Directly responsible for accuracy of provider negotiated rate data maintained in the provider information management system. Creates and analyzes reports to support operations. Ensures correctness of analysis, and reports findings in a concise manner to senior management. Knowledge of tools such as Visual Basic and Macros in automating reporting processes.
Generates internal and external reports to support management in determining productivity and efficiencies of programs or operational processes. Revises existing reports and develops new reports based on changing methodologies.
Analyzes reports to ensure accuracy and quality. Tracks and verifies all reporting statistics.
Communicates and trains employees and managers on the complex database programs used to generate analytical data.
Designs, codes, and maintains complex database programs for the extraction and analysis of data to support financial and operational decisions.
Required Education: Bachelor's degree in Statistics, Computer Science, Mathematics, Business, Healthcare, or other related field.
Degree Equivalency: 2 year degree in Computer Science, Business or related field and 2 years of reporting and data analysis work experience. OR 4 years reporting and data analysis experience.
Required Work Experience: 4 Years Research and analysis experience.
Required Skills and Abilities: Strong organizational, customer service, communications, and analytical skills. Advanced experience using complex mathematical calculations and understand mathematical and statistical concepts. Knowledge of relevant computer support systems. Ability to train subordinate staff including provide assistance/guidance to staff in design/execution of reporting needs. Proven experience with report writing and technical requirements analysis, data and business process modeling/mapping, and methodology development. Strong understanding of relational database structures, theories, principles, and practices.
Required Software and Other Tools: Advanced knowledge of Microsoft Office. Knowledge of programming languages across various software platforms, using DB2, SQL, and/or relational databases. Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.
Preferred Skills and Abilities: Computer programming skills. Negotiation or persuasion skills. Knowledge of ICD10/CPT4 coding. Knowledge of the healthcare delivery system.
Preferred Software and Other Tools: SAS experience.
Work environment: Typical office environment. Some travel between buildings and out of town.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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 minorities, females, disabled individuals and 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 physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail email@example.com or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.