Blue Cross Blue Shield Association Jobs
- 252 JobsBI Developer Analyst
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that came make health care better for all. In this role you will act as a liaison between the business and technical communities for reporting/analytic development purposes. Design and develop Business Intelligence content (reports, dashboards, scorecards, analytic solutions) by identifying reporting/analytic requirements and determining business rules through a structured elicitation process. Ensure that information and BI content satisfies Enterprise business needs and the needs of individual departments. If you are ready to make a career out of making a difference, then you are the person for this team. What You Will Do Elicit and review business reporting and analytic requirements from the business groups through formal interviews or facilitated sessions and translate into technical designs for enterprise business intelligence implementation.Develop BI content (reports, dashboards, scorecards, analytic solutions) through the entire development life-cycle to provide data necessary to effectively make business decisions and measure goal attainment and overall performance.Participate in work-stream planning process including inception, technical design, development, testing and delivery of BI solutions that emphasize speed to market results.Perform analysis for a wide range of requests using data in different formats and from various platforms Assist in BI tool evaluation including the development of proof-of-concept and pilot solutions.Develop knowledge of business area processes and information needs and apply that knowledge in designing BI content for our users.Coordinate user acceptance testing with the business community to ensure accurate delivery of data from the business requirements with the goal of receiving sign off.Guide and advise business areas in identifying new data needs and delivery mechanisms for reporting information as well as self-service solutions. Provide assistance to business areas in understanding enterprise data content, definitions and usage and the available BI tools.Work with business areas to adapt their business processes to effectively use enterprise data sources for information and analytical needs.Healthcare Program Integrity experience strongly preferred SQL, PowerBI, Tableau proficiency Alteryx is a plus What You Bring • Bachelor's degree or advanced degree (where required) • 3+ years of experience in related field. • In lieu of degree, 5+ years of experience in related field. $85k-109k yearly est.1d agoContract Specialist
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. If so, ask your connection at HCSC about our Employee Referral process! $80k-102k yearly est.1d agoPharmacy Sales Content Manager - Remote
The Pharmacy Sales Content Manager will serve as a conduit between enterprise pharmacy and key stakeholders including HCSC sales and account management, consultant relations, proposal team, prescription benefits manager and product areas. At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. If so, ask your connection at HCSC about our Employee Referral process! $62k-78k yearly est.20d agoClaims Processor II (Remote after onsite training)
Logistics: This will be a remote (work from home position) after eight weeks of onsite training in our Percival Road, Columbia, SC office.Must have high-speed internet (non-satellite) and a private space in your home for an office.Work hours: 8:00 am to 4:30 pm Monday through Friday. $33k-51k yearly est.28m agoSenior Risk Adjustment Coding Specialist
The Senior Risk Adjustment Coding Specialist will work with assigned provider groups to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. This individual will be responsible to lead the application of a standardized HCC chart review process as a foundation of coding guidance supporting Medicare Advantage FFS lines of business, engage and develop strong relationships with all stakeholders at PacificSource Health Plans. Position Overview: The Senior Risk Adjustment Coding Specialist will provider clinically based prospective and retrospective review of medical records to evaluate the quality of documentation for Risk Adjustment purposes; specific to the PacificSource Medicare Advantage Plans. $44k-54k yearly est.1d agoCorporate Financial Analyst (CPA Required)
This role is located at 4101 Percival Road in Columbia, SC. If you are dedicated to the same philosophy, consider joining our team!Position Purpose: The Corporate Financial Analyst provides key financial reports/analysis to support senior management in planning/evaluation requirements/meeting financial objectives. $67k-84k yearly est.28m agoSenior Data & Analytics Governance Analyst
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better for all. In this role you will support governance and process development principles to drive end-to-end Data and Analytics framework implementation and adoption. Helps create, monitor and measure adherence to the Implementation of Data and Analytics Governance Strategy and Framework. Responsible and accountable for the assessment, improvement and governance of quality and ongoing fitness-for-purpose of the organization's critical data and analytics products. Serve as trustee to ensure adequate data and analytics quality is maintained so that products can effectively support business value. If you are ready to make a career out of making a difference, then you are the person for this team. What You Will Do Support governance and process development principles to drive end-to-end Data and Analytics framework implementation and adoption. Helps create, monitor and measure adherence to the Implementation of Data and Analytics Governance Strategy and FrameworkResponsible and accountable for assessing approaches for defining, improving and executing best practices and performance measures for foundational and strategic data and analytics products Define data governance standards for data and analytics assets; monitor and report on key metrics Manage data governance vendor relationships in alignment with business needs Track data governance requests/issues, prioritize remediation efforts and assist in resolution Define data protection and access control standards; Develop onboarding procedures for projects Facilitate and coordinate enterprise data risk assessments with Senior Executives and Enterprise Risk Management. Work with risk owners to remediate and monitor data risk mitigation plans.Work with Enterprise Security, Legal, and the Privacy Office to resolve data protection risks and issues.Serve as data protection subject matter expert on corporate initiatives and projects. What You Bring Bachelor's degree or advanced degree (where required)5+ years of experience in related field In lieu of degree, 7+ years of experience in related field CISSP, CISA, CRISC, CHISSP preferred $82k-108k yearly est.11d agoCommunications Specialist II
Palmetto GBA is now hiring a full-time Communications Specialist II. $34k-45k yearly est.28m agoSenior Actuarial Associate (Virtual)
Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. Note: Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. which is headquartered in the United Kingdom.Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance. The Enterprise Data Architecture team is working to expand actuarial capabilities and improve the infrastructure and current processes. Expertise in Python with an understanding of SQL, and Power BIUnderstanding of actuarial processes and data analysis Strong communication skills and ability to prioritize on behalf of stakeholders Self-motivated with the ability to work independently Has a validation/controls mindset The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. This new data infrastructure will then allow the team to provide enhanced and new capabilities to monitor and interpret current actuarial assumptions, product trends, and find new uses for data. The salary range for this role is from $93,200.00 to $138,600.00. $93.2k-138.6k yearly5d agoAuditor II - CGS (REMOTE)
Three (3) years Medicare Cost Report AuditingCertified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) BlueCross BlueShield is transforming the health of our communities, one person at a time. $47k-62k yearly est.30m agoHealth Coordinator - Richardson
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. If so, ask your connection at HCSC about our Employee Referral process! $39k-57k yearly est.4d agoPrincipal Enterprise Architect
We are seeking an experienced enterprise architect passionate about designing modern data platform architectures that drive tangible business outcomes. $111k-139k yearly est.11d agoCare Coordinator UM/CM I
If so, ask your connection at HCSC about our Employee Referral process! At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. Multi-state license fees will be provided by HCSC. $31k-37k yearly est.4d agoPGIM - Marketing Specialist, U.S. Client Marketing (Hybrid/Newark, NJ)
The salary range for this role is from $65,000 to $80,000. Note: Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. This role will be in the Newark office 3 days a week and 2 days working remote. This position reports to the Vice President of U.S. Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the $65k-80k yearly5d agoClinical and Quality Liaison
In this role as Clinical and Quality liaison, you will focus on quality control, improving care coordination and reducing the fragmentation of the services the recipients of care often experience especially with our health system clients. We are currently hiring for a Clinical and Quality liaison to join BlueCross BlueShield of South Carolina. As a clinical and quality liaison, the position will require collaboration with all BCBS clinicians as well as client facing duties to include some travel. $76k-98k yearly est.5d agoSr Insights Analyst
The Senior Insights Analyst will prepare complex data for various internal and external customers. $69k-100k yearly est.11d agoSenior Program Manager, Community Relations
Representing Blue Cross NC Community Relations in meetings with external parties including consultants, vendors, and others.Extensive coordination with other internal and external areas and management of resources in accomplishing project goals.Some travel, weekend and evening work throughout the year. Serving the company in optimizing new market opportunities, strengthening the Blue Cross NC brand, delivering business value for sustainable growth, and integrating social and philanthropic initiatives into our corporate footprint, this division is laser focused on our purpose of improving the health and well-being of our customers and communities. $90k-118k yearly est.1d agoSkillBridge Intern (Remote Based) **Active military Service members only**
SkillBridge permits you to use up to the last 180 days of Service to train and learn with an industry partner (Blue Cross NC). Blue Cross NC has developed an SkillBridge program for service members because we value your expertise, dedication and service. At Blue Cross NC, our SkillBridge program matches civilian internship opportunities to your specific job training, educational and work experience. As part of our team, your SkillBridge internship experience is an important part of Blue Cross NC's performance and place in a competitive market. Our internship opportunities include a variety of fields, such as Data & Analytics, Finance & Actuary, Health Care, HR, Legal & Compliance, Technology, Operations & Customer Service, Project & Program Management, Sales, Marketing & Communications, Strategy & Innovation and more. $31k-40k yearly est.9d agoTeam Leader, Operations
$56k-93k yearly est.5d agoProgram Specialist
$61k-86k yearly est.29m ago
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Blue Cross Blue Shield of North Carolina may also be known as or be related to Blue Cross And Blue Shield Of North Carolina, Blue Cross Blue Shield Association, Blue Cross Blue Shield of NC, Blue Cross NC and Blue Cross and Blue Shield of North Carolina.