Statistical Programming Analyst I - Palmetto GBA

Summary
Palmetto GBA is one of the nation's largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans. Palmetto GBA is one of the few Medicare contractors with experience in all Medicare business segments - Medicare Part A, Medicare Part B, Durable Medical Equipment (DME), Home Health and Hospice (HHH), and Medicare Advantage (MA) Part C and Part D. This broad experience base offers CMS a contractor with unique expertise and the ability to offer customized, creative, and proven solutions to complex problems.
Description

Position Purpose:

Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities for improvement that can be addressed with educational initiatives.

This position will be responsible for:

• Developing comprehensive reports and analyze data in order to identify patterns and trends,
• Developing algorithms, codes and test cases for FPS system to prevent fraud, waste or abuse by denying or rejecting claims before paid.
• Assisting in creating materials that aid in illustrating analytical/data findings. Assisting with sophisticated data interpretation, compilation , and verification to guide departmental efforts.
• Be responsible for standard tasks, including weekly and monthly reports.

What You Will Do:

• Uses multiple software platforms to produce reports in accordance with work requests, internal initiatives, and requests from customers. Codes, maintains, and executes simple to complex database programs for the extraction and presentation of data for standard and ad hoc reporting. Develops supporting material and guidelines on report design and resulting data.
• Evaluates data integrity to assure compliance with customer requirements and makes recommendations for corrective and preventative actions. Provides input on database design.
• Illustrations, other graphics, and narrative reports to identify and explain patterns and trends. Identifies opportunities for improvement that can be addressed with educational initiatives.
• Assists with performing quality checks on new and existing relational database changes. Creates support documentation outlining procedures.

To Qualify For This Position, You Will Need:

Required Education:

• Bachelor's in a job related field (No degree equivalency)

Required Skills and Abilities:

• Good organizational, customer service, and analytical skills.
• Ability to use complex mathematical calculations.
• Demonstrated knowledge of mathematical or statistical concepts.
• Relevant computer programming skills.

Required Software and Tools:

Microsoft Office.

We Prefer That You Have:

Work Experience

• 1 Year-Statistical programming or related information technology or research and analysis experience including Relational database experience. (may be concurrent).

Skills and Abilities

• Strong organizational and analytical skills
• Good oral and written communication skills.
• Computer systems support knowledge.

Software and Tools

• SAS, Python, SQL, Snowflake, GitHub

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

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

Ten 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. Management will be conducting interviews.

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 or call , 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 .

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