BlueCross BlueShield of South Carolina-posted 3 days ago
Full-time • Director
Onsite • Columbia, SC
5,001-10,000 employees

Directs the development/design of various solutions for our business to include front end electronic systems and backend processing systems, and, processes, that create cost savings through an all-electronic provider data interchange. Works with operations management across business units to assure all business needs are being addressed and that negative impacts to business operations is minimized. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 2401 Faraway Drive Columbia, South Carolina.

  • Provides leadership for strategic/business development of the electronic data interchange channel, including directional recommendations and strategic business alignment.
  • Directs the development/design & maintenance of commercial electronic data interchange transactions, electronic claims, eligibility and claims status transactions, etc.
  • Responsible for ensuring compliance with federal HIPAA mandates.
  • Implements new & upgraded electronic transactions, so that negative impact to operations across lines of business are minimized.
  • Manages transition of stakeholders to new processes.
  • Manages trading partner and business associate agreements.
  • Links superior market knowledge with the company’s capabilities to develop strategic initiatives and trading partner/vendor relationships to support business goals.
  • Develops and maintains operational and project budgets with appropriate reporting.
  • Required Education: Bachelors in a job-related field
  • Required Work Experience: 8 years of related technical, operations, customer service, healthcare, or project management experience, including either 3 years of management experience OR 3 years of equivalent military experience in grade E4 or above.
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