Southcarolinablues

BlueCross BlueShield of South Carolina is hiring a Provider Educator & Medicare Risk Adjustment Coder to monitor and improve Medicare Stars data. The role involves data collection and chart reviews to support compliance with NCQA/CMS standards, plus data-driven actions to enhance health plan ratings. The position is fully remote with a 40-hour workweek, Monday–Friday. A Bachelor's degree plus healthcare-related certification is required; CRE/CRC/CPC or equivalent is preferred. #J-18808-Ljbffr

BlueCross BlueShield of South Carolina is hiring a Provider Educator & Medicare Risk Adjustment Coder to monitor and improve Medicare Stars data. The role involves data collection and chart reviews to support compliance with NCQA/CMS standards, plus data-driven actions to enhance health plan ratings. The position is fully remote with a 40-hour workweek, Monday–Friday. A Bachelor's degree plus healthcare-related certification is required; CRE/CRC/CPC or equivalent is preferred. #J-18808-Ljbffr

## Provider Educator & Medicare Risk Adjustment Coder (W@H SC, NC, GA, TN, FL)Apply: Remote: W@H South Carolina: Full time: Posted Today: End Date: November 12, 2026 (14 days left to apply): R1052585# **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! We are currently hiring for a Provider Educator...