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Reporting Solutions Consultant, I
BlueCross BlueShield of Tennessee. Serve as a key claims data resource for Internal Audit .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in querying and analyzing healthcare claims data, with strong proficiency in SQL and reporting development. Capable of leading projects and enhancing reporting solutions while maintaining effective communication across teams.
Highest-signal resume keywords
Healthcare Claims Data AnalysisSQL Query DevelopmentReporting DevelopmentProject LeadershipSystems Development Life Cycle
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data QueryingData AnalysisReporting Methods DevelopmentMetadata DefinitionAnalytical Tools ProficiencyProgramming ExperienceSystem Design SkillsData Warehouse EnvironmentFacets KnowledgeClaims Data Tables Familiarity
Soft Skills
Analytical SkillsProblem-Solving SkillsIndependent Work AbilityCommunication Skills
Tools & Technologies
Microsoft Office SuiteReporting ToolsData Reporting SolutionsRapid Application Development Environment
Industry Keywords
Internal AuditClaims Payment IntegrityVendor EvaluationOperational Maintenance Environment
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Serve as a key claims data resource for Internal Audit
- Retrieve, query, and analyze claims data supporting organizational audits
- Work with claims data tables and reporting tools to fulfill audit-related data requests
- Provide data and reporting support to the Claims Payment Integrity team
- Define requirements, analyze, design, enhance, and develop reporting methods
- Assist in determining data requirements and metadata definitions in the data warehouse environment
- Administer reporting solutions in a rapid application development environment
- Ensure short-term proof of concepts meet long-term objectives
- Maintain technical skills across software languages, databases, and platforms used for analyses and reporting solutions
- Contribute to reporting protocols, tools, and systems development and enhancement
- Document and coordinate complex, cross-functional analytic and reporting solution test plans
- Participate in vendor evaluation and selection processes
Requirements
What you’ll need- Hands-on experience querying, retrieving, and analyzing healthcare claims data
- Knowledge of Facets and familiarity with claims data tables and claims-related systems
- Familiarity with SQL or comparable data querying and analytical tools
- Ability to develop queries and extract data for business and audit requests
- Strong analytical and problem-solving skills
- Ability to work independently, understand business context, and become productive with minimal ramp-up time
- Interest in developing audit knowledge and supporting audit reviews
- Bachelor's Degree or equivalent work experience required
- Equivalent experience is defined as 4 years of professional work experience in a corporate environment
- 3 years of reporting development and programming experience required
- Proven analytical and system design skills
- Demonstrated success leading large projects or multiple concurrent small to medium projects
- In-depth knowledge of systems development life cycle and/or operational maintenance environment
- Proficiency in Microsoft Office (Outlook, Word, Excel, Access, and PowerPoint)
- Excellent oral and written communication skills
- Sponsorship is not available for this role
Benefits
Comp & perks- Remote, work-from-home position
- Employee status