Operations Analyst I

Under general supervision, analyzes proposed policies, procedures, forms, and reports. Recommends operational improvement through standardization, simplification, discontinuance and other methods. Recommend 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.

• →Evaluates existing procedures and processes to make recommendations for improvement. Monitors reports to assess the impact of performance on key measures. Provides reports and/or analyses of internal performance metric for various projects as well as for individual performance against those metrics.
• →Assists 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.
• →Develops and maintains written procedures within departmental and organizational standards. May document and streamline automated procedures into end-user training material.
• →Conducts workflow and process audits of staff and reference materials as needed. Works with staff and manager to research and document errors, progress, performance or other metrics to assess efficiency. Provides training for new employees and ongoing training as workflow efficiencies are revised.
• →Generates data to prepare reports and maintain databases and/or requests reports on specific statistics in order to analyze trends. Maintains area reports. Quality check records affecting accuracy of reports by researching and testing processes and methods.
• →Maintains close contact with management to provide updates on any issue/projects. Completes 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.

• 4-years job-related work experience OR
• Associate's AND 2 years job related work experience

• 2-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 analysis skills.
• Able to identify problems and recommend solutions.
• Able to provide support in developing and implementing process improvement

• Preferred Skills and Abilities:
  • Reporting
  • Conducting Claims Research
  • Proficient in Microsoft Excel

• Preferred Work Experience:
  • 1 year of healthcare or insurance data analysis experience
  • 1 year of Medicare / Medicaid experience

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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

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