SUMMARY

Serves in a lead capacity as an expert data analyst and may also lead a team. Creates and analyzes reports to support operations. Presents report findings in a concise manner to appropriate management level. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.

DESCRIPTION

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!
Position Purpose: Serves in a lead capacity as an expert data analyst and may also lead a team. Creates and analyzes reports to support operations. Presents report findings in a concise manner to appropriate management level. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 4101 Percival Road, Columbia, SC 29229.

REQUIRED EDUCATION:

Bachelor’s degree in Statistics, Computer Science, Mathematics, Business, Healthcare, or other related field.

REQUIRED WORK EXPERIENCE:

6 Years Research and analysis experience.

REQUIRED SKILLS AND ABILITIES:

• Strong organizational, customer service, communications, and analytical skills.
• Advanced experience using complex mathematical calculations and understand mathematical and statistical concepts.
• Knowledge of relevant computer support systems.
• Ability to train subordinate staff including providing assistance/guidance to staff in design/execution of reporting needs.
• Proven experience with report writing and technical requirements analysis, data and business process modeling/mapping, and methodology development.
• Strong understanding of relational database structures, theories, principles, and practices. Knowledge of the healthcare delivery system.

PREFERRED WORK EXPERIENCE:

8 Years Research and analysis experience.

PREFERRED SKILLS AND ABILITIES:

• Familiarity with Medicare reimbursement methodologies.
• Knowledge of CPT and HCPCS coding.
• Negotiation or persuasion skills.

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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• Reviews, extracts and analyzes data to be used in formulation of procedures, processes and other requirements, including data integrity and quality control. Provides reports of relevant activity to be used to identify problematic areas and data anomalies, in order to provide basis for modification and/or elimination of operations issues. Revises existing reports and develops new reports based on changing methodologies. Analyzes reports to ensure accuracy and quality. Tracks and verifies all reporting statistics and/or metrics.
• Develops complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Creates data tools used to identify/modify pertinent data needed to provide supporting documentation for system or operational regulatory reporting. Designs, codes, and maintains complex database programs for the extraction and analysis of data to support financial and operational decisions.
• Communicates with and/or trains employees and managers on the complex database programs used to generate analytical data. Documents reporting procedures so other staff can run ad hoc reports independently.
• Monitors data for compliance with all applicable regulations and communicates and updates data as necessary. Provides assistance throughout internal and external audits.