Benefits Data & Rules Analyst I

Blue Cross Blue Shield; Columbia (SC); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Subsidized health plans

401k with company match

Life Insurance

PTO

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina in Columbia, SC is seeking an experienced analyst to interpret benefit plan designs, develop scope and specifications for programming, and audit benefits within Benefit Files and RULEs databases. You will collaborate with analysts to translate requirements, develop and test solutions, and ensure timely processing of claims and eligibility.

You will work closely with cross-functional teams to meet quality, timeliness, and productivity standards, performing

Qualifications

• Required Education: Associate's Degree or 2 years related work experience.
• 2 years of experience in systems analysis, statistical analysis, claims processing or information systems.
• Strong analytical, interpersonal, communication, organizational, problem-solving and decision-making skills.

Responsibilities

• Interpret, analyze, and document quality solutions to meet plan design specifications.
• Program and/or perform quality control audits of benefit data structures, RULEs, reports, and testing scenarios.
• Coordinate with IS and business customers on development, setup, and testing of benefit data structures and RULEs.

Skills

Analytical skills

Communication

Problem solving

Team collaboration

Independence under pressure

Education

Associate's Degree or 2 years related experience

Tools

DB2/SQL

EZTrieve Plus

Visual Basic

Job description

BlueCross BlueShield of South Carolina in Columbia, SC is seeking an experienced analyst to interpret benefit plan designs, develop scope and specifications for programming, and audit benefits within Benefit Files and RULEs databases. You will collaborate with analysts to translate requirements, develop and test solutions, and ensure timely processing of claims and eligibility.

You will work closely with cross-functional teams to meet quality, timeliness, and productivity standards, performing