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Cgs Administrators Jobs (NOW HIRING)

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Summary This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies ...

Ourhrconnect

Summary This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies ...

Ourhrconnect

Summary This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies ...

Ourhrconnect

Summary This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies ...

Ourhrconnect

Summary This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies ...

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How much do cgs administrators jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for cgs administrators in the United States is $34.21, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $34.38 per hour, depending on experience, location, and employer.

What are the common challenges faced by CGS Administrators in managing claims processing, and how can applicants prepare to address them?

CGS Administrators often handle large volumes of complex claims, requiring careful attention to detail and a strong understanding of regulatory guidelines. One common challenge is staying updated with frequently changing Medicare and Medicaid policies, which can impact processing accuracy and efficiency. Applicants can prepare by developing strong analytical skills, keeping abreast of healthcare regulations, and demonstrating adaptability to new processes. Additionally, effective communication and collaboration with both internal teams and external providers are essential to resolving discrepancies promptly.

What is cgs administrator llc?

CGS Administrator LLC is a company that provides administrative and management services, often related to insurance, healthcare, or financial sectors. In a job context, a CGS Administrator may handle tasks such as claims processing, data management, or client support, requiring organizational skills and familiarity with relevant software tools.

What are the key skills and qualifications needed to thrive as a CGS Administrator, and why are they important?

To thrive as a CGS Administrator, you need strong analytical abilities, knowledge of healthcare administration, and familiarity with Medicare and Medicaid regulations, often supported by a degree in healthcare or business. Proficiency with claims processing systems, data management tools, and compliance platforms is typically required. Excellent attention to detail, problem-solving skills, and effective communication help ensure accuracy and facilitate collaboration with providers and beneficiaries. These skills are essential for maintaining regulatory compliance, processing claims efficiently, and supporting the integrity of government healthcare programs.

What is the difference between Cgs Administrators vs Cgs Coordinators?

AspectCgs AdministratorsCgs Coordinators
CredentialsTypically require a bachelor's degree in healthcare administration or related fieldOften need similar degrees, with some roles accepting relevant certifications
Work EnvironmentOffice-based, managing administrative tasks and complianceOffice or clinical settings, coordinating between teams and departments
Employer & Industry UsageHealthcare facilities, insurance companies, government agenciesHealthcare organizations, clinics, and outpatient services

Both Cgs Administrators and Cgs Coordinators work in healthcare settings, often requiring similar educational backgrounds. Administrators typically focus on overseeing operations and compliance, while Coordinators handle day-to-day coordination tasks. Understanding these differences helps in choosing the right career path or job search focus.

What are CGS Administrators and what do they do?

CGS Administrators is a company that acts as a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS). They are responsible for processing Medicare claims, providing customer service, and ensuring that healthcare providers and suppliers comply with Medicare regulations. CGS Administrators play a crucial role in making sure Medicare beneficiaries receive their benefits accurately and promptly. Their services help healthcare professionals navigate billing, appeals, and policy updates related to Medicare.
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Cgs Administrators jobs near you
Infographic showing various Cgs Administrators job openings in the United States as of May 2026, with employment types broken down into 29% As Needed, 64% Full Time, and 7% Part Time. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $71,159 per year, or $34.2 per hour.
IT Senior Project Manger- CGS Administrators, LLC

IT Senior Project Manger- CGS Administrators, LLC

CGS Administrators, LLC

Nashville, TN • On-site

$126K - $127K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Summary
Working at CGS Administrators, LLC
CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide.
This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. If you have IT experience with Medicare, exceptional project management skills and leadership capabilities, this could be the perfect role for you, come join CGS Administrators!
Description
Logistics: CGS -one of BlueCross BlueShield's South Carolina subsidiary companies.
Sponsorship: This position is not eligible for sponsorship now or in the future.
Work Environment:
  • Fast paced, dynamic environment which may require action and response 24X7 to support the technical business needs of the customer and where one must be flexible to changing priorities.

Position Purpose:
Responsible for overall coordination, status reporting, and stability of project-oriented work efforts. Responsible for moderate number of work efforts simultaneously that vary from a smaller to a moderate scale, with smaller number of hours to moderate number of hours, and with moderate system impacts and moderate scope and complexity. Adheres to project management processes and methodologies to ensure projects are delivered on time, within budgeted hours, adheres to high quality standards, and meets ISSM expectations. Monitors project plans, assignments and work efforts on a daily basis. Ensures resource needs are assigned appropriately and escalates functional, quality, timeline issues. Tracks key project milestones and adjusts project plans to meet the needs of work effort. Responsible for leading the project from inception to final business acceptance and implementation.
What you'll do:
  • Develops and monitors project plans, risk management plans, and project documentation from scope to post implementation. Ensures project documentation and deliverables are complete, on budget, within scope, and in accordance with standards.
  • Identifies items that impact the scope, budget, risk, and resources of the work effort. Monitors resource requirements based on project specifications. Ensures resources are assigned to meet project objectives while managing project hours budgeted.
  • Responsible for the development, execution, and maintenance of project communications. Facilitates effective communications between all parties involved in the project and/or work efforts. This will include meetings, correspondence, status reports and other documentation.
  • Identifies the impact of issues arising from the work efforts and/or resource requirements. Manages the project issues throughout the project life cycle. Communicates the implications of changes to the project scope with senior management and other appropriate parties.
  • Responsible for ensuring all work efforts have appropriate documentation for audit purposes utilizing project methodology standards in accordance with the ISSM.

To Qualify for This Position, You'll Need:
Required Education:
  • Bachelor's degree

Degree Equivalency:
  • Associates degree plus an extra 2 years job-related experience for a total of 7 years of required work experience (see "required work experience")

OR
  • 9 total years required work experience.

Required Work Experience:
  • 5 years IT experience in a leadership capacity, including 2 years' experience leading two or more concurrent project teams.
  • Completion of the BCBSSC Training Program for Project Management may substitute for one year of work experience.

Require Skills and Abilities:
  • Excellent communications (verbal and written) skills with assertive yet customer-focused style.
  • Advanced leadership skills in a team or project environment.
  • Excellent problem solving and conflict management/resolution skills.
  • Advanced analytical and organizational skills with attention to detail.
  • Strong understanding of project management principles and methodologies, information systems, business processes, and the key drivers and measures of success for the business unit and the organization.
  • Advanced competency in management of resources to meet goals and multiple projects.
  • Strong ability to lead multiple multidiscipline, high-performance work teams throughout project life cycle.
  • Strong ability to negotiate terms and scope of work documents.
  • Advanced ability to prepare and present formal presentations.
  • Ability to manage all phases of work effort from inception to completion.
  • Effective strategic thinking skills.
  • Demonstrated proficiency in conducting analysis of project triple constraints.

Required Software and Tools:
  • Advanced knowledge of Microsoft Office and project management tools.

We Prefer That You Have:
  • Experience with agile and waterfall methodologies.
  • CMMI-DEV (Capability Maturity Model Integration) and EVM (Earned Value Management) experience.
  • IT Project Management Healthcare (Medicare/Medicaid) experience.
  • One or more active professional certifications: PMP certification, CAPM certification, Scrum Master certification and/or SAFe Scaled Agile Certification
  • Proficiency in Microsoft Project and schedule management.

What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
Our comprehensive benefits package includes:
  • Subsidized health plans, dental and vision coverage
  • 401K retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee Assistance
  • Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.

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