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Director Medicare Advantage Finance in Columbia, SC

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compensation:

$200K - $250K*

specialty:

Accounting, Corporate Finance

experience:

8 - 10 years

Job Description

Plans, directs, and oversees all activities related to the accounting and cost containment for the Medicare Advantage organization. Directs Finance division for all activities related to strategic, financial, operations, IS, for management for Finance services. Prepares and manages departmental and divisional budgets.

Description

20% Leads, manages, and organizes all aspects of the Financial monitoring functions for Medicare Advantage. Actively monitors Medicare Advantage claims and administrative expenses. Assists with various revenue programs. Oversees all financial system changes for Medicare Advantage.

20% Drives cost containment functions within the Medicare Advantage LOB to identify wasteful and abusive billing practices.

15% Directs and manages workload and accuracy of deliverables prepared by assigned staff. Ensures compliance with all federal and state legislations as well as internal policies and procedures. Dr

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Valid through: 2020-4-9

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina (BCBSSC) is an independent licensee of the Blue Cross and Blue Shield Association. BCBSSC serves 21.5 million people through private business and government contracts. BCBSSC has several subsidiaries, two of which are affiliates licensed with the Blue Cross and Blue Shield Association. Licensed subsidiaries include BlueCross BlueShield of South Carolina Foundation and BlueChoice HealthPlan. Non-licensed affiliates include Companion Captive Insurance Company, Companion Life, PGBA, LLC, Planned Administrators, Inc. (PAI) and TCC of South Carolina. BCBSSC began as the South Carolina Hospital Service Plan, later becoming BlueCross of South Carolina (BlueCross), when the General Assembly passed legislation bringing this group into existence. In the spring of 1947, the South Carolina Hospital Service Plan merged with the Hospital Benefit Association of Greenville, giving them a financial base. In 1971, BlueShield of South Carolina merged with BlueCross to form the current company.
Total Jobs:
54
Total Experts:
16
Average Pay:
$123,079
Total value of jobs:
$16,985,000
% Masters:
43%

BlueCross BlueShield of South Carolina Photos

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* Ladders Estimates