Analyst, Appeals

BlueCross BlueShield of South Carolina — US
Full-Time Jul 23, 2026
From $1,071/week
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About This Position

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 medical necessity guidelines. Documents decisions within mandated timeframes and in compliance with applicable regulations or standards. Description Logistics: Palmetto GBA , one of BlueCross BlueShield’s South Carolina subsidiary companies. Location: This i…

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Job Details

Company
BlueCross BlueShield of South Carolina
Location
US
Type
Full-Time
Salary
From $1,071/week
Posted
23/07/2026
Quick Apply

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