An official State of Ohio site. Here’s how you know
Live Chat
Contact
ODJFS Logo in OMJ Seeker Header
12Previous page
Results based on filters ( 15 jobs found )

RN Medical Reviewer II - CGS

CGS Administrators LLC
Nashville, TN
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
Tennessee, Nashville Oct 16, 2026 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 Position Purpose: Performs medical reviews using clinical / medical information provided by physicians/providers and established criteria/protocol sets or clinical...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Patient Representatives
Career Level / Education:
Postsecondary nondegree award
Salary:
N/A
From:
Diversityjobs
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

APPEALS MANAGER

CGS Administrators LLC
Nashville, TN
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
Tennessee, Nashville Oct 14, 2026 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Compensation and Benefits Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
Diversityjobs
Certifications / Licenses:
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Specialist, Training I

CGS Administrators LLC
Nashville, TN
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
Tennessee, Nashville Oct 13, 2026 Summary 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 in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the...
Location:
Nashville, TN
Job Type:
Full-Time
Permanent
Occupation:
Training and Development Specialists
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CUSTOMER SERVICE ADVOCATE I

CGS Administrators LLC
Tennessee
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
CGS Administrators LLC life insurance, paid time off, 401(k) United States, ...
Details
Summary
About the job:
Tennessee Oct 10, 2026 Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Logistics: CGS - One of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40 hours/week) Monday-Friday. This position is remote anywhere in the USA. Training will start at 7:30am-4pm CST for six weeks. Normal work hours will be from 8:30-5pm CST. What You'll Do: - Ensure effective customer...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel
Career Level / Education:
High school diploma or equivalent
Salary:
N/A
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Physician Advisor

CGS Administrators, LLC
Darbydale, OH
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
88580673 293539684 Internal Reference Number: R1052664 Summary Why should ...
Details
Summary
About the job:
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 in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary...
Location:
Darbydale, OH
Job Type:
Full-Time
Permanent
Occupation:
Physician Assistants
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
OhioMeansJobs.com
Certifications / Licenses:
National Committee for Quality Assurance
Medical License
Board Certified
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Stop Loss Claims Auditor

CGS Administrators, LLC
Darbydale, OH
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
87756430 293534908 Internal Reference Number: R1051509 Summary Audit and ...
Details
Summary
About the job:
authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service. Description Position Purpose Audit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service. Companion Life - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40 hours/week) Monday-Friday from 8:00am-5:00pm EST and...
Location:
Darbydale, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medicare Cost Reporting Auditor II

CGS Administrators, LLC
Darbydale, OH
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
87449808_1 293531748 Internal Reference Number: R1051053 Summary Responsible ...
Details
Summary
About the job:
for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description This is a full time remote position working Monday through Friday. Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business...
Location:
Darbydale, OH
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
OhioMeansJobs.com
Certifications / Licenses:
Certified Fraud Examiner
Certified Internal Auditor
Certified Information Systems Auditor
Certified Public Accountant
Certified Financial Examiner
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Behavioral Health Medical Director

CGS Administrators, LLC
Darbydale, OH
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
88385714 293529799 Internal Reference Number: R1052400 Summary Why should ...
Details
Summary
About the job:
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 in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary...
Location:
Darbydale, OH
Job Type:
Full-Time
Part-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
Board Certified
Medical License
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Supervisor, Government Audit

CGS Administrators, LLC
Darbydale, OH
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
88300123 293525802 Internal Reference Number: R1052217 Summary Responsible ...
Details
Summary
About the job:
for supervising the receipt, review, and settlement of the Medicare cost report, ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process. Description What You'll Do: Performs supervisory review of all audit work papers completed by the team to ensure all work conforms to CMS and other government auditing standards. Performs supervisory review of all cost report acceptances and desk reviews to ensure timeliness requirements are met and all CMS standards are adhered to....
Location:
Darbydale, OH
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
Certified Public Accountant
Certified Management Accountant
Certified Internal Auditor
Accredited Management Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Molecular Diagnostics Medicare Medical Director - Palmetto GBA

CGS Administrators, LLC
Darbydale, OH
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
88213719 293521627 Internal Reference Number: R1052096 Summary Why should ...
Details
Summary
About the job:
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 in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary...
Location:
Darbydale, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
Board Certified
Medical License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
12Previous page

Current Filters

Refine

Industry
Location
Salary
Career/Education Level
Certificates
Occupation
Job Type
Other Opportunities
Display Results

Clear All Filters
This user has no active resume. Please click here to manage resumes.
My OhioMeansJobs Notice
You have reached the maximum number of Saved Searches / Matches. You must remove an existing record before you can save a new one. Access your saved items here.
Confirm your search criteria, then select the frequency of your search and give it a name.
Company Name: CGS Administrators LLC
How often do you want to receive emails?
All fields are required
This field is required
Save
Search Jobs
Advanced close
Select up to 10 occupations
Add Occupations
...
  • x
x close
Loading Map, please wait...
Position is accurate to the ZIP Code or city location only.
Loading Map, please wait...