Language

Associate, EDI Operations II - Request #36314382

Operations
Contracts
Statistics
Statistical Analysis
SAS
Technical Support
CMS
Content Management System
EDI
Data Warehouse
Networking
Data Visualization
Data Integrity
SQL
Relational Database
Structured Software
Statistical Programming
Python
Description:

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+ (Superior) — making us the only health insurance company in South Carolina with that rating. We’re the largest insurance company in South Carolina …and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Job Title: Associate, EDI Operations II

Position Details:

  • Partially onsite at 17 Technology Circle; Columbia, SC 29203.
  • Work Schedule: M-F; 8 hours per day; 40 hours per week.
  • Approximately 6-months Contract to Hire (12/01/2025 - 06/01/2026).
  • Analyst, Statistical Programming III.
  • Interview Process: 2 rounds – First interview will be in person with manager; Second interview will be MS Teams Video with lead staff.
  • Team Name: MSAD R&A – Medicare Statistical Analysis Department, Research and Analysis
  • Required Education: Bachelor's or master's degree Statistics/Biostatistics, mathematics, computer science, or other job-related field.
  • Required Work Experience: 4 years statistical programming or statistical interpretation.
  • Preferred Work Experience: 5 years' experience with statistical practices. 5 years statistical software and relational database experience (may be concurrent).
  • Required Software: Microsoft Office.
  • Preferred Software: SAS and/or Python; Databricks; SQL.

About the role: MSAD is a reporting department working with JJ/JM Part A/B and RRB claims. There are a few different types of work that we do monthly. The beginning of the month is centered around data integrity and standard/routine processes. At the first of each month, we assist the data warehouse with their table loads by ensuring the data is complete and accurate. Once the tables are updated, we then run all our standard/routine processes against the updated data and deliver those reports. The remainder of the month will be spent creating ad hoc reports and working directly with customers to ensure the information they receive is relevant and accurate to the request. Most of the job is centered around programming to create useful and insightful reporting. Currently, we use a combination of SAS and SQL to pull, manipulate and report the data. However, we will be shifting to Python by the end of 2026. With the shift to Python, we are also looking to expand on our different data visualization tools to include dashboarding and modeling. These skills would be highly beneficial to a candidate as well.

***We are looking for reporting skills, rather than software development skills. The job is very different from IT/networking, and day-to-day can look quite different as well. We are also looking for programmers that can handle mathematical computations using programming languages. ***

Soft Skills: 

We are the subcontractors for a new contract. The analyst filling this role will need to have excellent communication skills as they will be in meetings with external vendors and as needed directly with CMS. These communication skills should speak to the non-technical as well, since not everyone involved will be at the same level of data understanding of what we do. Analyst should be capable of creating clear and detailed written documentation around the reports they are delivering, and will need to have a deep understanding of their role withing the contract as there are a lot of moving pieces. They will need to be able to quickly adapt to new environments and ways of working as we have seen CMS change programming languages and other systems frequently in other contracts. Finally, we are looking for someone who is self-motivated, confident and willing to hop on to challenging problems sometimes with little direction.

Duties:

  • Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts.
  • 60% Provides quality/timely internal/external customer technical support/service for variety of insurance contracts as assigned. This encompasses, but is not limited to, support of communication interfaces/transactions/functions as required by insurance laws (such as support of claims, remit advice, inquiry/response for claims status/eligibility, enrollment, premium payment etc.), support of all current formats/transactions required by law/BCBSSC lines of business.
  • 40% Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification.

Required Skills and Abilities:

  • Required Education: Associate Degree in Information Systems/Technology, Computer Science, or another job-related field OR 2 years of technical operations support experience or other applicable experience. 
  • Required Work Experience: 2 years of applicable EDI experience. 
  • Preferred Work Experience: 3 years-of applicable EDI experience.
  • Good system research and analysis skills. 
  • Working knowledge of relevant EDI software and tools used by the company/contract. 
  • Good organizational, judgment, customer service, and both verbal and written communication skills. 
  • Good spelling, punctuation, and grammar skills. Basic math and computer skills. 
  • Ability to handle confidential or sensitive information with discretion. 
  • Required Software and Other Tools: Microsoft Office. 
  • Work Environment: Typical office environment.

Pay Transparency:

  • This is the pay range that Magnit reasonably expects to pay someone for this position is $16.90/hour - $22.54/hour W-2.
  • Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met).

BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more.


Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty. If you're ready to join in a diverse company with secure, community roots and an innovative future, apply for a position now!

QUALIFICATION/ LICENSURE :
  • Work Authorization : Green Card, US Citizen
  • Preferred years of experience : 4+ Years
  • Travel Required : No travel required
  • Shift timings: Work Schedule: M-F; 8 hours per day; 40 hours per week.
Job Location Columbia, South Carolina
Pay USD 16.90 - USD 22.54 Per Hour
Contract Duration 6 month(s)