Summary

Leads multi divisional area needs regarding the planning and prioritization of Clinical systems and support related activities including projects process improvements develops and provides information to drive the clinical decision-making process for divisional projects and job processes and operational support. Also assists with directing IS divisional systems projects and responsible for overall successful execution and implementation of projects and the resolution of system issues through coordination with Client Advocates and/or IT professionals. Oversees area electronic security policies and procedures ensuring compliance through methods of testing maintenance revisions and auditing of system security related rules tables and databases. Provides direction and oversight of electronic processes ensuring compliance with applicable mandates regulations accreditations and audits. Provides management oversight of team members.

Description

Location

This role is full time M-F 8am-5pm with hybrid ability at our Columbia SC location.

What You Will Do:

• Leads defining or designing of operational and systems business processes

• Researches corporate and internally produced technology opportunities as well as new clinical trends. Drives process improvements based on clinical knowledge system expertise and overall divisional/industry knowledge and strategic goals

• Responsible for leading and managing assigned projects including defining developing and providing information to drive the decision-making process

• With input of leadership and SMEs provides technical and administrative guidance for development of operational systems training approaches and business processes through various avenues of communications for assigned projects

• Implements or completes identified strategic goals based on leadership direction of the assigned area including supervising staff assigned to projects

• Manages Auditing team using systems and operational support knowledge workflow knowledge of LOB specific workflows audit training and data and systems security.

• Tests processing systems identifies and assists with system related issues and determines severity level develop solutions and communicate impacts/resolutions to impacted areas. Serves as liaison with all facets of the Information Systems (I/S) area to ensure timely/accurate implementation of required system modifications

• Monitors security requests for data accuracy

• Determines proper business justification and appropriateness of requests. Ensures compliance with associated security policies and procedures and provides security approvals as required

• Reviews routine audits for compliance

• Acts as lead security administrator for outside vendor and divisional supported applications

• Conducts and manages internal departmental efforts and special projects as assigned by management

• Motivates and increases morale of team with effective leadership and cooperation

• Coaches and professionally develops team members

• Performs administrative activities including performance reviews counseling progressive discipline coaching feedback and promoting team based culture.

To Qualify for This Position You Will Need:

• Required Education: Bachelors OR 4 years job related work experience or Associates and 2 years job related work experience

• Required Work Experience: 7 years-of job related experience in project management systems support and/or clinical utilization management. 2 years-of supervisory experience OR 2 years of equivalent military experience in grade E4 or above (may be concurrent)

• Required Software and tools: Microsoft Office

• Required Skills and Abilities: Thorough understanding of project management phases techniques and tools. Ability to recognize problems or situations that are new or without clear precedent and offer solutions. Strong presentation and negotiation skills. Advanced knowledge of business process engineering methodology. Demonstrated analytical and decision-making skills. Excellent and effective communication customer service and time management skills. Ability to communicate complex information to a variety of audiences who have different levels of experience and knowledge. Demonstrated aptitude for effective leadership of staff.

What We Can Do for You:

• 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 healthy lifestyle premium discount

• Tuition assistance

• Service recognition

• Incentive Plan

• Merit Plan

• Continuing education funds for additional certifications and certification renewal

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 a 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.

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 disabilitiesand 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 or call 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. Heres moreinformation.

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