Jobs at BlueCross BlueShield of South Carolina

Assists with business systems analysis, process documentation, requirements definition, testing, test data preparation, system problem resolution, reporting, and workflow evaluation. Supports business analysts and managers with small projects, communicates system changes, and serves as a liaison between operations testers, customers, and information systems. The role is full-time and on-site in Columbia, South Carolina.

Assists with business systems analysis, requirements definition, workflow documentation, system testing, test planning, issue resolution, reporting, and data analysis. Supports system enhancements, customer file updates, implementation activities, and communication between business operations and information systems. May lead small projects under supervision and provide application security administration when authorized.

Provides blended learning solutions, facilitates technical and non-technical training, and designs, develops, evaluates, and maintains training programs and materials. Conducts performance and skills assessments, delivers orientations and job-specific instruction, evaluates learner outcomes, collaborates with subject matter experts, identifies performance gaps, supports training operations, and maintains training-system access. The role is primarily onsite, with occasional travel between office locations and possible hybrid scheduling.

Supervises SOX/MAR compliance activities, including risk assessments, process documentation, control design, control testing, deficiency reporting, remediation evaluation, and regulatory reporting. Leads staff, assigns work, conducts performance evaluations, and coordinates with process owners, auditors, management, and executive committees. Oversees company-wide risk assessments and mapping of financial statement line items to applicable processes and controls.

Evaluates business systems and workflows, analyzes data, prepares management reports, and tests software changes. Develops test matrices and formal test plans, researches system issues, defines business requirements, validates corrections, and leads small to moderate projects. Documents procedures, communicates business changes, and recommends improvements to productivity, cost effectiveness, and operational accuracy. The role supports Medicare systems, including CMS and FISS, and requires collaboration with technical and business teams.

Maintains and enhances enterprise systems infrastructure through systems programming, software and hardware build design, debugging, patch evaluation, installation, testing, maintenance, disaster recovery, and performance analysis. Coordinates system changes, downtime, vendor issues, security requirements, and audit compliance while providing technical guidance to project teams. Supports the zLinux S390x platform and hybrid cloud operations in a 24/7 environment.

Analyzes procedures, workflows, reports, and operational metrics to identify improvement opportunities. Supports system and process implementation, testing, documentation, audits, training, database maintenance, reporting, quality checks, and trend analysis. Collaborates with management and internal or external teams on special projects and process improvements.

Leads web and mobile application development teams, directing staffing, project execution, technical priorities, requirements, resource allocation, troubleshooting, and software delivery. Partners with business stakeholders, architects, and IT teams to align applications with enterprise strategy. Oversees process improvement, documentation, budgeting, vendor considerations, and staff development while ensuring stable, scalable, and customer-focused technology solutions.

Leads regional insurance sales and marketing operations across multiple states. Recruits and motivates agents, brokers, and distribution partners; develops sales promotions, products, pricing recommendations, and marketing materials; solicits new distribution outlets; monitors profitability, loss ratios, and persistency; and manages product sales, renewals, and servicing. Requires extensive outside sales, independent decision-making, negotiation, and frequent travel.

Conducts financial, operational, and compliance audits; evaluates internal controls and business risks; analyzes data for fraud and non-compliance; prepares audit workpapers, reports, findings, and recommendations; tests corrective actions; performs special audit studies; and leads or trains other auditors.

Leads training projects from needs assessment through delivery, develops training materials and assessments, facilitates technical and non-technical instruction, and coaches trainees and new training specialists. Analyzes quality and survey data to improve learning solutions, manages trainee performance, delivers train-the-trainer sessions, prepares reports, and maintains training databases. The role requires strong project management, presentation, research, organizational, instructional design, and adult learning skills.

Researches insurance statutes, regulations, bulletins, and NAIC models; prepares and obtains approval for policy form filings; reviews contracts; maintains regulatory reports and corporate documents; interprets compliance directives; manages complaints; and supports policy and certificate issuance systems through programming, troubleshooting, and maintenance.

Conducts financial, operational, and compliance audits; evaluates internal controls, risks, financial and information systems, and regulatory compliance. Develops audit programs, performs testing and analysis, documents findings, prepares reports and recommendations, investigates fraud, and tests corrective actions. Serves as lead auditor on complex assignments, advises management, and trains other auditors. Requires a bachelor's degree, five years of auditing experience, strong analytical and communication skills, and Microsoft Office proficiency.

Provides enterprise technical architecture and strategic technology direction for infrastructure and hybrid cloud initiatives. Leads architecture analysis, solution design, technology research, roadmaps, and project artifact approvals. Advises technical and business leaders, coordinates with cloud vendors, and ensures security, compliance, audit, and business alignment. The role emphasizes IBM z/OS storage environments, including DASD, DFSMSdss, SMS, HSM, tape virtualization, replication, and related mainframe storage technologies.

Manages information systems risk assessments, regulatory compliance, internal controls, audit coordination, security documentation, and risk mitigation across IT functions. Leads hiring, coaching, performance management, and professional development for staff. Partners with security officers, auditors, and executives to interpret regulations, maintain compliant applications and infrastructure, and improve processes and controls. The role requires seven years of IT experience, management or team-lead experience, U.S. citizenship, security clearance, and CMS clearance.

Administers government, commercial, and subcontract agreements; reviews contract terms, modifications, legal documents, pricing, proposals, invoices, and compliance requirements. Serves as the primary liaison with customers and internal stakeholders, maintains contract files, monitors deliverables, supports negotiations, and ensures adherence to federal regulations, applicable laws, and company policies.

Provides production and system support for CICS applications, including installation, configuration, monitoring, scheduling, performance support, testing, backups, and issue resolution. Monitors batch and online processing, coordinates with application teams and vendors, documents procedures, and participates in releases, implementations, data conversions, and disaster recovery exercises. The role is fully onsite and may require 24/7 response to customer technical needs.

Leads multiple concurrent IT projects from initiation through implementation and business acceptance. Develops project plans, risk plans, budgets, schedules, documentation, communications, and status reports. Manages scope, resources, milestones, issues, risks, and project constraints while ensuring quality, audit readiness, and adherence to project management standards. Coordinates multidisciplinary teams, escalates concerns, negotiates scope, and reports project impacts to senior leadership.

Manages claims data initiatives supporting risk adjustment and population health programs across ACA, Medicare Advantage, and Medicaid. Leads project planning, budgets, resources, requirements, testing, system enhancements, process improvements, reporting, documentation, training, and regulatory compliance. Coordinates cross-functional teams, analyzes operational processes, resolves project issues, and recommends efficiency and quality improvements.

Maintains and enhances mainframe systems software and infrastructure. Diagnoses and resolves software issues, evaluates system changes, coordinates installations and testing, manages downtime, reviews security patches and audit requirements, and provides technical guidance for enterprise technology solutions. Supports disaster recovery and system standards. The role requires extensive systems programming experience, with preferred expertise in VTAM, z/OS, mainframe communications, networking protocols, policy agents, packet tracing, Assembler, and related support products.