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 :
Manages a team of analysts in the accurate and timely retrieval, compilation, and distribution of data reports routinely used by internal departments and customers to make critical business decisions. Analysis may include medical costs and trending for senior management, clinical measures, limited underwriting, and provider and operations based analytics. May serve as lead of senior executive committee that analyzes medical costs and trends, assist in hospital negotiations in order to achieve network discounts, or ensure return on investment and productivity goals are met for the assigned area.
Location: This is a full-time position that will operate on a flexible 3 days in office and 2 days W@H schedule, located in Columbia, SC.
This position is not eligible for sponsorship now or in the future. What You'll Do :
- Oversees activities of analysts in the assigned area. Monitors the reporting process, and maintains area specific data. Ensures reports are completed timely and correctly.
- Responds to inquiries from customers and internal areas often working together with staff to handle requests.
- Processes complex analytic requests, typically clinical in nature. Runs and analyzes reports and statistics as needed.
- Coordinates with information systems department to implement/troubleshoot data transfer to customers.
- Participates in or leads various committees and work groups.
To Qualify For This Position, You'll Need The Following :
Required Education: - Bachelor's in a job related field
Required Work Experience: - 5 Years Progressively responsible healthcare data analysis and reporting experience.
Required Skills and Abilities: - Excellent verbal and written communication, organizational, and decision making skills.
- Excellent presentation and analytical or critical thinking skills.
- Good judgment.
- Extensive knowledge of statistical concepts.
- Ability to use complex mathematical calculations.
- Proficient spelling, grammar, and punctuation.
Required Software and Other Tools: - Microsoft Office. Excellent knowledge of mainframe systems and database design.
We Prefer That You Have The Following :
- NCQA, HEDIS, QRS, and Star Ratings experience.
- Gap in care reporting experience.
- PIMS experience that includes loading Provider Medical and Dental Pricing data.
- Experience with SQL, PowerBI, and Db2.
Work Environment: - Typical office environment. Some travel between office buildings.
Our comprehensive benefits package includes the following:We offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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
- National discounts to movies, theaters, zoos, theme parks and more
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 the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
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 StatementBlueCross 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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