Summary
 

Palmetto GBA is one of the nation’s largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans.

Medicare Tech Support is responsible for providing testing for CMS (Medicare) release changes for the MCS (Part B)/FISS (Part A) throughout the year. We also research production issues and assist operational areas with reporting issues for correction.
The culture of the team is positive and supportive of each other and collaborate well with other departments. It’s a group of very knowledgeable and hardworking individuals.

Description
 

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

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

This is a full time and remote position (40 hours a week Monday-Friday working normal business hours in EST Time Zone).

Position Purpose:

Conducts business process analyses, needs assessments and preliminary cost/benefit analyses in an effort to align operations solutions with business initiatives. Prepares functional, system and program specifications. Provides management support in review of various internal/external reports/data. Provides assistance with testing efforts and may provide security administration to application supported by area when the appropriate written and approved request is received.

Work Environment:

• Typical work environment.

• May provide security administration to application supported by area when the appropriate written and approved request is received.

What You’ll Do:

• Evaluates the activities, performance and systems within a specific area for standards and workflow simplification. 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.

• Under general direction, 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.

• Prepares written reports and analyses pertaining to testing results and related data, including recommendations for customers on improving operational workflows.

To Qualify for This Position, You’ll Need the Following:

Required Education:

• Bachelor's degree

Degree Equivalency:

• Associates degree plus an extra 2 years job-related experience for a total of 4 years of required work experience (see "required work experience")

OR

• 6 total years required work experience

Required Work Experience:

• 2 years of job-related business systems analysis, research and/or customer support experience.

Required Skills and Abilities:

• Working knowledge of business support and systems concepts.

• Able 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.

Required Software and Tools:

• Microsoft Office.

We Prefer That You Have: ​

• Experience in Agile Framework, System Testing and Analysis and/or development of testing matrices.

• Knowledge of programming languages and/or concepts/Macros experience.

• Extensive (or substantial) experience in the Part A FISS Standard system.

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.

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