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 13 |
Columbia, South Carolina
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
3h
| Job Type | Full Time |
Springfield, Illinois
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
3h
| Job Type | Full Time |
Assistant, Qualified Independent Contractor
Nashville, Tennessee
Summary Provides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and tracks all data.Description Logistics CGS...
3h
| Job Type | Full Time |
Nashville, Tennessee
Summary Description 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 i...
3d
| Job Type | Full Time |
Nashville, Tennessee
Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet...
3d
| Job Type | Full Time |
Nashville, Tennessee
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
6d
| Job Type | Full Time |
Columbia, South Carolina
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
6d
| Job Type | Full Time |
Springfield, Illinois
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
6d
| Job Type | Full Time |
Springfield, Illinois
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
7d
| Job Type | Full Time |
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
Tennessee
Summary Oversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards, and local, state, and federal laws and regulations. Identifies and implements ...
7d
| Job Type | Full Time |