• Job Description

  Req#: R1043801

  
  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
  

  Job Purpose:

  Creates and analyzes reports to support operations. Ensures correctness of analysis, and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.

  Logistics:

  CGS Administrators (a subsidiary of BlueCross BlueShield of South Carolina): CGS (cgsadmin.com).

  Centers for Medicare and Medicaid Services (CMS) Requirements:

  Certain divisions within BlueCross BlueShield of South Carolina require CMS (Centers for Medicare and Medicaid Services) residency that requires employees to have lived in the US for at least three (3) out of the last five (5) years. This is a business requirement – government contracts, not an HR requirement. In the spirit of transparency, if we extend an offer and discover during the background check process that you have not been in the US for at least three (3) years, you will fail background, and the offer will be rescinded.

  Location:

  This position is full-time (40 hours/week) Monday – Friday in a typical office environment. This role is onsite in Nashville, TN. There is the possibility of hybrid work once training is complete and performance standards are being met.

  What You'll Do:

  • Generates internal and external reports to support management in determining productivity and efficiencies of programs or operational processes. Revises existing reports and develops new reports based on changing methodologies.
  • Analyzes reports to ensure accuracy and quality. Tracks and verifies all reporting statistics.
  • Communicates and trains employees and managers on the complex database programs used to generate analytical data.
  • Designs, codes, and maintains complex database programs for the extraction and analysis of data to support financial and operational decisions.

  To Qualify for This Position, You'll Need:

  Required Education:

  • A Bachelor's degree job-related field OR 4 years of job-related experience OR an Associate’s degree AND 2 years of job-related work experience.

  Required Work Experience:

  • 4 years of 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. The ability to train subordinate staff including provide 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.

  Required Software and Tools:

  • Advanced knowledge of Microsoft Office.
  • Knowledge of programming languages across various software platforms, using DB2, SQL, and/or relational databases.
  • Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.

  We Prefer You to Have:

  • Research and analysis experience.
  • Negotiation or persuasion skills.
  • Knowledge of the healthcare delivery system.
  • Self-motivated to learn the business with a desire to be in a leadership role.
  • Strong analytical skills.
  • Database and Excel experience.
  • Strong verbal and written communication skills.
  • The ability to interact with all levels of management within the organization.

  What Blue Can Do for You:

  Our comprehensive benefits package includes:

  • 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 a healthy lifestyle premium discount.
  • Tuition assistance.
  • Service recognition.

  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 .

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

• About the company

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