Benefits Data & Rules Analyst I

001 BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Subsidized health plans

401k with company match

Life Insurance

Paid Time Off

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

Employee discounts

Job summary

BlueCross BlueShield of South Carolina, located in Columbia, SC, seeks a benefits systems analyst to interpret and analyze benefit plan designs and translate them into executable specifications. The role involves programming and auditing benefit data structures, RULEs, and testing scenarios within enterprise systems.

The candidate will collaborate with IS and business teams to implement new and existing data structures, ensure quality and timely processing, and support claims adjudication and

Qualifications

• Bachelor degrees in CS or MIS/Business Admin required or two years of analytical experience.
• Two years of system analysis, statistics, claims processing, or information systems experience preferred.

Responsibilities

• Interpret, analyze, and document quality solutions matching plan design specifications.
• Program and/or audit benefit data structures, RULEs, and related testing scenarios.
• Coordinate with IS and business customers on setup and testing of benefit data structures and RULEs.
• Develop/process solutions to support claims adjudication and eligibility.

Skills

Analytical skills

Interpersonal skills

Communication

Organizational skills

Problem solving

Decision making

Customer service

Education

Bachelor's Degree in Computer Science

Bachelor's Degree in MIS/Business Administration

Associate Degree

2+ years analytical experience

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina, located in Columbia, SC, seeks a benefits systems analyst to interpret and analyze benefit plan designs and translate them into executable specifications. The role involves programming and auditing benefit data structures, RULEs, and testing scenarios within enterprise systems.

The candidate will collaborate with IS and business teams to implement new and existing data structures, ensure quality and timely processing, and support claims adjudication and