Vacancy expired!
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!
Position PurposeAs a lead member of our Pharmacy Data Analysis team, you will demonstrate your leadership skills as you serve in a lead capacity as an expert data analyst and may also lead a team. Create and analyze reports to support operations. Present report findings in a concise manner to appropriate management level. You will be directly responsible for accuracy of data as financial and operational decisions are made based on the data provided.Here is your opportunity to apply your leadership, organizational, communication, and analytical skills; demonstrate your years of research and analysis experience. Description What You'll Do:• Review, extract and analyze data to be used in formulation of procedures, processes and other requirements, including data integrity and quality control. Provide 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. Revise existing reports and develop new reports based on changing methodologies. Analyze reports to ensure accuracy and quality. Track and verify all reporting statistics and/or metrics.• Develop complex analysis and sophisticated data compilation, verification, and interpretations to guide divisional efforts. Create data tools used to identify/modify pertinent data needed to provide supporting documentation for system or operational regulatory reporting.• Communicate with and/or trains employees and managers on the complex database programs used to generate analytical data. Document reporting procedures so other staff can run ad hoc reports independently. Design, code, and maintain complex database programs for the extraction and analysis of data to support financial and operational decisions.• Monitor data for compliance with all applicable regulations and communicates and update data as necessary. Provide assistance throughout internal and external audits.To Qualify for This Position, You'll Need:- Bachelor's degree in Statistics, Computer Science, Mathematics, Business, Healthcare, or other related field
- OR two-year degree in Computer Science, Business or related field and two (2) years of reporting and data analysis work experience
- OR four (4) years reporting and data analysis experience
- Six (6) years of research and analysis experience
- 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 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.
- Knowledge of the healthcare delivery system.
- 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.
- Eight (8) years of research and analysis experience.
- Computer programming skills.
- Negotiation or persuasion skills.
- Knowledge of ICD9/CPT4 coding.
- SAS experience.
Vacancy expired!