Senior Statistician - BCBS/CGS Administrators R1021933 Job at BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina Columbia, SC 29203

Logistics:

This role is located on site at the Government Programs Complex 17 Technology Circle Columbia, SC 29203 . This position is full time (40 hours/week) Monday-Friday. Employees are required to have a schedule during the hours of 8:00-4:30 PM. Training will be during the hours of 8:00AM - 4:30PM Monday -Friday.

To apply to the company website:

https://ourhrconnect.wd5.myworkdayjobs.com/SCBlues/job/Nashville-Tennessee/Senior-Statistician---CGS-Administrators_R1021933-1

What You'll Do:

  • Analyze claims data and perform statistical calculations using approaches such as longitudinal analysis, mixed effect modeling, logistic regression analyses, and model building techniques. Create and validate statistical samples of overpayment estimation, which includes calculating sample size and determining sample selection methodology. Design new metrics and draw conclusions or make predictions based on the statistical analyses.
  • Communicate results or predictions to management and peers. Prepare statistical data for inclusion in reports to data monitoring committees, federal regulatory agencies, management, or clients. Analyze information and evaluate results to choose the best solution in solving problems. Develop, design or create new ideas, reports, and analyses to solve problems.
  • Create requirements documents for report development. Respond to data requests. Design reports and suggest new methods of data analysis through data mining, exploration, and statistical methodologies. Streamline or automate statistical reports for scaling and replication. Document processes and standards for replication of the final process.
  • Organize, lead, and initiate meetings and tasks related to coordinating data analysis efforts and problem solving. Determine project plans, timelines, or technical objectives for statistical aspects of projects. Provide guidance and direction to statistical programming staff in the design and development of complex data management tools.
  • Review the Provider Integrity Manual and implement technical standards, guidelines, policies, and formal regulations that meet all appropriate requirements.
  • Communicate scientific or technical information to the public, organizations, CMS, or internal audiences through oral briefings, written documents, conferences, or training sessions. Attend conferences and converse with colleagues to keep abreast of methodological or conceptual developments in statistics and Medicare claims review.

Required Work Experience:

  • 6 years statistical interpretation.
  • Relational database experience. (may be concurrent)

Required Education:

  • Bachelor's or Master's degree Statistics/Biostatistics, Mathematics, or other job related field.

Required Skills and Abilities:

  • Ability to use complex mathematical calculations.
  • Demonstrated knowledge of mathematical or statistical concepts.
  • Excellent presentation skills.
  • Strong oral and written communication skills.
  • Strong organizational and analytical skills.
  • Relevant computer programming skills.

Software and Other Tools:

  • Advanced knowledge of Microsoft Office.
  • Knowledge of a statistical software program such as SAS Enterprise Guide or SPSS

Preferred Licenses and Certificates :

  • Membership in the American Statistical Society (ASA) or National Healthcare Anti-Fraud Association (NCAA).

Work Environment:

  • Typical office environment. Some out of town travel may be required.

Our comprehensive benefits package includes:

  • 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

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 screening or email communication with a recruiter to verify resume specifics and salary requirements.

Job Type: Full-time

Pay: From $57,636.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 10 hour shift

Ability to commute/relocate:

  • ST610 Nashville, TN 37214: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • statistical interpretation: 6 years (Required)

Work Location: One location




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