Summary
 

Working at CGS Administrators, LLC

CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide.

Medical Affairs Team supports non-clinical operations for the Medical Review team, including government inquiries and contract requirements, with leadership over a team of 12 Senior Analysts.

Description
 

Logistics: CGS –one of BlueCross BlueShield's South Carolina subsidiary companies.

This position can be fully remote for the right candidate.

Sponsorship: This position is not eligible for sponsorship now or in the future.

Work Environment:

• Typical office environment. Some travel between office buildings.

Position Purpose:

Provides supervision and direction of the statistical reporting function and data analysis to support clinical reporting function.

What you’ll do:

• Monitors adherence to statistical reporting requirements, updates systems as necessary. Sets and maintains general direction/focus of statistical reporting function. Perform analysis and reporting including performing clinical trend analysis. Develop reports through various data reporting tools. Develop data driven solutions to improve outcomes.

• Collaborate with other areas to reduce expense through data analysis, including gathering business requirements, documentation, testing, and delivery of reporting. Serve as internal subject matter expert and point of contact for query/design for clinical analysis. Identifies data analysis needs based on customer.

• Supervises staff including directing work, addressing performance, and providing training. Review work and coaches subordinates.

Values:

Consistently demonstrates high standards of integrity by supporting the Company's mission and values and adhering to the Corporate Code of Conduct.

Confidentiality: Maintains high regard for member, customer and/or beneficiary privacy in accordance with the corporate confidentiality, privacy and security policies and procedures.

To Qualify for This Position, You’ll Need:

Required Education:

• Associate's degree

Required Work Experience:

• 5 years of experience in healthcare data analysis and data retrieval.

Required Skills and Abilities:

• Strong written and verbal communication skills; strong analytical, judgment, presentation, critical thinking, organizational and planning skills; working knowledge of statistical concepts, population statistical and analysis methods.

• Comprehensive understanding of statistical principles and practices.

• Strong decision-making, reasoning and mathematical skills.

• Effectively direct and coordinate multiple tasks.

• Able to effectively manage complex project incorporating participation from key personnel across various areas of the company.

• Basic knowledge of accounting principles.

Required Software and Other Tools:

• Proven experience with database query/reporting tools, software and other applications, such as Access Databases, DB2, SQL, and Easytrieve.

• Strong understanding of relational database structures, theories, principles, and practices with exposure to the analysis of relational database software and data retrieval methodologies.

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:

• Subsidized health plans, dental and vision coverage

• 401K retirement savings plan with company match

• Life Insurance

• Paid Time Off (PTO)

• Nine paid holidays

• On-site cafeterias and fitness centers in major locations

• Wellness program and healthy lifestyle premium discount

• Tuition assistance

• Service recognition

• Employee Assistance

• Discounts to movies, theaters, zoos, theme parks and more

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. 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 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 mycareer.help@bcbssc.com 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.

Some states have required notifications. Here's more information.