Automation Specialist

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🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• 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.

🎯 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