DescriptionLogistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies.
Position Purpose:
Develops difficult statistical analysis using standard reporting, AD HOC reporting, and data mining tools in order to identify patterns and trends. Prepares charts, illustrations, and other graphics and narrative reports to identify and explain data findings.
What You'll Do:
- Develops, maintains, and executes complex database programs for the extraction and presentation of data for standard and ad hoc reporting. Creates supporting documentation outlining all procedures within scope of responsibility.
- Develops complex sampling design and/or execution methodology for sample selection.
- Develops difficult statistical analysis using standard reporting, ad hoc reporting, and data mining tools. Provides sophisticated data interpretation, compilation, and verification to guide departmental efforts.
- Prepares charts, illustrations, and other graphics and narrative reports to identify and explain patterns and trends.
- Participates in writing of articles suitable for internal/external publication to support departmental efforts. May assume a leadership role in this activity.
- Provides assistance in development of project plans and system life cycle maintenance, performing quality checks on relational database tables, and in the development of focused end-user applications.
- With leadership responsibilities as assigned by management, participates in development of change requests and testing plans for changes to existing relational database tables. Researches new sources of data and provides written and/or verbal feedback to management.
To Qualify for This Position, You'll Need the Following:
Required Education:- Bachelor's in a job related field
Required Work Experience:
- Four years statistical programming or statistical interpretation.
Required Skills and Abilities:
- Strong organizational, customer service, and analytical skills.
- Ability to use complex mathematical calculations.
- Demonstrated knowledge of mathematical or statistical concepts.
- Relevant computer programming skills.
Required Software and Tools:
We Prefer That You Have the Following:
- Experience with Prior Auth programs and Review Choice Demonstration reporting.
- Python experience
- 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.
- Code, maintain, and execute database programs for the extraction and presentation of data for standard and ad hoc reporting.
- Develop supporting material and guidelines on report design and resulting data.
- 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.
- Good oral and written communication skills.
- Computer systems support knowledge.
- SAS, Business Objects, and/or DB2 or other relational database.
What We Can Do for You:We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
Our comprehensive benefits package includes:
- Subsidized health plans, dental and vision coverage
- 401K retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- Nine paid holidays
- On-site cafeterias and fitness centers in major locations
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
- Employee Assistance
- Discounts to movies, theaters, zoos, theme parks and more
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.
