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Medical Reviewer II - Palmetto GBA

Scblues · W@H South Carolina · All 34 Scblues jobs

Work pattern
Remote
Employment
Permanent
Posted
16 Sep 2026

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Required skills, as the advert states them

  • Customer Service
  • Communication Skills
  • Microsoft Office
  • Recruitment

Nice to have

  • Supply Chain
  • Quality Control
  • Critical Care

About this opportunity

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. Provides support and review of medical claims and utilization practices. Description Logistics: Palmetto GBA– one of BlueCross BlueShield’s South Carolina subsidiary companies.

Read the full advert and apply on Scblues's site →

Collected from Scblues's own careers site (Workday). Posted 16 Sep 2026. TUNAI shows an excerpt and the facts it read from the advert; the employer's page has the full description and the application.