About this role
Summary
Directs the development/design of various solutions for our business to include front end electronic systems and backend processing systems, and, processes, that create cost savings through an all-electronic provider data interchange. Works with operations management across business units to assure all business needs are being addressed and that negative impacts to business operations is minimized.
Description
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 2401 Faraway Drive Columbia, South Carolina.
What You Will Do:
Provides leadership for strategic/business development of the electronic data interchange channel, including directional recommendations and strategic business alignment.
Directs the development/design & maintenance of commercial electronic data interchange transactions, electronic claims, eligibility and claims status transactions, etc. Responsible for ensuring compliance with federal HIPAA mandates. Implements new & upgraded electronic transactions, so that negative impact to operations across lines of business are minimized. Manages transition of stakeholders to new processes.
Manages trading partner and business associate agreements. Links superior market knowledge with the company’s capabilities to develop strategic initiatives and trading partner/vendor relationships to support business goals.
Develops and maintains operational and project budgets with appropriate reporting.
To Qualify for This Position, You'll Need the Following:
Required Education: Bachelors in a job-related field
Required Work Experience: 8 years of related technical, operations, customer service, healthcare, or project management experience, including either 3 years of management experience OR 3 years of equivalent military experience in grade E4 or above.
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 the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
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.
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 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 [email protected] 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.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
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Other facts
About BlueCross BlueShield of South Carolina
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies.
Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year.
If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!
BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
We are an Equal Opportunity Employer. We will consider all qualified applicants for employment 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.
What you'll do
- Directs the development and design of solutions for electronic systems and processes to create cost savings through electronic provider data interchange. Ensures compliance with federal mandates and manages the transition of stakeholders to new processes.
Ready to join BlueCross BlueShield of South Carolina?
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