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Remote Blue Cross Data Entry Jobs in Sumter, SC (NOW HIRING)

Director, Trade Client Relations

Columbia, SC · Remote

$155K - $175K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select ... Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ...

Field Data Specialist - Travel position

Columbia, SC · Remote

$22 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... data entry Construction, HVAC, electrical, or similar hands-on fields Land surveying, utility locating, archaeology, drone photography, or other remote fieldwork Veterans are welcome! Why This Role ...

Field Data Specialist - Travel position

Columbia, SC · Remote

$22 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... data entry Construction, HVAC, electrical, or similar hands-on fields Land surveying, utility locating, archaeology, drone photography, or other remote fieldwork Veterans are welcome! Why This Role ...

HR Coordination Specialist - US Remote

Columbia, SC · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

ExecuteHRISsystemrequisitionactionssupportingtheremote recruiters;tracking data entry accuracy ... Cross-Border Coordination: Assist theon-siteCandidate Management Specialist in the coordination and ...

Collaborate with product and research teams to refine data, guidelines, and best practices for AI ... Experience working with cross-disciplinary teams in fast-paced environments. Preferred ...

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Remote Blue Cross Data Entry information

See Sumter, SC salary details

$9

$17

$25

How much do remote blue cross data entry jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote blue cross data entry in Sumter, SC is $17.34, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $19.47 per hour, depending on experience, location, and employer.

What is the difference between Remote Blue Cross Data Entry vs Remote Medical Billing Clerk?

AspectRemote Blue Cross Data EntryRemote Medical Billing Clerk
CredentialsBasic computer skills, data entry experienceMedical coding certification often preferred
Work EnvironmentHome-based, flexible hoursHome-based or office, may require specific software
Industry UsageHealth insurance companies, Blue Cross organizationsHealthcare providers, insurance companies
Job FocusInputting data, maintaining recordsProcessing claims, billing, coding

Remote Blue Cross Data Entry primarily involves inputting and managing data for Blue Cross health insurance providers, focusing on accuracy and speed. In contrast, Remote Medical Billing Clerks handle billing and claims processing, often requiring medical coding knowledge. Both roles are remote, but their specific tasks and certifications differ, catering to different aspects of healthcare administration.

What is a remote Blue Cross data entry?

A Remote Blue Cross Data Entry job involves entering, updating, and maintaining healthcare and insurance information for Blue Cross customers from a remote location, usually from home. Employees in this role are responsible for accurately inputting data from claims, applications, or other documents into computer systems. Attention to detail and a good understanding of data privacy policies are essential. The position typically requires proficiency with data entry software and may involve working with sensitive health information. Remote positions offer flexibility but also require good organizational and time management skills.

What are some common challenges faced when working as a remote Blue Cross data entry specialist, and how can they be managed?

Remote Blue Cross data entry specialists may encounter challenges like maintaining data accuracy while working independently, managing time efficiently without direct supervision, and staying updated with frequently changing insurance guidelines. To manage these, it’s important to set a structured daily routine, utilize company-provided resources for clarification on policies, and maintain open communication with supervisors and team members through virtual meetings or chat tools. Leveraging available training and staying organized can help ensure high-quality work and reduce errors.

What are the key skills and qualifications needed to thrive as a remote Blue Cross data entry specialist?

To thrive as a Remote Blue Cross Data Entry Specialist, you need strong attention to detail, accuracy in data input, and a high school diploma or equivalent. Familiarity with Blue Cross systems, data entry software, and Microsoft Office Suite is typically required. Excellent time management, reliability, and clear communication are key soft skills for excelling in a remote environment. These abilities ensure accurate data processing, compliance with healthcare regulations, and effective remote collaboration.

What are popular job titles related to Remote Blue Cross Data Entry jobs in Sumter, SC?

For Remote Blue Cross Data Entry jobs in Sumter, SC, the most frequently searched job titles are:

What job categories do people searching Remote Blue Cross Data Entry jobs in Sumter, SC look for?

The top searched job categories for Remote Blue Cross Data Entry jobs in Sumter, SC are:

What cities near Sumter, SC are hiring for Remote Blue Cross Data Entry jobs?

Cities near Sumter, SC with the most Remote Blue Cross Data Entry job openings:

Director, Trade Client Relations

Bcbsa

Columbia, SC • Remote

$155K - $175K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Job description

Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs - ones that are injected or infused by a health care professional in a clinical setting - for nearly 100 million Americans. The Trade Client Strategy Director liaises with Synergie Participants and manages clinical policies to comply with manufacturer contracts, implements Trade strategies and initiatives, and collaborates with and supports Synergie's Client Relations team for Trade related inquiries. This includes medical and pharmacy drug policies, cross benefit management, and rebate qualification for manufacturer contracts. This position will establish and maintain cross functional partnerships with internal teams to drive the identification, development and successful execution of Synergie's rebate programs. This position will be the primary Trade point of contact for Synergie's Participant facing activities and will support clinical decision making at the Participant level to comply with manufacturer contracts.

Primary Job Functions

  • Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants

  • Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies

  • Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation

  • Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria

  • Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance

  • Collaborate and support Client Relations team for Trade related inquiries from Participants

Partner with the following stakeholders:

  • Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies

  • Client Relations - Serve as Trade's primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade's leadership

  • Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

  • Invoicing Team - Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies

  • Product Team - Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs

Education, Experience, and Certification

  • Pharmacy degree and Pharm D. preferred

  • 5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting

  • Must be eligible to work in the United States without need for work visa or residency sponsorship

  • Excellent verbal and written presentation skills

  • Ability to establish rapport and build relationships at all levels within an organization

  • Practical application of clinical data to drive financial value

  • Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint

Knowledge, Skills, and Abilities

  • Pharmacy residency training or equivalent experience

  • Experience within the PBM industry, Medicaid, Medicare, and health plans

  • Experience with contract language and risk mitigation concepts

Travel Requirements: Up to 10% of the time.

Work is generally performed in a remote setting.

#LI-Remote

$155,000.00 - $175,000.00

This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.