
This entry-level medical role within the BlueCross BlueShield of South Carolina family focuses on conducting medical reviews and managing utilization for inpatient, outpatient, and facility services. The position involves evaluating medical claims, determining coverage based on clinical guidelines, and documenting decisions for appeals. Key responsibilities include performing authorization processes, assessing medical necessity, and providing education to members and providers. The role offers a stable career path with a company rooted in the community for over seven decades, featuring a supportive culture that values diversity and professional growth. While the position begins with six months of onsite training in Myrtle Beach, it transitions to a remote work arrangement thereafter, providing long-term flexibility for qualified candidates.










