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.

To Qualify For This Position, You'll Need The Following:

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

We Prefer That You Have The Following:

• 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 mycareer.help@bcbssc.com 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. Here's more information.

Some states have required notifications. Here's more information.