Senior Operations Analyst

Summary

Job Description 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:

Analyze current and proposed policies, procedures, systems, forms, and reports for the department and analyze existing processes and procedures to recommend operational improvement through standardization, simplification, discontinuance, or other methods. The ideal candidate should be able to recommend installations of new systems and procedures and, with implementation, instructs personnel regarding them.

Logistics:

This position has the potential to be a W@H position after an initial training period. Please note, this is subject to change based on business needs and/or employee performance.

What You'll Do:

• Analyze data that has a vital impact on the success of the operation, program, or project and that is used for developing operating strategies.
• Develop, maintain, and review processes, procedures, policies, and forms for the department.
• Identify patterns and trends in data for business decisions by department or division leadership.
• Prepare materials which help explain findings such as reports, charts, visual aids, etc.
• Monitor departmental methods to ensure compliance with internal measures and contract/business requirements.
• Review items directed to management.
• Advise and keep management apprised of any potential issues or items that need to be addressed.
• Recommend a response or solution to any issues identified or outstanding.
• Assist management with complex reviews such as analysis of expenditures that would help determine if process improvements, projects, or implementations are within projections.
• Provide periodic/consistent information to management impacted by assigned projects.
• Manage/relay project status, purpose, scope, and timing.
• Serve as liaison between the division or department and other areas on management reports, including reports concerning workload statistics.
• Attend and participate in teleconferences and meetings with customers.
• May also serve as liaison between the area and the contractor regarding any discrepancies found in reports.
• Function as a project leader on work teams.
• Assist service areas with resolving compliance issues or questions.
• Identify opportunities for improvement and areas/issues that can be addressed with educational initiatives.
• Train staff on new initiatives.
• Identify and research discrepancies and questions related to data input based on reports.
• Monitor reports to assess the impact of performance on key measures.

To Qualify for This Position, You'll Need:

Required Education:

• Bachelor's Degree

Required Work Experience:

• Four years of data analysis or related operations experience.

Degree Equivalency:

• Associate's degree plus two years of job-related work experience for a total of six years required experience.

OR

• Eight years of job-related work experience.

Required Skills and Abilities:

• Strong communication, analytical, project management and organizational skills.
• Fully understands acceptable internal standards and methodologies.
• Advanced analysis skills.
• Able to identify complex problems and recommend solutions.
• Able to provide guidance and lead in developing and implementing process improvement for the department and division.

Required Software and Tools:

• Microsoft Office.

What we Prefer you to have:

• 3 years of Medicare Part B experience.
• Experience with iFlow, ITS, CMOD and Boxi.
• MCS experience.
• Ability to train on Medicare Policies
• Bachelor's degree-in Business, Healthcare, or another job-related field.
• 4 years-of healthcare or insurance data analysis experience.

What We can Do for You:

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
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.

Management will be conducting interviews with the most qualified candidates, with prioritization give 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.

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

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 [email protected] 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.