What You Will Do:

• Represent the organization in industry associations and collaborate with internal and external leaders to align initiatives resolve issues and ensure compliance. Drive effective communication across departments to support performance standards and policy awareness across business lines.

• Oversee major IT system enhancements and projects to ensure corporate needs are not compromised.

• Provide leadership and mentorship to staff supporting test scenario development system evaluation and problem-solving to enhance understanding of system constraints.

• Lead the development of success metrics and organizational structures to support strategic planning. Manage policy development to address complex business issues.

• Actively contribute to long-range strategic planning bringing technical benefit structure and healthcare expertise to internal and external stakeholder discussions.

• Approve coordinated budgets that support strategic goals and ensure cost-effective operations.

To Qualify for This Position Youll Need the Following:

• Required Education: Bachelors degree

• Degree Equivalency: 4 years job related work experience or Associates and 2 years job related work experience.

• Required Work Experience: 10 years-of progressively responsible information technology or related analytical and/or consulting experience including either 3 years of management level experience in a health-related environment OR 3 years of equivalent military experience in grade E4 or above.

• Required Skills and Abilities: Ability to build and manage strong relationships with external partners and clients in a consulting or corporate services environment. Demonstrated expertise in relating complex technical concepts in terms that are understandable to customers. Demonstrated expertise in mentoring others in the concepts of managing relationships with customers in a consulting capacity identifying customer needs and ensuring those needs are met with products and services offered. Ability to deliver presentations at industry conferences participate in high-level conference calls with external partners and stakeholders and represent the organization effectively in internal executive leadership depth knowledge of technical aspects of claims and/or membership processing systems and policies AMMS subsystems and existing hard-coded logic RULEs database processing and easytrieve/DB2 programs sufficient to lead projects and related testing efforts for multiple customers/contracts. Demonstrated ability in selecting and developing human resources for current and future positions within all departmental areas including positions in corporate management. Ability to identify and implement emerging techniques technology and business practices that evolve or strengthen the Corporation or related business units. Ability to advise others in the concepts of supporting corporate decision-making and recognizing AMMS system capabilities through use of various system analysis tools and depth knowledge of CPT-4/NABSP procedure coding diagnosis coding and their relationships to type and place of service supporting AMMS files and procedure master files.

We Prefer You to Have the Following:

• Preferred Skills and Abilities:

• Experience with AMMS Claims system helpful

• Strong communication skills with the ability to build strategic relationships that enhance organizational reputation and resolve issues promptly.

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Subsidized health plans dental and vision coverage

• 401k retirement savings plan with company match

• Life Insurance

• Paid Time Off (PTO)

• On-site cafeterias and fitness centers in major locations

• Education Assistance

• Service Recognition

• National discounts to movies theaters zoos theme parks and more

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 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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