- Evaluate existing procedures and processes to make recommendations for improvement. Monitor reports to assess the impact of performance on key measures. Provide reports and/or analyses of internal performance metric for various projects as well as for individual performance against those metrics.
- Assist in the implementation and maintenance of systems or processes to include testing. May manage and relay the purpose, scope, and status of each implementation to management.
- Develop and maintain written procedures within departmental and organizational standards. May document and streamline automated procedures into end-user training material.
- Conduct workflow and process audits of staff and reference materials as needed. Work with staff and manager to research and document errors, progress, performance, or other metrics to assess efficiency. Provide training for new employees and ongoing training as workflow efficiencies are revised.
- Generate data to prepare reports and maintain databases and/or requests reports on specific statistics to analyze trends. Maintain area reports. Quality check records affecting accuracy of reports by researching and testing processes and methods.
- Maintain close contact with management to provide updates on any issue/projects. Complete special projects and informs management of any trends or changes in statistical reports. May serve as liaison between the department and other internal/external groups.
- A Bachelor's Degree OR 4 years of job-related work experience OR
- An Associate's Degree AND 2 years of job-related work experience.
- 2 years of data analysis or related operations experience.
- Strong communication, project management and organizational skills.
- Understanding of acceptable internal standards and methodologies.
- Strong analysis skills.
- The ability to identify problems and recommend solutions.
- The ability to provide support in developing and implementing process improvements.
- Knowledge of Microsoft Office applications.
- A Bachelor's degree in Business, Healthcare or other job-related field.
- 2 years of healthcare or insurance data analysis experience.
- Experience with FISS and claims processing.
- DB2 skills.
- Intermediate knowledge of Excel.
- Medicare experience.
- 401(k) retirement savings plan with company match.
- Subsidized health plans and free vision coverage.
- Life insurance.
- Paid annual leave - the longer you work here, the more you earn.
- Nine paid holidays.
- On-site cafeterias and fitness centers in major locations.
- Wellness programs and a healthy lifestyle premium discount.
- Tuition assistance.
- Service recognition.
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Operations Analyst - Florence, United States - Blue Cross and Blue Shield Association
Description
Summary
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 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 teamDescription
Job Purpose:
Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommends installations of new systems/procedures. Reviews organizational functions and structure to avoid overlapping or duplication. May provide security administration to application supported by area when the appropriate written and approved request is received.
Logistics:
This position is full-time (40 hours/week, 8 hours/day) Monday - Friday. Some travel may be required.
What You'll Do:
To Qualify for This Position, You'll Need:
We Prefer You to Have:
What Blue Can Do for You:
Our comprehensive benefits package includes:
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications.
This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Some states have required notifications. Here's more information.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status.
Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans.
It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail or call , ext with the nature of your request.
