Offer summary

Qualifications:

Bachelor's degree or 4 years of job-related work experience, or an Associate's degree with 2 years of job-related experience., 2 years of healthcare or insurance data analysis experience is required., Proficiency in DB2 and Cohere authorization is preferred., A degree in Business, Healthcare, or a related field is preferred..

Key responsibilities:

Evaluate existing procedures and processes to recommend improvements.

Monitor reports to assess performance on key measures and provide analyses.

Assist in implementing and maintaining systems or processes, including testing.

Conduct workflow audits and provide training for new employees on revised workflows.

Job description

Summary

Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommends 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.

Description

Location:

This role is full time, remote, M-F typical business hours

What You Will 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 standard
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 Will Need:

Required Education: Bachelors degree OR 4 years job related work experience or Associate's and 2 years job related work experience
Required work experience: 2 years-of healthcare or insurance data analysis experience

We Prefer you have:

Preferred Education: Bachelor's degree-in Business, Healthcare or other job related field
Preferred Work Experience: 2 years-of healthcare or insurance data analysis experience
Preferred Software and Other Tools: DB2 skills and proficiency in Cohere authorization

What We Can Do for You:

401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave – the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Tuition assistance
Service recognition
Incentive Plan
Merit Plan
Continuing education funds for additional certifications and certification renewal

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 a recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

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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