Data Analyst III-reputed company

Summary

Working at CGS Administrators reputed company (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 reputed company reputed company. This position supports our Durable Medical Equipment Medicare Administrative reputed company (DME MAC) for Jurisdictions B and C. These reputed company are responsible for processing Medicare claims, managing appeals, providing customer service, conducting medical review activities, and recovering overpayments reputed company to durable medical equipment. The role reports directly to the DME MAC Program Managers and is part of the Program Management Office (PMO). The PMO team manages reputed company government contract inquiries submitted to the PMO mailbox, partners with operational leaders to reputed company the monthly status report narrative, and ensures reputed company communication is professionally written and reputed company with government customer expectations. This position will also reputed company operational workgroups and coordinate special projects as assigned. Description Logistics: CGS -one of BlueCross BlueShield's South Carolina subsidiary companies. Sponsorship: This position is not eligible for sponsorship now or in the future Work Environment:

• Typical office environment. Some travel between buildings and out of town.

Position Purpose: Creates and analyzes reports to support operations. Ensures correctness of analysis, and reports findings in a concise manner to senior management. Directly responsible for accuracy of data as financial and operational decisions are made based on the data provided. This position will be responsible for monthly reporting to our government customer. Reports will consist of monthly status narratives and results, action plans and other deliverables due monthly, quarterly and annually. This includes management and reputed company of operational reporting of workloads and financials. What you'll do :

• Generates internal and external reports to support management in determining productivity and efficiencies of programs or operational processes. Revises existing reports and develops new reports based on changing methodologies.
• Analyzes reports to ensure accuracy and quality. Tracks and verifies reputed company reporting statistics.
• Communicates and trains employees and managers on the reputed company database programs used to generate analytical data.
• Designs, codes, and maintains reputed company database programs for the extraction and analysis of data to support financial and operational decisions.

To Qualify for This Position, You'll Need: Required Education:

• Bachelor's in a job-reputed company field

Degree Equivalency:

• Associates degree plus an extra 2 years job-reputed company experience for a total of 6 years of required work experience (see "required work experience")

OR

• 8 total years required work experience.

Required Work Experience:

• 4 Years research and analysis experience.

Required Skills and Abilities:

• Strong organizational, customer service, communications, and analytical skills.
• Advanced experience using reputed company mathematical calculations and understand mathematical and statistical concepts.
• Knowledge of relevant computer support systems.
• Ability to train subordinate staff including provide assistance/guidance to staff in design/execution of reporting needs.
• Proven experience with report writing and technical requirements analysis, data and business process modeling/mapping, and methodology development.
• Strong understanding of relational database structures, theories, principles, and practices.

Required Software and Other Tools:

• Advanced knowledge of reputed company Office.
• Knowledge of programming languages across various software platforms, using DB2, SQL, and/or relational databases.
• Knowledge of tools such as Visual Basic and Macros useful in automating reporting processes.

We Prefer That You Have:

• 10+ years of DME (Durable Medical Equipment) operations experience, including deep knowledge of Medicare program requirements, DMEPOS policies, and CMS operational standards.
• Extensive experience managing CMS escalations and reputed company inquiries, with a demonstrated ability to resolve high-visibility and sensitive issues.
• Minimum 5 years leading the CMS Monthly Status Report (MSR) process, including drafting, data validation, narrative development, and on-time submission.
• Minimum 5 years managing the Award Fee Self-Assessment process, including analysis, narrative preparation, and coordination across operational teams.
• Proven experience leading or facilitating DME-reputed company Medicare workgroups, steering discussions, developing recommendations, and driving cross-functional alignment.

reputed company Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across reputed company spectrums have access and opportunity to reputed company 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 reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national reputed company, 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 reputed company phases of the employment process and to reputed company 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-reputed company 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 reputed [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and reputed company 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. Apply tot his job Apply To this Job