Operations Analyst I

033 Palmetto GBA; Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health benefits

401k match

Life Insurance

Paid Time Off

On-site facilities

Education assistance

Service recognition

Job summary

Palmetto GBA, a BlueCross BlueShield of South Carolina subsidiary, seeks a data analyst to evaluate procedures and reports, recommend improvements, and support system implementations in a corporate office setting.

You will monitor performance metrics, generate reports, and help train staff while collaborating with management to ensure accuracy and efficiency across projects.

Qualifications

• Bachelor's degree required.
• 2 years data analysis or related operations experience.
• Knowledge of Microsoft Office.

Responsibilities

• Evaluates existing procedures and processes to identify improvement opportunities.
• Monitors reports to assess performance impact on key measures.
• Generates data and analyses for various projects and internal performance metrics.
• Assists in implementing and maintaining systems or processes, including testing.
• May document status of implementations and communicate with management.
• Develops and maintains written procedures within standards.
• Provides end-user training materials and conducts staff training as needed.
• Performs workflow audits and researches errors or trends to improve efficiency.
• Collaborates with staff and management to research and document issues.

Skills

Communication skills

Project management

Organizational skills

Analytical skills

Problem solving

Process improvement

Education

Bachelor's degree

Tools

Microsoft Office

Excel

Job description

Summary

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, 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, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Description Position Purpose

Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommend installations of new systems/procedures. Reviews organizational functions and structure to avoid overlapping or duplication. May provide security administration to application supported by area when the appropriate written and approved request is received.

Logistics

Palmetto GBA – one of BlueCross BlueShield of South Carolina’s subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift between the business hours of 7:30AM-6:00PM. This role is targeting candidates located in South Carolina, Georgia, and North Carolina.

SCA Benefit Requirements

BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

Sponsorship

This position is not eligible for sponsorship now or in the future.

What You’ll Do

• Evaluates existing procedures and processes to make recommendations for improvement.
• Monitors reports to assess the impact of performance on key measures.
• Provides reports and/or analyses of internal performance metric for various projects as well as for individual performance against those metrics.
• Assists in the implementation and maintenance of systems or processes to include testing.
• May manage and relay the purpose, scope, and status of each implementation to management.
• Develops and maintains written procedures within departmental and organizational standards.
• May document and streamline automated procedures into end-user training material.
• Conducts workflow and process audits of staff and reference materials as needed.
• Works with staff and manager to research and document errors, progress, performance or other metrics to assess efficiency.
• Provides training for new employees and ongoing training as workflow efficiencies are revised.
• Generates data to prepare reports and maintain databases and/or requests reports on specific statistics in order to analyze trends.
• Maintains area reports.
• Quality check records affecting accuracy of reports by researching and testing processes and methods.
• Maintains close contact with management to provide updates on any issue/projects.
• Completes special projects and informs management of any trends or changes in statistical reports.
• May serve as liaison between the department and other internal/external groups.

Required Education

Bachelor's degree.

Degree Equivalency

4-years job-related work experience OR Associate's AND 2 years job related work experience

Required Work Experience

2-years of data analysis or related operations experience.

Required Software and Tools

Knowledge of Microsoft Office.

Required Skills and Abilities

Strong communication, project management and organizational skills. Understanding of acceptable internal standards and methodologies. Strong analysis skills. Able to identify problems and recommend solutions. Able to provide support in developing and implementing process improvement

Preferred Skills and Abilities

• Reporting
• Conducting Claims Research
• Proficient in Microsoft Excel

Preferred Work Experience

• 1 year of healthcare or insurance data analysis experience
• 1 year of Medicare / Medicaid experience

Our Comprehensive Benefits Package Includes The Following

We offer our employees great benefits and rewards. You will be eligible to participate in our benefits program the first of the month following 28 days of employment.

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition

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 [e-mail] 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.

Veterans Welcome!

Veterans Welcome! Palmetto GBA is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.

Palmetto GBA Overview

Palmetto GBA is a healthcare service administrator and one of the nation’s largest providers of high-volume medical claims and transaction processing. We provide services and technology solutions to improve and streamline healthcare administration not only for government but also for corporate entities. We offer a wide range of services that require a diverse workforce and expansive areas of expertise from data analytics, administrative and workflow services to advanced systems. To help our associates succeed and reach their professional goal, we offer training classes and programs that help employees prepare for leadership positions and offer tuition assistance for education advancement. Palmetto GBA acknowledges associates’ hard work and dedication with awards and financial incentives.

Join Us

Join Us If you're ready to join in a diverse company with secure, community roots and an innovative future,