Director Provider Experience - Onsite Columbia, SC

BlueCross BlueShield of South Carolina • Columbia, SC

2d • Onsite

About The Position

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.

Requirements

• 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.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees