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Develop, modify, test, and document application software across the SDLC. Collaborate with analysts and team members to translate business requirements into technical solutions, implement and debug code, create test files/data, and ensure timely delivery and quality of applications supporting internal users and external Medicare customers.

Oversee and implement a comprehensive contract compliance program for commercial and government products. Manage regulatory filings and approvals, review and draft contracts and related documents, negotiate with regulators, monitor regulatory changes, respond to regulatory complaints, troubleshoot policy/certificate issuance systems, and supervise compliance staff including licensing and training. Ensure HIPAA, OFAC, Patriot Act and other federal/state regulatory compliance.

The Accountant III-CDS reconciles general ledger accounts, processes complex transactions, ensures compliance with regulations, and trains junior accountants at BlueCross BlueShield of South Carolina.

Provide reinsurance support for new and renewal business including underwriting, claims audit/record keeping, billing/payment calculations, policy changes, and customer service. Coordinate communications with reinsurers and internal teams, run and maintain reports and logs, process endorsements and refunds, and ensure documentation accuracy and timely responses.

Make inbound and outbound calls to sell insurance products, follow up on leads, process applications, prepare marketing packets, and maintain records. Obtain required state insurance license within 60 days and Medicare certification within 90 days.

Perform full lifecycle systems analysis and software development: design, code, test, debug, document, and maintain systems. Lead legacy data migration, integration, and testing efforts; prepare specifications and research scope to develop and improve complex systems.

Design, code, maintain, and run programs to extract, analyze, verify, and present data for standard and ad hoc reporting. Support development of statistical analyses and models, assist with project plans, system life cycle tasks, change requests, test plans, and database management.

Lead solutions management across clinical, pharmacy, wellness, and ancillary offerings; manage Wellbeing Consultants; drive sales enablement, retention, partner plan relationships, performance reporting, and service delivery to meet growth and client retention goals.

The candidate will perform application analysis, design solutions, maintain programs, and analyze existing systems for enhancements, ensuring timely delivery of software.

Lead actuarial initiatives for the pharmacy line of business, ensuring compliance, developing pricing strategies, and managing staff and projects.