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.
What You Will 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: - Bachelor's in a job related field
- Or an additional 4 years of job related work experience
- Or Associate's plus an additional 2 years job related work experience
Required Work Experience: - 2 Years Research and analysis experience.
Required Skills and Abilities: - Strong organizational, customer service, communications, and analytical skills.
- 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.
- Ability to analyze data results, determine the source of aberrant statistics, and resolve data issues.
Required Software and Tools: - Microsoft Office.
- Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.
We Prefer That You Have: Preferred Work Experience: - 4 Years-Research and analysis experience.
- 2 years of National Alliance claims research experience (PDU claims experience preferred)
- Working knowledge of Benefit Files / BDS
- Experience interacting directly with external customers, and the ability to communicate effectively and professionally in challenging situations
Preferred Skills and Abilities: - Computer programming skills.
- Negotiation or persuasion skills.
- Knowledge of ICD9/CPT4 coding.
Preferred Software and Other Tools: Work Environment: Typical office environment. Some travel between buildings and out of town.
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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