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Healthcare Administration Healthcare Management

RN Medical Claims Reviewer II – Hybrid​/Remote

Remote / Online - Candidates ideally in
South Dakota, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time, Remote/Work from Home position
Listed on 2026-03-03
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A healthcare insurance provider is seeking a Medical Reviewer to perform medical claim reviews and educate staff on processes. The ideal candidate will have an RN licensure, two years of clinical experience, and strong judgment and communication skills.

This role offers a hybrid work environment for those living near Nashville, TN or Columbia, SC, along with a comprehensive benefits package including health plans, retirement savings, and paid time off.
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