CGS Administrators LLC
Serving Providers and Members Across the U.S.
We are a leading provider of administrative services for healthcare programs and stakeholders, including Medicare beneficiaries, providers, and medical equipment suppliers. We leverage more than 50 years of experience to help you lower operational costs, streamline revenue- and time-consuming processes, and provide world-class customer service.
Search among CGS Administrators LLC jobs
| Jobs: 1 - 10 of 14 |
Claims Customer Service Advocate II
Nashville, Tennessee
Summary We are currently hiring for a Claims Customer Service Advocate II to join CGS/BlueCross BlueShield of South Carolina. You will be responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation f...
4h
| Job Type | Full Time |
Illinois
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.Description The Auditor II...
21h
| Job Type | Full Time |
Nashville, Tennessee
Summary Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.Description The Auditor II...
21h
| Job Type | Full Time |
Nashville, Tennessee
Summary Supervises a team of employees responsible for customer service.Description Logistics - CGS one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a t...
1d
| Job Type | Full Time |
Senior Provider Enrollment Analyst
Nashville, Tennessee
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.D...
1d
| Job Type | Full Time |
Nashville, Tennessee
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guideline...
1d
| Job Type | Full Time |
RN Senior Medical Reviewer - ALJ Clinician *(Read position purpose)
Nashville, Tennessee
Summary Acts as Team Lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appro...
3d
| Job Type | Full Time |
Nashville, Tennessee
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
3d
| Job Type | Full Time |
Consultant, Sr Provider Education
Tennessee
Summary Provides education to medical providers as warranted.Description Logistics: CGS (cgsadmin.com)- one of BlueCross BlueShield's South Carolina subsidiary companies. Government Clearance: This position requires the ability to obtain a ...
7d
| Job Type | Full Time |
Nashville, Tennessee
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guideline...
8d
| Job Type | Full Time |