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!

The Medicare Advantage Reporting team supports Medicare Advantage Operations by providing scheduled and ad hoc reports. The team collaborates with other areas in Medicare Advantage, including but limited to Claims, Membership, Medical Management, Sales & Marketing, Change Management, and the STARS team. Members of the team work individually and collectively in producing these reports.

Description
 

Sponsorship: This position is not eligible for sponsorship now or in the future.

This is a full time and remote position-based in South Carolina or North Carolina (40 hours a week Monday-Friday working normal business hours in EST Time Zone).

Work Environment:

• Typical office environment. Some travel between buildings and out of town.

Position Purpose

Running queries to pull data from DB2 relational databases residing on the host mainframe to generate reports for Medicare Advantage Operations.

What You’ll Do:

• Reviews, extracts and analyzes data to be used in formulation of procedures, processes and other requirements. Provides reports of relevant activity to be used to identify problematic areas and to provide basis for modification and/or elimination of operations issues.
• Assists with development of complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Performs focused analyses as needed. Creates data search programs to identify pertinent data needed to provide supporting documentation for system or operational enhancements/changes.
• Documents reporting procedures so other staff can run ad hoc reports independently. 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 the Following:

Required Education:

• Bachelor's in a job related field

Degree Equivalency:

• Associates degree plus an extra 2 years job-related experience for a total of 4 years of required work experience (see "required work experience")

OR

• 6 total years required work experience

Required Work Experience:

• 2 Years Research and analysis experience.
  

Required Skills and Abilities:

• Strong organizational, customer service, communications, and analytical skills.
• Ability to use complex mathematical calculations. Advanced knowledge of mathematical and statistical concepts.
• Knowledge of relevant computer support systems.
• Knowledge of programming languages across various software platforms, using DB2, SQL, and/or relational databases.
• Ability to analyze data results, determine the source of aberrant statistics, and resolve data issues.

Required Software and Tools:

• Microsoft Office.
• Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.

We Prefer That You Have: ​

• 1 year of Medicare Advantage experience
• 1 year experience using IBM Query Management Facility mainframe software (QMF) or QMF for Workstation in Windows
• 2 years SQL or DB2 programming language experience

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 access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Our comprehensive benefits package includes:

• Subsidized health plans, dental and vision coverage
• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• Nine paid holidays
• 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 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 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 [email protected] 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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