Summary
 

Palmetto GBA is one of the nation’s largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans. Palmetto GBA is one of the few Medicare contractors with experience in all Medicare business segments – Medicare Part A, Medicare Part B, Durable Medical Equipment (DME), Home Health and Hospice (HHH), and Medicare Advantage (MA) Part C and Part D. This broad experience base offers CMS a contractor with unique expertise and the ability to offer customized, creative, and proven solutions to complex problems.

Description
 

Position Purpose:

Conducts complex business process analyses, needs assessments and cost/benefits analyses in an effort to align operations solutions with business initiatives.  Prepares functional, system and program specifications. Provides management support in review of various internal and external reports and data. Provides assistance with complex testing efforts and may provide security administration to application supported by area when the appropriate written and approved request is received.

What You Will Do:

• Develops detailed test plans and documents test data based on specifications. Conducts testing and relays results. Guides less senior analysts with testing activities. Defines and analyzes quality assurance metrics such as defects, counts, test results and status, to ensure work is free of errors. Participates with other areas on special projects and committees to improve testing quality. Works with other areas to update desk procedures impacted by change sheets/projects.
• Reviews system enhancements/changes and identifies issues to the standard system and other processing components. Updates and reviews any changes to the reference files. Acts as a facilitator or leader for business/contract mandates and moderate to large projects.
• Objectively evaluates the activities and systems within specific area for process evaluation and makes recommendations for simplification. Interviews management and department personnel to reevaluate workflow processes. Maintains accurate documentation for external users. Writes procedures and documents customer requirements.
• Guides coworkers in problem resolution related to documented procedures as well as various systems and/or connectivity issues. May approve or review recommendations from less senior analysts.
• Prepares verbal and written communication regarding changes, procedures, projects, implementations, etc. Ensures the communication process between the user and the shared system maintainer (s)is positively maintained and occurs on a frequent basis. Attends designated weekly workgroup calls.
• Completes necessary reporting for analysis using applicable programming, software, and/or reporting tools.
• Designs user area training as related to operations system changes.

To Qualify for This Position, You Will Need:

Required Education:

• Bachelor's degree
• Or 4 additional years job related work experience
• Or Associate's and 2 additional years job related work experience

Required Work Experience:

• 4 years of job related business systems analysis, research and/or customer support experience.

Required Skills and Abilities:

• Comprehensive knowledge of business support and systems concepts.
• Able to communicate effectively with technical and non-technical audiences, including the ability to express complex technical and business concepts to management, peers, and the business units.
• Strong leadership and interpersonal skills.
• Strong analytical and conceptual skills. In-depth understanding of user acceptance test plans and test matrices, project plans, and scope and design documents.
• Comprehensive understanding of how projects and implementations affect an organization and can successfully link it to business processes.
• Strong knowledge of mainframe electronic data processing system change methodology.

Required Software and Tools:

• Microsoft Office.

We Prefer That You Have:

Preferred Education:

• Bachelor's degree-in Computer Science, Business Administration, or other job related field.

Preferred Work Experience:

• 5 years-of job related business systems analysis, research and/or customer support experience.

Preferred Skills and Abilities:

• In-depth knowledge of procedures for the supported business unit.
• Computer programming skills.
• Strong mathematical and statistical skills.

Preferred Software and Other Tools:

• Proficiency with BCBS/subsidiary systems.
• Knowledge of programming languages and/or concepts.
• Easytrieve, DB2 or related.

Work Environment: Typical work environment. Some travel between buildings. May provide security administration to application supported by areas when the appropriate written and approved request is received.

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:

• 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

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure that 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 the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.

 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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 mycareer.help@bcbssc.com or call 1-800-288-2227, 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.