Operations Analyst I

BlueCross BlueShield of South Carolina•Columbia, SC

About The Position

Under general supervision, the Operations Analyst I analyzes proposed policies, procedures, forms, and reports and recommends operational improvements through standardization, simplification, discontinuance, or other methods. The role recommends new systems or procedures and reviews organizational functions and structure to help avoid overlapping or duplicative work. It may also provide security administration for supported applications when an appropriate written and approved request is received. The position is with Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina. It is full-time, 40 hours per week, Monday through Friday, in a typical office environment. The employee works an eight-hour shift between 7:30 a.m. and 6:00 p.m. The role targets candidates located in South Carolina, Georgia, and North Carolina. Sponsorship is not available now or in the future. Because the company’s federal contracts are subject to the Service Contract Act, employees cannot opt out of health benefits; supplemental pay is provided until enrollment in health benefits 28 days after the hire date.

Requirements

Bachelor's degree, or equivalent: four years of job-related work experience, or an associate degree plus two years of job-related work experience.
Two years of data analysis or related operations experience.
Knowledge of Microsoft Office.
Strong communication, project management, and organizational skills.
Understanding of acceptable internal standards and methodologies.
Strong analytical skills.
Ability to identify problems and recommend solutions.
Ability to support development and implementation of process improvements.

Nice To Haves

Reporting skills.
Experience conducting claims research.
Proficiency in Microsoft Excel.
One year of healthcare or insurance data analysis experience.
One year of Medicare or Medicaid experience.

Responsibilities

Evaluate existing procedures and processes and recommend improvements.
Monitor reports to assess performance against key measures.
Provide reports and analyses of internal performance metrics for projects and individual performance.
Assist with implementing and maintaining systems or processes, including testing.
As needed, explain the purpose, scope, and status of implementations to management.
Develop and maintain written procedures according to departmental and organizational standards.
As needed, document and streamline automated procedures into end-user training materials.
Conduct workflow and process audits of staff and reference materials as needed.
Work with staff and managers to research and document errors, progress, performance, and other measures of efficiency.
Train new employees and provide ongoing training when workflow efficiencies are revised.
Generate data for reports, maintain databases, and request statistical reports to analyze trends.
Maintain area reports.
Quality-check records that affect report accuracy by researching and testing processes and methods.
Keep management updated on issues and projects.
Complete special projects and inform management of trends or changes in statistical reports.
As needed, serve as a liaison between the department and internal or external groups.
As needed, provide security administration for supported applications when an appropriate written and approved request is received.