Statistical Programming Analyst I- Palmetto GBA

BlueCross BlueShield of South Carolina•Columbia, SC

3d•Onsite

About The Position

Palmetto GBA is one of the nation’s largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans. Our team leads the organization’s statistics, data analysis, and research functions. We support strategic decision making by delivering high quality analytics, actionable insights, and data driven recommendations. We work closely with cross functional partners to improve performance, measure outcomes, and strengthen organizational learning. Our culture is collaborative, curious, and mission driven. We value analytical rigor, integrity, and continuous improvement. Team members support each other through open communication, shared problem solving, and a commitment to professional growth. We encourage creativity in methodological approaches, welcome diverse perspectives, and maintain a positive and respectful work environment. This position is not eligible for sponsorship now or in the future. Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Position Purpose: Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Identifies opportunities for improvement that can be addressed with educational initiatives.

Requirements

Bachelor's in a job-related field
Good organizational
Customer service
Analytical skills
Ability to use complex mathematical calculations
Demonstrated knowledge of mathematical or statistical concepts
Relevant computer programming skills.
Microsoft Office.
1 Year-Statistical programming or related information technology or research and analysis experience including Relational database experience. (may be concurrent).
Good oral and written communication skills.
Computer systems support knowledge.

Nice To Haves

Experience with Prior Auth programs and Review Choice Demonstration reporting
Experience conducting literature reviews
SAS, Business Objects, and/or DB2 or other relational database.

Responsibilities

Uses multiple software platforms to produce reports in accordance with work requests, internal initiatives, and requests from customers.
Codes, maintains, and executes simple to complex database programs for the extraction and presentation of data for standard and ad hoc reporting.
Develops supporting material and guidelines on report design and resulting data.
Evaluates data integrity to assure compliance with customer requirements and makes recommendations for corrective and preventative actions.
Provides input on database design.
Illustrations, other graphics, and narrative reports to identify and explain patterns and trends.
Identifies opportunities for improvement that can be addressed with educational initiatives.
Assists with performing quality checks on new and existing relational database changes.
Creates support documentation outlining procedures.
Develop and maintain SAS programs for analyzing Medicare claims data and identifying trends in medical claims.
Conduct data extraction, manipulation, and validation using PROC SQL, PROC REPORT, PROC TABULATE, and macro programming.
Perform statistical analysis and hypothesis testing for fraud detection and risk assessment.
Ensure compliance with industry standards, data integrity, and regulatory reporting requirements.
Collaborate with cross-functional teams to optimize reporting workflows and develop submission-ready datasets.