Data Analyst II

BlueCross BlueShield of South CarolinaColumbia, SC
Onsite

About The Position

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 Purpose: Analyzes data for creation of statistical reports used for program or process evaluation. Responsible for maintaining databases and extracting data for analysis. Runs and reviews reports, analyzing results in support of operational functions. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+ (Superior) — making us the only health insurance company in South Carolina with that rating. We’re 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!

Requirements

  • Bachelor's in a job related field Or an additional 4 years of job related work experience Or Associate's plus an additional 2 years job related work experience
  • 2 Years Research and analysis experience.
  • 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.
  • Microsoft Office.
  • Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.

Nice To Haves

  • 4 Years-Research and analysis experience.
  • 2 years of National Alliance claims research experience (PDU claims experience preferred)
  • Working knowledge of Benefit Files / BDS
  • Experience interacting directly with external customers, and the ability to communicate effectively and professionally in challenging situations
  • Computer programming skills.
  • Negotiation or persuasion skills.
  • Knowledge of ICD9/CPT4 coding.
  • SAS experience.

Responsibilities

  • 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.

Benefits

  • If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.
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