Summary
Analyzes current and proposed policies, procedures, systems, forms, and reports for the department. Analyzes existing processes and procedures to recommend operational improvement through standardization, simplification, discontinuance or other methods. May recommend installations of new systems and procedures and with implementation, instructs personnel regarding them.
Description
What You'll Do:
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Analyzes data that has a vital impact on the success of the operation, program or project and that is used for developing operating strategies.
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Develops, maintains and reviews processes, procedures, policies and forms for the department.
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Identifies patterns and trends in data for business decisions by department or division leadership.
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Prepares materials which help explain findings such as reports, charts, visual aids, etc.
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Monitors departmental methods to ensure compliance with internal measures and contract/business requirements.
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Reviews items directed to management.
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Advises and keeps management apprised of any potential issues or items that need to be addressed.
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Recommends a response or solution to any issues identified or outstanding.
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Assists management with complex reviews such as analysis of expenditures that would help determine if process improvements, projects, or implementations are within projections.
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Provides periodic/consistent information to management impacted by assigned projects. Manage/relay project status, purpose, scope and timing.
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Serve as liaison between the division or department and other areas on management reports, including reports concerning workload statistics.
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Attends and participates in teleconferences and meetings with customers.
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May also serve as liaison between the area and the contractor regarding any discrepancies found in reports.
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Functions as a project leader on work teams.
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Assists service areas with resolving compliance issues or questions.
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Identify opportunities for improvement and areas/issues that can be addressed with educational initiatives.
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Trains staff on new initiatives.
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Identify and research discrepancies and questions related to data input based on reports.
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Monitors reports to assess the impact of performance on key measures.
To Qualify for This Position, You'll Need:
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Required Education: Bachelor's
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Degree Equivalency (if applicable): 4 years job related work experience or Associate's and 2 years job related work experience.
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Required Work Experience: 4 years of data analysis or related operations experience.
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Required Software and Tools: Microsoft Office.
Required Skills and Abilities:
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Strong communication, analytical, project management and organizational skills.
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Fully understands acceptable internal standards and methodologies.
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Advanced analysis skills.
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Able to identify complex problems and recommend solutions.
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Able to provide guidance and lead in developing and implementing process improvement for the department and division.
We Prefer That You Have The Following:
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Bachelor's degree-in Business, Healthcare, or other job related field.
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4 years-of healthcare or insurance data analysis experience.
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Medicare advantage experience .
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Excel Proficiency
Our comprehensive benefits package includes the following:
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401(k) retirement savings plan with company match
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Fantastic health plans and free vision coverage
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Life insurance
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Paid annual leave — the longer you work here, the more you earn
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Nine paid holidays
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On-site cafeterias and fitness centers in significant locations
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Wellness programs and a healthy lifestyle premium discount
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Tuition assistance
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Service Recognition
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. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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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 mycareer.help@bcbssc.com or call 1-800-288-2227, 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.