Senior Operations Analyst

BlueCross BlueShield of South Carolina

. Analyze current and proposed policies, procedures, systems, forms, and reports .

Posted 10/12/2026full-timeColumbia • South Carolina • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data analysis, operational improvement, and compliance monitoring, with a strong ability to develop and implement effective processes and procedures. Proficient in project management and communication, facilitating collaboration between departments and stakeholders.

Highest-signal resume keywords

Data AnalysisProcess ImprovementProject ManagementCompliance MonitoringMicrosoft Office

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisOperational ImprovementProcess DevelopmentExpenditure ReviewCMS Regulatory UpdatesClaims ProcessingDB2Report PreparationTrend IdentificationPolicy Analysis

Soft Skills

Strong CommunicationAnalytical SkillsOrganizational SkillsProblem SolvingLeadership

Tools & Technologies

Microsoft Office

Industry Keywords

CMSMedicare AdvantageGovernment Programs

About the role

Key responsibilities & impact

Analyze current and proposed policies, procedures, systems, forms, and reports
Recommend operational improvements through standardization, simplification, discontinuance, or other methods
Recommend and help implement new systems and procedures; instruct personnel on them
Interpret complex CMS Change Requests and implement CMS regulatory updates
Analyze operational inquiries and monitor benefit grid accuracy and compliance
Analyze data to develop operating strategies
Develop, maintain, and review departmental processes, procedures, policies, and forms
Identify data patterns and trends for business decisions
Prepare reports, charts, visual aids, and other materials explaining findings
Monitor departmental methods for compliance with internal measures and contract/business requirements
Review items directed to management and advise on potential issues
Recommend responses or solutions to identified issues
Assist with complex expenditure reviews and process improvement analyses
Provide information to management on assigned projects
Manage and relay project status, purpose, scope, and timing
Serve as liaison between departments, other areas, customers, and contractors regarding management reports and discrepancies
Function as project leader on work teams
Assist with compliance issues and questions
Identify improvement opportunities and educational initiatives
Train staff on new initiatives
Research data-input discrepancies and monitor reports to assess performance impact on key measures

Requirements

What you’ll need

Bachelor's degree OR 4 years of job-related work experience OR Associate’s degree AND 2 years of job-related work experience
4 years of data analysis or related operations experience
Strong communication, analytical, project management and organizational skills
Ability to fully understand acceptable internal standards and methodologies
Advanced analysis skills
Ability to identify complex problems and recommend solutions
Ability to provide guidance and lead in developing and implementing process improvement for the department and division
Knowledge of Microsoft Office applications
Position is not eligible for sponsorship now or in the future
Preferred: 5 years claims processing experience
Preferred: Exposure to CMS, Medicare Advantage, or government programs
Preferred: DB2 experience

Benefits

Comp & perks

Subsidized health plans, dental and vision coverage
401k 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
Diverse and inclusive workplace
Reasonable accommodations for disabilities, pregnancy-related conditions, and sincerely held religious beliefs