BlueCross BlueShield of South Carolina logo
BlueCross BlueShield of South Carolina

South Carolina’s largest and oldest health insurance company

Automation Specialist

GeneralGeneralFull TimeRemoteMid LevelTeam 10,001+Since 1946H1B No SponsorCompany SiteLinkedIn

Location

South Carolina

Posted

2 days ago

Salary

0

Seniority

Mid Level

Bachelor Degree2 yrs expExperience acceptedEnglish

Job Description

Automation Specialist

BlueCross BlueShield of South Carolina

• The Automation Specialist is responsible for identifying, developing, and implementing process improvements and automation solutions that enhance operational efficiency within the Audit Reimbursement Department. • Evaluates existing policies, procedures, and workflows to recommend improvements ranging from process optimization to complete procedural redesigns when necessary. • Collaborates with department stakeholders to streamline operations, reduce manual effort, improve accuracy, and support continuous improvement initiatives. • Compiles data for analysis and prepares reports and presentations for management using applicable programming languages and/or software products. • Reviews system enhancements/upgrades to determine applicability of customer file modification requirements. • Facilitates timely and accurate updates to reference files based on customer requests. • Coordinates testing and debugging of new or modified software. • Creates test matrices and supporting documentation. • Develops and executes formal test plans to ensure delivery of quality software applications. • Monitors software implementations for exceptions and to verify that changes to the systems' operational process had the desired effect. • Identifies and documents systems problems and assists in their resolution. • Researches system problems and identifies potential solutions. • Investigates and diagnoses system problems, formulates solutions, initiates change sheets, defines business requirements, and tests corrections. • Researches any questionable standard system or local component problematic situations to assure compliance and accuracy. • Defines business requirements, tests, and leads small to moderate projects. • Assists management in performing business reviews by analyzing internal/external projects and changes. • Ensures changes do not have a negative impact on productivity and procedures. • Makes recommendations to improve productivity, cost effectiveness and timeliness. • Communicates with management and departmental personnel to document workflow procedures. • Assists in preparing verbal and written communication about business changes with management or other staff members.

Job Requirements

  • Bachelor’s degree OR Four (4) years of job-related business experience OR Associate’s degree AND two (2) years of job-related work experience.
  • Two (2) years of job-related business systems analysis, research and/or customer support experience
  • Working knowledge of business support and systems concepts.
  • Ability to communicate effectively with technical and non-technical audiences, including the ability to express basic technical and business concepts to management, peers and the business units.
  • Good teamwork and interpersonal skills.
  • Good analytical and conceptual skills.
  • Fundamental understanding of user acceptance test plans and test matrices, project plans, and scope and design documents.
  • Working knowledge and understanding of how projects and implementations affect an organization and can effectively link it to business processes.
  • Working knowledge of mainframe electronic data processing system change methodology.
  • Knowledge of Microsoft Office applications.

Benefits

  • Subsidized health plans
  • Dental and vision coverage
  • 401(k) 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

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