BlueCross BlueShield of South Carolina

Provider Data Consultant

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent work experience (4 years of professional experience).
  • 5 years in data management, modeling, and integration.
  • 5 years using advanced reporting tools like Power BI or Tableau.
  • 3 years of experience in the IT lifecycle.
  • 3 years in leadership or project management roles.

Responsibilities

  • Support implementation and usage of analytics applications.
  • Lead development, testing, and implementation of new analytics features.
  • Evaluate user requests for feasibility, cost, and alignment with data strategy.
  • Customize and configure analytics applications; optimize ETL/ELT processes.
  • Manage data integrations, reporting, and quality solutions.

Benefits

  • Fully remote position with on-site interview requirement during the final round.
  • Opportunity to leverage AI and automation in data processes.
  • Collaborative work environment in a prominent healthcare organization.
  • Engagement in meaningful data projects that enhance provider network management.
Full Job Description
In this role, you'll serve as a key partner within our Provider Network organization to support the technical solutions that power how we manage and maintain our network of physicians and hospitals. You'll work closely with business and IT teams to design, enhance, and support reporting, data integrations, and tools that drive provider credentialing, contracting, enrollment and data quality.

This role goes beyond traditional technology - you'll help drive automation and apply AI-enabled solutions to improve efficiency and data quality. You'll build agents, solutions, queries, and optimize data workflows while identifying opportunities to streamline manual processes and improve data quality. We're seeking a data focused consultant and hands-on solution builder who can bring both technical expertise and creative problem-solving to deliver scalable solutions.

To be successful in this role, in addition to the job requirements, you'll bring:
  • Strong SQL with Python or Java to support ETL/ELT data workflows
  • Experience developing reports and dashboards (Power BI, Tableau)
  • Experience building and improving automated processes, including applying AI-enabled capabilities.
  • Experience working with FHIR and APIs and integration tools to support end-to-end data workflows


Important Notes:
  • This is a remote position, but the final round of interviews will take place on-site in our Chattanooga, TN office.
  • Sponsorship is not available for this role.


Job Responsibilities
  • Providing support for the implementation and usage of new or existing analytics applications.
  • Leading the development, testing and implementation of new functions, features and capabilities of analytics applications.
  • Evaluating and scoping user requests for feasibility, costs and time requirements to align with business value and the overall data strategy.
  • Customizing and configuring analytics applications and platforms and optimizing the ETL/ELT process.
  • Responsible for data management, integrations, reporting and quality solutions.
  • May require supervising and administrating staff.


Required Job Qualifications:

Education
  • Bachelor's degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience.


Experience
  • 5 years - Experience working on data management, modeling, and integration required.
  • 5 years - Experience with advance reporting tools required.
  • 3 years - IT lifecycle experience required.
  • 3 years - Proven leadership and/or project management experience required.


Skills/Certifications
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability
  • Detail oriented with strong analytic skills
  • Ability to prioritize in an environment of rapid change
  • Able to direct project outcome based on long term business objectives


Number of Openings Available
1

Worker Type:
Employee

Company:
BCBST BlueCross BlueShield of Tennessee, Inc.

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is a health insurance company that provides coverage to over 5 million people in South Carolina and beyond. The company was founded in 1946 and is headquartered in Columbia, South Carolina. BlueCross BlueShield of South Carolina offers a variety of health insurance plans, including individual and family plans, Medicare plans, and employer-sponsored plans. The company is committed to improving the health of its members and the communities it serves, with initiatives focused on wellness, disease prevention, and access to care. BlueCross BlueShield of South Carolina is a subsidiary of the Blue Cross Blue Shield Association, a national federation of 36 independent, community-based and locally operated Blue Cross Blue Shield companies.
Learn more about BlueCross BlueShield of South Carolina
Size
12,000 employees
Industry

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