3 jobs found in Vermont

A healthcare administrative company is seeking a Medical Review Supervisor in Vermont to lead a team of Medical Reviewers. The position requires an active RN license and offers flexible work hours. Responsibilities include managing daily activities, ensuring compliance with healthcare standards, and training staff. This role is ideal for professionals transitioning from direct patient care to an administrative environment, offering a work-life balance with no regular weekends or holidays. Competitive salary and benefits included. #J-18808-Ljbffr

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 one of the nation\'s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast and 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! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare...

Overview Internal Reference Number: R1049162 Summary: Why should you join the BlueCross BlueShield of South Carolina family of companies? We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the Southeast's most sophisticated data processing centers. We are a diverse family of subsidiary companies that enables us to build on multiple business strengths and deliver outstanding service to our customers. This open position is within CGS Administrators, a subsidiary that provides administrative and business services to state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers. We are expanding our Medicare Part A Medical Review team focused on Prior Authorizations, adding five new staff to enhance service to Medicare recipients. This position will lead a team of four to ten Medical Reviewers and...