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 product after launch or implementation including sales support, market strategy, and resolution of issues with vendor and customer. Supports implementation and ongoing collaboration with multi-functional teams. Monitors and measures product/program efficacy providing regular updates and reporting, and a comprehensive annual review with recommendations for the product/program.
Location:
This is a full-time (40 hours per week, Monday–Friday) work-at-home (W@H) position, with occasional onsite visits as needed in Columbia, SC. Please note this is subject to change based on employee performance and/or business needs.
This position is not eligible for sponsorship now or in the future.
What You’ll Do:
- Manages external vendor after launch and implementation to include group onboarding, sales training, resolution of member level issues and client/vendor invoicing.
- Analyzes and coordinates submission of aggregate executive summaries regarding efficacy of the product/program that are both client facing and line of business specific. Develops, coordinates, evaluates, and provides customer support for activities/programs. Creates member feedback collection methods, monitors member satisfaction and improves services to enhance customer experience. Maintains training and marketing materials. Builds and maintains strong relationships with external companies and internal Lines of Businesses.
- Maintains detailed procedures/documentation of data sources and all related product methodology. Responsible for developing and implementing policies/procedures, onboarding, and invoicing.
- Prepares charts, illustrations or other graphic presentations, as well as narrative analysis. Monitors/interprets trends and offers solutions to address emerging healthcare utilization trends. Additional tasks, projects as assigned.
Required Education Level and Degree Type:
- Bachelor's degree in job related field.
Degree Equivalency:
- Associates degree plus an extra 2 years of job-related work experience for a total of 5 years of required work experience (see "required work experience")
OR
- 7 total years required work experience.
Required Work Experience:
- Three (3) years of product experience (wellness, virtual care, transparency, etc.)
Required Software and Other Tools:
We Prefer that You Have the Following:
- Healthcare solution, vendor management, account management, implementation coordination, or operations experience.
- Experience working with external vendors and cross-functional business stakeholders.
- Experience creating and maintaining process documentation, operational procedures, and status reporting.
- Experience managing multiple concurrent projects, implementations, and operational priorities.
- Strong written and verbal communication skills with the ability to communicate effectively with clients, vendors, leadership, and internal business partners.
- Experience working with external vendor partners to translate business requirements into Statements of Work (SOWs), implementation requests, testing activities, and production-ready solutions.
- Healthcare transparency or provider directory experience.
- Healthcare claims, eligibility, or network knowledge.
- Experience with RFP responses and client-facing presentations.
- User Acceptance Testing (UAT) experience.
- SharePoint administration.
- Confluence experience.
- Basic data analysis and reporting.
- Contract / invoice management experience.
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 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.
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