Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Description
Position Purpose:
Analyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzing results in support of operational functions.
Logistics
- CGS (cgsadmin.com) – one of BlueCross BlueShield's South Carolina subsidiary companies.
Location:
This position is full-time (40 hours per week), Monday – Friday and will be fully remote in the following locations: Tennessee, Alabama, Arkansas, Indiana, Kentucky, Mississippi, North Carolina, Ohio, South Carolina or Texas. Some travel between buildings and out of town.
Centers For Medicare And Medicaid Services (CMS) Requirements
Certain divisions within BlueCross BlueShield of South Carolina require CMS (Centers for Medicare and Medicaid Services) residency that requires employees to have lived in the US for at least three (3) out of the last five (5) years. This is a business requirement – government contracts, not an HR requirement.
In the spirit of transparency, if we extend an offer and discover during the background check process that you have not been in the US for at least three (3) years, you will fail background, and the offer will be rescinded.
What You’ll Do
- Reviews, extracts and analyzes data to be used in formulation of procedures, processes and other requirements. Provides reports of relevant activity to be used to identify problematic areas and to provide basis for modification and/or elimination of operations issues.
- Assists with development of complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Performs focused analyses as needed. Creates data search programs to identify pertinent data needed to provide supporting documentation for system or operational enhancements/changes.
- Documents reporting procedures so other staff can run ad hoc reports independently. Designs, codes, and maintains complex database programs for the extraction and analysis of data to support financial and operational decisions.
Required Education
To Qualify for This Position, You’ll Need:
- A Bachelor’s degree in a job-related field.
- Degree Equivalency not applicable for the Celerian Group. Bachelor’s degree required.
Required Work Experience
- 2 years of research and analysis experience.
Required Skills And Abilities
- Strong organizational, customer service, communications and analytical skills.
- The ability to use complex mathematical calculations.
- Advanced knowledge of mathematical and statistical concepts.
- Knowledge of relevant computer support systems.
- Knowledge of programming languages across various software platforms, using DB2, SQL, and/or relational databases.
- The ability to analyze data results, determine the source of aberrant statistics and resolve data issues.
Required Software And Tools
- Knowledge of Microsoft Office applications.
- Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.
We Prefer You To Have
- 3 years of research and analysis experience.
- Computer programming skills.
- Knowledge of ICD9/CPT4 coding.
- SAS experience.
- Minimum of 2 to 3 years of experience supporting DME, SQL, Power BI development.
- Previous experience in healthcare, claims, prior authorization.
What Blue Can Do For You
Our comprehensive benefits package includes:
- 401(k) retirement savings plan with company match.
- Subsidized health plans and free vision coverage.
- Life insurance.
- Paid annual leave — the longer you work here, the more you earn.
- Nine paid holidays.
- On-site cafeterias and fitness centers in major locations.
- Wellness programs and a healthy lifestyle premium discount.
- Tuition assistance.
- Service recognition.
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.
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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