Top Tech Jobs & Startup Jobs

Audit and adjudicate medical stop loss claims, authorize reimbursements within limits, and identify cost-mitigation and subrogation opportunities. Initiate investigations and vendor referrals, interpret plan language, communicate with carriers and vendors, generate claims reports, adjust reserves, and assist with form development, internal auditing, and training of claims auditors.

Coordinates testing for major system enhancements by preparing test data and matrices, executing test cases, evaluating results, documenting system issues, and recommending corrections. Researches production problems, supports issue resolution, completes system performance reports, and serves as a liaison between operations, testers, customers, and Information Systems.

Prepare and reconcile complex accounts, maintain general ledger, process journal entries, support month/quarter/year-end closes, analyze variances, produce management reports, assist budgeting and audits, present findings, and provide guidance to other accountants.

Maintain and advise on mainframe storage technologies, infrastructure products, and operational processes. Develop technology roadmaps, lifecycle plans, standards, policies, best practices, and procedures. Collaborate with vendors, operations, architecture, and management teams; research technology developments and evaluate integrations. Preferred expertise includes IBM z/OS storage administration, HSM, DASD, DFSMS, SMS constructs, Luminex virtual tape, IBM TDMF, Dell EMC PowerMax, SRDF replication, and zEDC.

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.

Manage day-to-day underwriting operations, supervise staff, enforce underwriting policies, analyze risk and profitability, oversee servicing carrier operations, maintain agent and reinsurer relationships, ensure compliance, produce reporting, and support director on special projects.

Design and enforce secure AI architecture and controls across the enterprise. Partner with Architecture, Delivery, Privacy, IAM, Vendor Risk, CSOC, Legal and business owners to translate AI risk, security, privacy and compliance requirements into reference architectures, implementation guidance, and reviews. Provide technical oversight for complex projects, mentor staff, evaluate vendor solutions, author whitepapers, and support RFPs and audits to ensure AI solutions are secure and compliant.

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.

Manage multiple IT projects, ensuring timely delivery within budget. Oversee resource allocation, project documentation, and stakeholder communication while adhering to project management methodologies.