process, claims processing operations/systems. In-depth knowledge of pricing methodology and discount programs. Good judgment skills. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Basic business math proficiency and knowledge of mathematical or statistical concepts. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Working knowledge of DB2 or other database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Posted 4 weeks ago

Summit Business Group

Sales Leader

Irmo, SC

Join Our Dynamic Team at Summit Business Group Position: Direct Sales Leader Number of Openings: 1 Territory Sales Leadership Position Available About Us: Summit Business Group isn't just an insurance agency; we're a close-knit family committed to delivering top-tier supplemental benefits plans to small and medium-sized businesses and their employees. Our culture revolves around fostering genuine connections and offering empathetic support to all we serve. If you thrive in roles where your contributions directly impact the well-being of others, then our Direct Sales Leader role is tailor-made for you. The Role: We believe in leadership by example anda Direct Sales Leader, you'll have the opportunity to lead by example while fast-tracking into a position where you'll train and mentor others. Leveraging your extensive sales background, you'll absorb and implement our proven sales process, ensuring seamless execution in the field. Within the first 90 days, you'll transition into a hybrid sales/training role, guiding and empowering new team members to excel while building and maintaining your own book of business. Out in the field, you'll autonomously manage your schedule, aligning your hours with the business needs of your clients. Your primary focus will be on cultivating enduring relationships with business owners and key stakeholders, adeptly assessing their needs, and presenting customized insurance solutions that genuinely enrich their lives. Utilizing our cutting-edge Salesforce CRM, you'll engage potential clients through a combination of cold calls and face-to-face interactions. Your aim isn't just to close sales but to become a trusted advisor, offering ongoing support and guidance, particularly during the claims process, to ensure client satisfaction. What We're Looking For: A minimum of 10 years of sales experience, preferably in customer-facing or outside sales roles. Demonstrated ability to conduct comprehensive training cycles, both in-person and online. Exceptional organizational, communication, and presentation skills. A genuine passion for assisting and empowering clients, with a sincere commitment to their well-being. Health & Life general lines license, or the willingness to obtain it within 90 days (with support from Summit). Position Overview: This is a leadership role in outside sales, operating within your designated territory. You'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Your responsibilities will include: Responding promptly to client emails and phone calls. Scheduling follow-up appointments with prospective and current clients to assess their evolving needs. Participating in scheduled calls or meetings with your sales team or manager. Prospecting new businesses, referrals, and existing clients for continued service. Building and maintaining a robust book of business through proactive relationship development. Collaborating with your sales team manager to establish and achieve monthly and quarterly sales targets and quotas. Cultivating meaningful relationships with local business owners within your territory. Selling Business to business. Setting your own working hours and providing weekly schedules to your sales manager. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts. Submitting daily sales metrics and activity reports to track progress and performance. We Offer: Virtual classroom training as well as hands-on sales training in your own territory Weekly draw pay with bonuses and commission eligibility upon start Quarterly and annual incentive trips, cash bonuses, stock share bonuses, and lifetime-vested renewal commissions Advancement and promotions based on personal performance Excellent ongoing professional development, advanced sales training, and leadership training Increased schedule flexibility once you have an established book of business Work around other like-minded, driven, caring people in a culture that feels like a family Additional Position Qualifications: Already licensed in Health & Life general lines (or willing and able to obtain Health & Life producer license - licensing reimbursement offered) Bachelor's degree or a minimum of 10years of professional (post-high school) work experience. Candidates within 6 months or less of degree completion will be considered, as will candidates with less than 10 years of professional work experience who have relevant or specialized outside sales experience. Your New Journey:If you are looking to make a meaningful impact in your career, consider joining Summit Business Group. Here, your compassionate spirit and dedication to service can lead to a fulfilling career. We're excited to redefine what it means to be in insurance sales with a team that values integrity, compassion, and the well-being of its members. Ready to elevate your career at a company that appreciates your nurturing nature? Apply now and let's make a difference together. Learn more and apply at:www.yoursummitinsurance.com

Posted 4 weeks ago

Summit Business Group

Sales Leader

Irmo, SC

Join Our Dynamic Team at Summit Business Group Position: Direct Sales Leader Number of Openings: 1 Territory Sales Leadership Position Available About Us: Summit Business Group isn't just an insurance agency; we're a close-knit family committed to delivering top-tier supplemental benefits plans to small and medium-sized businesses and their employees. Our culture revolves around fostering genuine connections and offering empathetic support to all we serve. If you thrive in roles where your contributions directly impact the well-being of others, then our Direct Sales Leader role is tailor-made for you. The Role: We believe in leadership by example anda Direct Sales Leader, you'll have the opportunity to lead by example while fast-tracking into a position where you'll train and mentor others. Leveraging your extensive sales background, you'll absorb and implement our proven sales process, ensuring seamless execution in the field. Within the first 90 days, you'll transition into a hybrid sales/training role, guiding and empowering new team members to excel while building and maintaining your own book of business. Out in the field, you'll autonomously manage your schedule, aligning your hours with the business needs of your clients. Your primary focus will be on cultivating enduring relationships with business owners and key stakeholders, adeptly assessing their needs, and presenting customized insurance solutions that genuinely enrich their lives. Utilizing our cutting-edge Salesforce CRM, you'll engage potential clients through a combination of cold calls and face-to-face interactions. Your aim isn't just to close sales but to become a trusted advisor, offering ongoing support and guidance, particularly during the claims process, to ensure client satisfaction. What We're Looking For: A minimum of 10 years of sales experience, preferably in customer-facing or outside sales roles. Demonstrated ability to conduct comprehensive training cycles, both in-person and online. Exceptional organizational, communication, and presentation skills. A genuine passion for assisting and empowering clients, with a sincere commitment to their well-being. Health & Life general lines license, or the willingness to obtain it within 90 days (with support from Summit). Position Overview: This is a leadership role in outside sales, operating within your designated territory. You'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Your responsibilities will include: Responding promptly to client emails and phone calls. Scheduling follow-up appointments with prospective and current clients to assess their evolving needs. Participating in scheduled calls or meetings with your sales team or manager. Prospecting new businesses, referrals, and existing clients for continued service. Building and maintaining a robust book of business through proactive relationship development. Collaborating with your sales team manager to establish and achieve monthly and quarterly sales targets and quotas. Cultivating meaningful relationships with local business owners within your territory. Selling Business to business. Setting your own working hours and providing weekly schedules to your sales manager. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts. Submitting daily sales metrics and activity reports to track progress and performance. We Offer: Virtual classroom training as well as hands-on sales training in your own territory Weekly draw pay with bonuses and commission eligibility upon start Quarterly and annual incentive trips, cash bonuses, stock share bonuses, and lifetime-vested renewal commissions Advancement and promotions based on personal performance Excellent ongoing professional development, advanced sales training, and leadership training Increased schedule flexibility once you have an established book of business Work around other like-minded, driven, caring people in a culture that feels like a family Additional Position Qualifications: Already licensed in Health & Life general lines (or willing and able to obtain Health & Life producer license - licensing reimbursement offered) Bachelor's degree or a minimum of 10years of professional (post-high school) work experience. Candidates within 6 months or less of degree completion will be considered, as will candidates with less than 10 years of professional work experience who have relevant or specialized outside sales experience. Your New Journey:If you are looking to make a meaningful impact in your career, consider joining Summit Business Group. Here, your compassionate spirit and dedication to service can lead to a fulfilling career. We're excited to redefine what it means to be in insurance sales with a team that values integrity, compassion, and the well-being of its members. Ready to elevate your career at a company that appreciates your nurturing nature? Apply now and let's make a difference together. Learn more and apply at:www.yoursummitinsurance.com

Posted 4 weeks ago

Austin Industries

Electrician Helper (Eastover, SC) – Austin Industrial

Eastover, SC

Austin Industrial delivers premier maintenance, construction, and soft craft services to leading industrial companies across the U.S. An industry leader for more than 60 years, we offer single-source solutions to our customers in the oil, gas, chemical, food, agriculture, power, and manufacturing industries. Our team of employee-owners, equipped with innovative technology and optimized procedures, helps owners optimize safety, productivity, profit margins, and cost-efficiency. This is a fulltime maintenance job opportunity. There is no per diem and relocation funding. Electrician Helper The Electrical Helper will assist the electrician in the assembly, installation, testing, and maintenance of electrical or electronic wiring, equipment, appliances, apparatus, and fixtures, using hand tools and power tools. Assist in the diagnosis of malfunctioning systems, apparatus, and components, using test equipment and hand tools, to locate the cause of a breakdown and assist in correcting the problem. This is accomplished by performing the following essential duties and responsibilities. Other duties may be assigned. Specific Duties and Responsibilities: Must be able to measure and bend conduit. Gathers tools and supplies to be used at the work site according to the instructions of the senior electrician. Must be able to take measurements and cut wire using a ruler and hand tools. Drills holes for wiring, using power drill and pulls or pushes wiring through opening. Trace out short circuits in wiring, using knowledge of wiring and test meter. Assists in lifting, positioning or fastening objects such as wiring, conduit, and motors. Performs minor repairs, such as replacing fuses, light sockets, bulbs and switches. May disassemble defective electrical equipment, replace worn or defective parts and reassemble equipment. Must be able to perform work wearing personnel protective equipment. Including but not limited to the following: rain gear, chemical protective clothing, supplied air and air purifying respirators, safety harness, sand blast hoods, fire resistant coveralls, hard hat, ear plugs and safety glasses. While performing the duties of this job, the employee is regularly required to have full range of mobility in upper and lower body, able to reach overhead, able to work in various positions, including, but not limited to, stooping, standing, bending over, sitting, kneeling, squatting; use hands to handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; work at heights; balance for extended periods of time. Other duties as assigned. Qualifications Required for this Position: Education – no minimum education requirements. Experience – 6 months of experience, preferred. Must pass drug screen, as condition of employment. This is a fulltime maintenance job working 40 hours a week (4/10's). There is no per diem and no relocation funding. Applicants must be legally authorized to work for ANY employer in the United States. Austin Industrial is unable to sponsor or take over sponsorship of an employment visa for this position. We offer excellent benefits including medical, dental, life and disability insurance, and a matching 401K plan. We are proud to be a 100% Employee-Owned Company (ESOP)! To learn more about Austin, please go to https://www.austin-ind.com/our-company/who-we-are. Austin Industrial is an Equal Opportunity Employer. See the “Know Your Rights” poster available in English and Spanish. About Austin Industrial Austin Industrial provides premier self-perform maintenance, construction, and soft craft service to leading industrial companies across the U.S. An industry leader for more than 60 years, we offer single-source solutions to our customers in the oil, gas, chemical, food, agriculture, power, and manufacturing industries. To learn more about us, visit https://www.austin-ind.com/what-we-do/industrial. No Third-Party Inquiries Please This Company does not accept and will not consider unsolicited resumes, or any other unsolicited candidate information submitted to the Company or any of its employee-owners by staffing agencies, search firms, or third-party recruiters in response to a posted vacancy. The Company will not pay any placement fee(s) without a written agreement to do so (i.e., payment must be required pursuant to the terms of a written agreement). Any unsolicited resumes or candidate information submitted to this Company or any of its employee-owners becomes the property of the Company. Accessibility Note If you are a job seeker with a disability and require reasonable accommodation to apply for one of our jobs or have accessibility concerns, please contact the People Services Team at (877) 831-1217. Licenses & Certifications

Posted 4 weeks ago