Blue Cross Blue Shield Employment Myrtle Beach Sc

• 4.7

  Clinical Support Representative I

  Bluecross Blueshield of Vermont

  Support Representative Job, Remote or Montpelier, VT

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  Blue Cross and Blue Shield of Vermont is looking for a Clinical Support Representative to join our Utilization Management team. Clinical Support Representative I Responsibilities: Clinical Support Representative I Qualifications: Clinical Support Representative I Benefits:

  $27k-39k yearly est.

  18d ago

  Opens new tab

• 4.7

  Senior Software Engineer- Informatica

  Bluecross Blueshield of Louisiana

  Senior Software Engineer Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana implemented a policy requiring any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID 19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. At this time, that policy is suspended and vaccination is not required to enter our facilities. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates and certain client facing roles may have separate protocols. Residency in or relocation to Louisiana is preferred for all positions. Senior Software Engineer opportunity is 100% remote and can be located in any of these states: AL, AR, FL, GA, IA, KY, LA, MS, MO, NE, NH, NC, OK, SC, TN, TX, UT, VA, WV, WI, and PA (except for these counties: Allegheny, Bucks, Chester, Delaware, Montgomery, Philadelphia) POSITION PURPOSE Under minimal supervision (with wide latitude for independent judgment) design, develop, document, test, and debug new and existing software systems and/or applications for market sale or large-scale proprietary software for internal use. Service as technical expert on development projects. Participate in full development life cycle including requirements analysis and design. Write technical specifications based on conceptual design and stated business requirements. Support, maintain, and document software functionality. Identify and evaluate new technologies for implementation. Analyze code to find causes of errors and revise programs as needed. Participate in software design meetings and analyze user needs to determine technical requirements. Consult with end user to prototype, refine, test, and debug programs to meet needs. Accountable for complying with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE * This role does not manage people * This job reports to: Departmental Leadership * Necessary Contacts: To do this job effectively the incumbent has to be in contact with all levels of BCBSLA personnel. QUALIFICATIONS Education * Bachelor's in Computer Science or a related field required * Four years of related experience can be used in lieu of a Bachelor's degree. Work Experience * 4 years of software development experience required * Must have a minimum of three years of IT experience using general development technologies (i.e., C#, SSRS, SSIS, SQL Coding, XML) or comparable computing language (i.e., .Net, BI, ERP) as approved by the hiring manager. * Informatica PowerCenter experience is highly preferred Skills and Abilities * Ability to think strategically, balance long and short-term priorities. Requires the knowledge and ability to analyze and solve complex, logical problems * Ability to establish and maintain a high level of trust and confidence with clients; establish strong working relationships with business and technology partners at all levels; exercise sound judgment; collaborate effectively with peers, subordinates and superiors * Must understand and have experience in all aspects of the software development lifecycle (SDLC) * Ability to multitask and prioritize a heavy workload in a fast paced, dynamic environment * Understanding of business operations and key business drivers (or aptitude to develop understanding quickly) * The candidate must be flexible in terms of working practices as the role requires on call rotation which might include some evening, weekend and holiday work Licenses and Certifications * None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS * Gather information from stakeholders to document functional, system, and data requirements * Assess available technologies and create detailed technical specifications or data models for development of new or modifications to existing internal applications or systems * Designs, codes, tests, maintains, trouble shoots, and documents on new or existing core administration integrated information systems with moderate supervision at various levels of complexity to maintain quality enterprise business solutions of application architectures * Produces quality enterprise information systems of application architectures that meet or exceed client expectations on operations and strategic projects * Develop and maintain internal systems or applications involving various programming languages * Maintain existing applications by fixing defects, adding new functionality, and upgrading components * Perform testing, analysis, and debugging on applications and systems to identify and fix problems * Use development specifications to create detailed test cases. Analyze results of testing to ensure technology solution matches the organization's business needs * Train or contribute to training of stakeholders and evaluate the effectiveness of implemented technologies * Research and remain informed of new technology and development tools * Provide support to the testing team on an as needed basis * Document system problems and resolutions for future reference * Provides technical support and troubleshooting assistance on software application related issues * Maintain configuration management * The candidate must be flexible in terms of working practices as the role requires on call rotation which might include some evening, weekend and holiday work Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions * Perform other job-related duties as assigned, within your scope of responsibilities. * Job duties are performed in a normal and clean office environment with normal noise levels. * Work is predominately done while standing or sitting. * The ability to comprehend, document, calculate, visualize, and analyze are required. #LI-RF1 #LI-REMOTE An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: IT, Telecom & Internet

  $78k-101k yearly est.

  18d ago

• 4.7

  Lead Software Engineer (Remote)

  Bluecross Blueshield of Louisiana

  Software Engineer Lead Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana implemented a policy requiring any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID 19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. At this time, that policy is suspended and vaccination is not required to enter our facilities. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates and certain client facing roles may have separate protocols. Residency in or relocation to Louisiana is preferred for all positions. We will consider remote work in the following states: LA, AL, AR, FL, GA, KY, MS, NH, NC, PA (limited counties), TN, TX, VA, WV, WI, OK, MO, UT, SC, & IA. POSITION PURPOSE Working without supervision (and with extensive latitude for independent judgment) design, develop, document, test, and debug new and existing software systems and/or applications for market sale or large-scale proprietary software for internal use. Serve as a technical expert on development projects. Participate in full development life cycle including requirements analysis and design. Write technical specifications based on conceptual design and stated business requirements. Support, maintain, and document software functionality. Identify and evaluate new technologies for implementation. Analyze code to find causes of errors and revise programs as needed. Participate in software design meetings and analyze user needs to determine technical requirements. Consult with end user to prototype, refine, test, and debug programs to meet needs. Accountable for complying with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE * This role does not manage people * This role reports to this job: Manager, Software Engineering * Necessary Contacts: To do this job effectively the incumbent has to be in contact with all levels of BCBSLA personnel. QUALIFICATIONS Education * Bachelor's in Computer Science or a related field * Master's degree preferred * Four years of related experience can be used in lieu of a Bachelor's degree. Work Experience * 7 years of software development experience required. * Must have a minimum of five years of IT experience using general development technologies (i.e., C#, SSRS, SSIS, SQL Coding, XML) or comparable computing language (i.e., .Net, BI, ERP) as approved by the hiring manager * Preferred Qualifications for IT EDI Team Only: Skill set includes 2 or more of the following: BizTalk, C#, Azure Logic Apps, Azure Data Factory, Azure Event Grid, Azure Service Bus, Azure Functions * Preferred Qualifications for IT Enrollment Service Team Only: Skill set includes 4 or more of the following: C#, Azure Logic Apps, Azure Data Factory, Azure Event Grid, Azure Service Bus, Azure Functions, SSIS, SSRS, T-SQL, SQL * Preferred Qualifications for EPIC Technical Operations Team Only: C#, Azure Logic Apps, Azure Data Factory, Azure Event Grid, Azure Service Bus, Azure Functions, SSIS, SQL, X12 EDI, FHIR, API creation * Preferred Qualifications for IT Provider Team Only: Skill set includes 4 or more of the following: C#, Azure Logic Apps, Azure Data Factory, Azure Data Bricks, Azure Service Bus, Azure Functions, SSIS, SSRS, FHIR, API Service, SQL Skills and Abilities Ability to think strategically, balance long and short-term priorities. Ability to establish and maintain a high level of trust and confidence with clients; establish strong working relationships with business and technology partners at all levels; exercise sound judgment; collaborate effectively with peers, subordinates and superiors. Must understand and have experience in all aspects of the software development lifecycle (SDLC). Ability to multitask and prioritize a heavy workload in a fast paced, dynamic environment. Understanding of business operations and key business drivers. The candidate must be flexible in terms of working practices as the role requires on call rotation which might include some evening, weekend and holiday work. Licenses and Certifications * None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS * Gather information from stakeholders to document functional, system, and data requirements * Assess available technologies and create detailed technical specifications or data models for development of new or modifications to existing internal applications or systems * Develop and maintain internal systems or applications involving various programming languages * Perform testing, analysis, and debugging on applications and systems to identify and fix problems * Use development specifications to create detailed test cases. Analyze results of testing to ensure technology solution matches the organization's business needs * Train or contribute to training of stakeholders and evaluate the effectiveness of implemented technologies * Research and remain informed of new technology and development tools * Provide support to the testing team on an as needed basis * Provides leadership, advice, and training to less experienced peers * Document system problems and resolutions for future reference * Provides technical support and troubleshooting assistance on software application related issues * Maintain configuration management * The candidate must be flexible in terms of working practices as the role requires on call rotation which might include some evening, weekend and holiday work Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions * Perform other job-related duties as assigned, within your scope of responsibilities. * Job duties are performed in a normal and clean office environment with normal noise levels. * Work is predominately done while standing or sitting. * The ability to comprehend, document, calculate, visualize, and analyze are required. #LI-Remote #LI_DB1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: IT, Telecom & Internet

  $91k-116k yearly est.

  18d ago

• 4.7

  Account Advisor I (Remote - Louisiana) - September 2022

  Bluecross Blueshield of Louisiana

  Adviser Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana implemented a policy requiring any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID 19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. At this time, that policy is suspended and vaccination is not required to enter our facilities. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates and certain client facing roles may have separate protocols. Residency in or relocation to Louisiana is preferred for all positions. Grade 3 Do you want flexibility and convenience of working from your home? We are now hiring to fill a virtual new hire call center class beginning in September of 2022! BCBSLA is seeking customer-focused while using a one call resolution mindset? If so, imagine the sense of accomplishment you will feel while providing a cutting-edge experience that our customers have come to know. Everyone on our team plays a vital role in supporting our mission to improve the health and lives of Louisianans. You will serve on the front lines of the company by becoming a part of a team that is committed to excellence and upholds a sense of integrity in helping to deliver exceptional service by resolving benefit and claims inquiries from our members and/or providers via the telephone in your home office. You will have the ability to promote and maintain a positive company image with your unique skillset through direct contact with members. As a part of our family, you will earn competitive pay, medical, vision, dental, and life benefits; accrue of paid time off beginning on your first day; a generous 401k contribution match from the company; participation in our Wellness program; an opportunity to participate in various diverse cultural events; and be afforded continuous opportunities for self-development and professional growth, among much more! This position is a work from home position and can be located anywhere in the state of Louisiana. POSITION PURPOSE Resolves benefit and claims inquiries via the telephone from our members or providers in the call center. Promotes and maintains a positive company image through direct contact with customers. Complies with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE * This role does not manage people * This role reports to this job: SUPERVISOR, CUSTOMER SERVICE * Necessary Contacts: Enrollment & Billing, Claims, Provider Relations, Benefit Operations, Network Administration, Sales/Marketing, Accounting and Legal departments as well as members, providers, groups, brokers, other plans, insurance companies, Social Security Administration and Centers for Medicare and Medicaid Services (CMS). QUALIFICATIONS Education * High School Diploma or equivalent required or * Associate's degree preferred Work Experience * 1 year of customer service or medical office experience required * Completion of the Medical Assistant, Coding & Insurance Pathway from BRCC, can be used in lieu of the one year of experience. * A certificate in medical office assistant or medical coding can be used in lieu of the one year of experience * Previous experience in a call center is preferred Skills and Abilities * Must demonstrate PC skills including Microsoft Office (e.g., Word, Excel, Outlook , etc.) and related software as other corporate software progrms and applications. * Demonstrated verbal and written communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism. * Familiarity with medical and health insurance terminology preferred * Conflict resolution skills and remains calm under pressure/stressful situations * Must be able to to demonstrate critical thinking and problem solving skills * Demonstrate attention to detail * The ability to actively listen and ask appropriate questions, to effectively understand issues that are presented from customers. * Reading comprehension skills are required due to the high amount of direct customer contacts and the need to understand customer contract benefits and training materials. * Effective organizational and interpersonal skills are required. Must have the ability to multi-task and handle work independently as well as organize and prioritize multiple customer issues. * Ability to take ownership of issues from the beginning, seeking First Call Resolution (FCR) * Must be able to verbally communicate on the telephone in a call center environment approximately 95% of the time in the Customer Care Center. * Employees may be expected to work during inclement weather or other emergency situations when needed. * Must have ability to successfully complete Customer Service training, with demonstrated proficiency in training materials. Licenses and Certifications * None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS * Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure proper benefits and/or payments are applied correctly; researches multiple computer systems/applications to verify data/information accuracy. * Responds to inquiries regarding adjustments, refunds, edits and/or payment registers to ensure completeness, accuracy and customer satisfaction to members or providers. * Maintains knowledge of required lines of business, changes to applicable company policies/procedures, recent laws and regulations, and related computer systems to ensure information is current and accurate when providing service to members or providers on the telephone in the call center. * Meet Customer Service performance goals/expectations in the areas of efficiency, accuracy, quality, production, customer satisfaction, and attendance * The ability to verbally communicate on the telephone approximately 95% of the time. Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions * Perform other job-related duties as assigned, within your scope of responsibilities. * Job duties are performed in a normal and clean office environment with normal noise levels. * Work is predominately done while standing or sitting. * The ability to comprehend, document, calculate, visualize, and analyze are required. Other Requirements: * Must be a resident of Louisiana * The customer service hours of operation are 8:00 am to 8:00 pm Monday - Friday, therefore flexibility to work any shift within hours of operation is required. * High speed and wired internet connection only - wireless/Wi-Fi NOT accepted. Your computer must plug directly into the modem in order to work with our system. #LI_CB1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: Customer Service & Contact Center Operations

  $88k-153k yearly est.

  18d ago

• 4.7

  Manager, Converged Infrastructure (Remote)

  Bluecross Blueshield of Louisiana

  Infrastructure Manager Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana will require any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID‑19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE Responsible for performance, support and growth of server infrastructure and aligning technology with the vision and strategy of the organization. Accountable for complying with all laws and regulations that are associated with duties and responsibilities. NATURE AND SCOPE * Manages People * This role directly manages 6 - 11 workers * This role reports to this job: DIRECTOR, IT-INFRASTRUCTURE * Necessary Contacts: To do this job effectively the incumbent has to be in contact with all levels of BCBSLA personnel. QUALIFICATIONS Education * Bachelor's in Computer Science or related field required.Completion of an approved educational program or four years of related experience may be accepted in lieu of degree. Must have demonstrated ability to analyze and solve logical problems such as may be found in mathematics, statistics, etc Work Experience * 5 years of technical systems analysis and design experience required. Experience must include 2 years of leadership experience. Skills and Abilities Requires expert knowledge of converged infrastructure architecture. Requires extensive knowledge of general infrastructure and data center concepts. Must have demonstrated capacity to successfully lead and direct a group of engineers, analysts, and/or technicians. The following technical competencies are required: Windows Server, Linux, Active Directory, VMWare, Citrix, O365 Expert knowledge in the field of computer science, including hardware and software products, computer systems, systems analysis, development/maintenance process, and data network management for large complex systems required. Sufficient communication skills to coordinate internal education, interaction with internal areas concerning problem status. Licenses and Certifications * None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS * Leads strategic technological planning to achieve business goals by prioritizing technology initiatives and coordinating the evaluation, deployment, and management of current and future technologies as it relates to Infrastructure. Collaborates with the appropriate departments to develop and maintain a technology plan that supports the organizations Business Continuity Plan. Responsible for implementation of the enterprise architecture and the development and maintenance of the organizations IT computing environment * Responsible for developing the server infrastructure annual operating and capital budgets for purchasing and to ensure cost efficiencies and improve IT productivity. Reviews hardware and software acquisition and maintenance contracts. Works with Enterprise Architecture Roadmaps manager to negotiate with vendors for products and services affecting Enterprise Infrastructure * Acts as an advocate and ensures adherence to IT governance practices and methodologies and understands IT Departmental Goals and Objectives and delivers work products to contribute to those goals * Develops, manages, and builds strong relationships/partnerships with clients, vendors, peers/other teams, and staff to ensure a high level of personal and team understanding of the client's business operations, IT support needs, and IT service expectations. Responsible for the ultimate satisfaction of all Information Technology (IT) clients and supporting the IT vision. Works with all levels of management to communicate and resolve business related issues * Directs IT staff, promotes career development opportunities, provides mentoring to the staff to encourage personal growth and advancement, and promotes delivery of high quality customer service and team productivity. Actively pursues personal leadership development to ensure growth and the ability to demonstrate a high level of quality and productivity * Defines and interprets plan/policy requirements and presents options and processing capabilities to upper level management * Interfaces with IT managers and directors on a range of content from simple to extremely complex and requires diplomatic and tactful negotiations with client management on controversial subjects * Reports to and advises the Director, IT on the performance and issues related to server infrastructure Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions * Perform other job-related duties as assigned, within your scope of responsibilities. * Job duties are performed in a normal and clean office environment with normal noise levels. * Work is predominately done while standing or sitting. * The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_DB1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: IT, Telecom & Internet

  $66k-97k yearly est.

  5d ago

• 4.7

  Data Analyst II - PGBA

  Bluecross Blueshield of South Carolina

  Data Analyst Job, Remote or Myrtle Beach, SC

  Selected candidate may also choose to work in our Myrtle Beach, SC office.

  $57k-77k yearly est.

  11d ago

• 4.7

  Auditor II - Palmetto GBA

  Bluecross Blueshield of South Carolina

  Auditor Job, Remote or Columbia, SC

  Preferred Licenses and Certificates: * Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA).

  $34k-56k yearly est.

  4d ago

• 4.7

  Senior Policy Auditor - Internal Audit (Remote)

  Bluecross Blueshield of Louisiana

  Senior Internal Auditor Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana implemented a policy requiring any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID 19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. At this time, that policy is suspended and vaccination is not required to enter our facilities. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates and certain client facing roles may have separate protocols. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE Reviews all corporate, divisional and departmental policies, and/or necessary processes and procedures, to determine alignment with corporate template, adherence to internal developed document review criteria, and existence of adequately documented controls to limit risk to the Company. Accountable for complying with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE * This role does not manage people * This job reports to: Departmental Leadership * Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with:Management in business areas across the Company and external auditors. QUALIFICATIONS Education * Bachelor's in Computer Science, Accounting, Finance, Business or related field required Work Experience * 5 years of experience in a position related to audit or control review required * Must have working knowledge of SharePoint, COSO, COBIT, GAAP and accounting, control and IT principles. * Work history must demonstrate strong communication skills including experience developing networks, attaining and maintaining respect from employees, peers and leaders required. Skills and Abilities * Must demonstrate the ability to act independently and decisively. * Work history must include experience managing competing deadlines. * Must demonstrate the use of tenacity to pursue difficult and sensitive issues to an acceptable conclusion. * Demonstrated project management skills are required. Licenses and Certifications * CPA, CIA, CISA, CDPP, CISSP or other approved certification required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS * Plans and performs the analysis and evaluation of controls present in the Company's policies, processes and procedures, as submitted by business areas throughout the Company.. * Leads efforts related to the integration of enterprise policy management activities at the Company's subsidiaries. * Coordinates appropriate review with the Company's Legal Department to ensure review of policies, processes and procedures are completed in a timely manner. * Reviews Company processes and/or procedures to ensure processes and procedures support the Company's policies and a strong control environment. * Collaborates with business and IT areas to review and revise policies, processes and procedures, as appropriate. * Monitors and reports on efforts to ensure all policy findings are adequately addressed, ensures management responses are clear, and accountabilities and timeframes are established. * Evaluates business processes for policy initiation, review, update, and approval to ensure corporate objectives are met. * Leads the maintenance of the policy, process and procedure repository sites, both workflow approval and front-facing site, as applicable. * Creates and maintains process documentation for policy process procedure audit. * Serves as a technical resource to other team members in the creation of policy, process and procedure documentation and reporting. Reports to the Audit Committee, and other internal or external reporting entities, as needed, to ensure policies and associated documents are updated and completed. Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions * Perform other job-related duties as assigned, within your scope of responsibilities. * Job duties are performed in a normal and clean office environment with normal noise levels. * Work is predominately done while standing or sitting. * The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_RF1 #LI-Remote An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: Legal, Compliance & Audit

  $73k-94k yearly est.

  5d ago

• 4.7

  Manager, Security Infrastructure (Remote)

  Bluecross Blueshield of Louisiana

  Manager, Security Infrastructure And Enterprise Services Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana implemented a policy requiring any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID 19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. At this time, that policy is suspended and vaccination is not required to enter our facilities. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates and certain client facing roles may have separate protocols. Residency in or relocation to Louisiana is preferred for all positions. We will consider remote work in the following states: LA, AL, AR, FL, GA, KY, MS, NH, NC, PA (limited counties), TN, TX, VA, WV, WI. POSITION PURPOSE Responsible for managing & directing the enterprise cybersecurity defense management engineering functions including building, developing, implementing, maintaining, and supporting technical security capabilities (protective and detective technologies) to ensure network & data protection, incident / breach response assistance, business objectives delivery, and compliance with internal controls and external / regulatory demands. Accountable for complying with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE * Manages People * This role directly manages 8 - 10 workers * This role reports to this job: Director, Security Infrastructure & Operations * Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with the all levels of management and staff, provider administration, other Blue Cross plans, vendors, federal and state agencies and healthcare associations; inter-company personnel to determine user needs; divisional personnel to discuss status of projects; meets with providers, service bureaus, professional groups. QUALIFICATIONS Education * Bachelor's in Computer Science, Business Administration, or related field required. Four years of related experience can be used in lieu of a degree. Two years of military experience and training specific to Information Technology may substitute for a degree. CISSP certification may also substitute for the Bachelor's degree. Work Experience * 5 years of related work experience in the cybersecurity area required. Healthcare experience preferred. * 2 years of leadership experience required. Experience can run concurrently * Requires in-depth knowledge of enterprise class cybersecurity tools, techniques, and protocols. Skills and Abilities * Must have proven experience with endpoint & network security, security incident response / SIEM and forensics, security orchestration & automation tools, systems & server security, and vulnerability or penetration testing. Must have in-depth knowledge of MS-Windows, Linux/Unix, firewalls, SIEMs, email security, and endpoint security tools. * Experience in defining, developing, and/or monitoring cybersecurity engineering metrics is required. * Must have experience in gathering, documenting, and analyzing business requirements and developing security solution options. * Experience in training and/or evaluating technical staff required. * Working knowledge of NIST and ITIL frameworks and industry best practices is required. Licenses and Certifications * Information Security Industry certification required (e.g. ISC2, GIAC, ISACA). ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS * Manages the development, deployment, and execution of controls and defenses to ensure the security and risk mitigation of company infrastructure technology, information systems, and digital data. Analyzes business needs and establishes priorities for protection of critical systems and operational policies. Manages the development, engineering, and maintenance of endpoint & network security, security incident response / SIEM and forensics, systems & server security, and vulnerability or penetration testing systems. Ensures Cybersecurity technology systems are properly configured and maintained to support Information Assurance objectives. Contributes to the cybersecurity aspects of the design of systems. Ensures the review and appraisal of the soundness, adequacy and application of security and other controls for the protection of information assets. Evaluates potential business impacts from security breaches and provides strategic and tactical guidance to business decision-makers. Develops and executes security systems compliance processes & procedures. Identifies CyberSecurity engineering goals, objectives, and metrics consistent with corporate strategic plan. Develops, implements, and maintains CyberSecurity engineering practices, processes, and procedures. Assists with incident response & investigation of CyberSecurity breaches as needed. Keeps up-to-date on cybersecurity and healthcare industry developments to offer solutions that provide the greatest security for the organization and its customers' privacy and confidentiality * Leads the enterprise vulnerability assessment, identification, & reporting functions. Ensures development and maintenance of process playbooks, run-books, and other relevant documentation as it pertains to vulnerability management. Ensures effective communication / coordination of vulnerabilities and remediation tracking with key stakeholders. Identifies and escalates vulnerability risk issues & coordinates remediation escalation activities as needed. Keeps abreast of latest CyberSecurity legislation, regulation, advisories, alerts and vulnerabilities pertaining to BCBSLA. Aware of latest security and confidentiality threats, trends and tools to protect information and enhance performance * Directs the activities of technical staff & contractors and provides performance evaluations and recommendations within established policies and guidelines, including training new workforce members. Works with management at all levels in other divisions and business units to ensure that business needs are properly identified and prioritized. Effectively collaborates internally and externally to ensure that proper resources are aligned to meet the business demand. Develops, manages, and builds strong relationships/partnerships with stakeholders, vendors, peers/other teams, and staff to ensure a high level of personal and team understanding of the stakeholder business operations, support needs, and service expectations. Demonstrates effective and timely communication to stakeholders, management, teams and vendors as applicable regarding status, issues, project plans, procedures, processes, systems and architecture to meet client needs and expectations. Utilizes professional knowledge and experience to set departmental goals which align with functional strategy. Focuses on achievement of departmental goals and plays a significant part in achieving functional goals. Maintains cost controls and budgetary planning. Delivers regular reports to Director of CyberSecurity Engineering & Operations Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions * Perform other job-related duties as assigned, within your scope of responsibilities. * Job duties are performed in a normal and clean office environment with normal noise levels. * Work is predominately done while standing or sitting. * The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_DB1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: IT, Telecom & Internet

  $74k-125k yearly est.

  5d ago

• 4.7

  Audit Services Consultant - Internal Audit (Remote)

  Bluecross Blueshield of Louisiana

  Auditor/Consultant Job, Remote or Baton Rouge, LA

  We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Please note that effective Jan. 4, 2022, Blue Cross and Blue Shield of Louisiana implemented a policy requiring any employee who enters any of our offices or who interacts in person with anyone for company business purposes to be fully vaccinated for COVID 19, unless legally entitled to a reasonable accommodation related to religious or medical exemptions. At this time, that policy is suspended and vaccination is not required to enter our facilities. Please note this is subject to change at any point in time to ensure compliance with company policy or government mandates and certain client facing roles may have separate protocols. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE : As assigned, responsible for conducting audits and reviews (including special projects) to evaluate the design, testing and implementation of new and existing processes, technologies and financial and operational controls. Acts as a subject matter expert on information technology, security, risk and control issues and provides consulting services in the selection of new technology solutions. Accountable for complying with all laws and regulations associated with duties and responsibilities. Provides support, project management and enhancements to the audit functions within the Corporate Audit Division by completion of the accountabilities listed below. NATURE AND SCOPE : Position Location : This position reports to the Manager, Audit Consulting Services. Activities of Direct Reports : Depending on the assignment, this position may occasionally have responsibility for staff members for project purposes. Necessary Contacts : In order to effectively fulfill this position the incumbent must be in contact with: All levels of internal personnel; providers, subscribers, external auditors, governmental agencies, other Blue Cross plans, and agencies/businesses as needed to obtain information needed. QUALIFICATIONS : Bachelor's degree in Accounting, Computer Science, Information Systems, Business or related field is required. Four years of related work experience can be used in lieu of a degree. Must have a minimum of three years of audit, finance and/or systems experience with a strong working knowledge of risks, controls and the control environment. Must have working knowledge of business and operations processes and concepts. Requires strong analytical and organizational abilities. Must have working knowledge of information technology concepts, practices, terminology, and standards, with ability to actively conduct and/or engage in technology related discussions relative to assignments. Must have working knowledge of Word, Excel, PowerPoint and other relative software. Requires a broad knowledge of information technology and control concepts and application knowledge of business systems. CPA, CISA or CIA preferred. Must have working knowledge of GAAP and accounting principles, including, but not limited to, COSO and COBIT. Public accounting experience preferred. Strong communication skills including excellent networking abilities required. Must be able to act independently and decisively. Must be able to multi-task and work under deadlines. Must possess tenacity to pursue difficult and sensitive issues to an acceptable conclusion. Ability to earn and maintain respect from employees, peers, and managers required. Must have strong leadership and supervisory skills. Must have working knowledge of project management concepts and processes. ACCOUNTABILITIES & ESSENTIAL FUNCTIONS: Defines, executes and manages audits and special projects, as assigned, to ensure completion of the annual audit plan while demonstrating sound judgment and decision making, commitment to tasks, persistence in overcoming obstacles, dependability in difficult circumstances, and a sense of urgency about getting results. * Effectively communicates audit issues to all levels of management and staff personnel within the area under audit review through the timely issuance of discussion issues and audit reports. * Assesses and identifies gaps and provides a summary report to the appropriate business areas, as appropriate. * As appropriate, will be responsible for any audits or special projects, including managing, directing, reviewing and performing procedures, including, but not limited to, those which would otherwise propose a conflict of interest or impairment of independence within the Audit Division to ensure unbiased audit. When appropriate, directs, monitors, and schedules auditors and tasks to ensure resources are efficiently and effectively used while continuously providing coaching, guidance, and direction. * As assigned, provide oversight, management and review of external requests from groups, regulatory agencies, internal departments or other external parties to ensure coordination and accuracy of data presented. Attends formal and informal training sessions and self-study to keep abreast of information technology concepts, industry best practices, security technologies, and auditing and accounting standards Serves as liaison between Audit Division and other areas of the Company to maintain working relationships with auditees. * Responsible for accumulation and analysis of surveys in order to determine if Corporate Audit is meeting expectations and needs of auditees. * Perform assessments to determine needs, requests and requirements of auditees, including requests for consulting services and special projects. * Attend oversight and standing meetings to determine level and timing of audit involvement. Assists in the development and responsible for on-going quality assurance. Participates and assists with coordination and completion of the annual risk assessment process, including timelines, meetings, updates, and presentation to CAE, with recommendations for projects and work plan to be presented to the Audit Committee of the Board of Directors to ensure coordination and accuracy of data presented. * Complete internal quality assurance of audit process for all audits and projects prior to issuance of final reports. * Document, assess, identify gaps, prepare remediation and perform follow-up in order to prepare Corporate Audit Division for Quality Assurance Reviews. The physical demands described here are representative of those that must be met by an employee to successfully perform the accountabilities (essential functions) of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_RF1 #LI-Remote An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. JOB CATEGORY: Legal, Compliance & Audit

  $54k-71k yearly est.

  5d ago

• 4.7

  Health Promotions Coordinator I

  Bluecross Blueshield of South Carolina

  Promoter Job, Remote or Columbia, SC

  The Health Promotion Coordinator I is responsible for developing, implementing, overseeing, and coordinating wellness and health promotion, prevention programs, and services with a focus on lifestyle modifications through education for BlueCross BlueShield of South Carolina (BCBSSC) and BlueChoice members.

  $22k-29k yearly est.

  2d ago

• 4.7

  Accounting Technician II- (Remote Potential)

  Bluecross Blueshield of South Carolina

  Accounting Technician Job, Remote or Columbia, SC

  Logistics This is a full-time hourly position in a typical office environment located at 4101 Percival Road in Columbia, SC.

  $25k-32k yearly est.

  4d ago

• 4.7

  Sales Representative I - Group Plans Major Market

  Bluecross Blueshield of South Carolina

  Group Sales Representative Job, Remote or Columbia, SC

  $45k-60k yearly est.

  19d ago

• 4.7

  Auditor I

  Bluecross Blueshield of South Carolina

  Auditor Job in Birmingham, AL

  $35k-56k yearly est.

  11d ago

• 4.7

  Medicare Business Analyst II - Palmetto GBA

  Bluecross Blueshield of South Carolina

  Business Analyst Job in Augusta, GA

  $59k-79k yearly est.

  4d ago

• 4.7

  Bilingual Customer Service Advocate II English/Spanish (Onsite)

  Bluecross Blueshield of South Carolina

  Bilingual Customer Service Job in Augusta, GA

  $24k-31k yearly est.

  13d ago

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BlueCross BlueShield of South Carolina may also be known as or be related to BLUECROSS BLUESHIELD OF SOUTH CAROLINA, BlueCross BlueShield of South Carolina, BlueCross BlueShield of South Carolina Inc, Thomas H. Cooper & Co., Inc., BlueCross BlueShield of South Carolina, Inc. and BlueCross BlueShield of SouthCarolina.

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