Senior Operations Analyst

BlueCross BlueShield of South Carolina•Columbia, SC

7d•Onsite

About The Position

Analyzes current and proposed policies, procedures, systems, forms, and reports for the department. Analyzes existing processes and procedures to recommend operational improvement through standardization, simplification, discontinuance or other methods. May recommend installations of new systems and procedures and with implementation, instructs personnel regarding them. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. 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. This role is located at 17 Technology Circle, Columbia, SC 29203. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

Requirements

Bachelor's degree.
4-years of data analysis or related operations experience.
Strong communication, analytical, project management and organizational skills.
Fully understands acceptable internal standards and methodologies.
Advanced analysis skills.
Able to identify complex problems and recommend solutions.
Able to provide guidance and lead in developing and implementing process improvement for the department and division.
Microsoft Office.

Nice To Haves

Bachelor's degree in Business, Healthcare, or other job-related field.
4-years of healthcare or insurance data analysis experience.

Responsibilities

Analyzes data that has a vital impact on the success of the operation, program or project and that is used for developing operating strategies.
Develops, maintains and reviews processes, procedures, policies and forms for the department.
Identifies patterns and trends in data for business decisions by department or division leadership.
Prepares materials which help explain findings such as reports, charts, visual aids, etc.
Monitors departmental methods to ensure compliance with internal measures and contract/business requirements.
Reviews items directed to management.
Advises and keeps management apprised of any potential issues or items that need to be addressed.
Recommends a response or solution to any issues identified or outstanding.
Assists management with complex reviews such as analysis of expenditures that would help determine if process improvements, projects, or implementations are within projections.
Provides periodic/consistent information to management impacted by assigned projects.
Manage/relay project status, purpose, scope and timing.
Serve as liaison between the division or department and other areas on management reports, including reports concerning workload statistics.
Attends and participates in teleconferences and meetings with customers.
May also serve as liaison between the area and the contractor regarding any discrepancies found in reports.
Functions as a project leader on work teams.
Assists service areas with resolving compliance issues or questions.
Identify opportunities for improvement and areas/issues that can be addressed with educational initiatives.
Trains staff on new initiatives.
Identify and research discrepancies and questions related to data input based on reports.
Monitors reports to assess the impact of performance on key measures.