Director Provider Experience - Onsite Columbia, SC

Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 2401 Faraway Drive Columbia, South Carolina.

What You Will Do:

• Provides leadership for strategic/business development of the electronic data interchange channel, including directional recommendations and strategic business alignment.

• Directs the development/design & maintenance of commercial electronic data interchange transactions, electronic claims, eligibility and claims status transactions, etc. Responsible for ensuring compliance with federal HIPAA mandates. Implements new & upgraded electronic transactions, so that negative impact to operations across lines of business are minimized. Manages transition of stakeholders to new processes.

• Manages trading partner and business associate agreements. Links superior market knowledge with the company's capabilities to develop strategic initiatives and trading partner/vendor relationships to support business goals.

• Develops and maintains operational and project budgets with appropriate reporting.

To Qualify for This Position, You'll Need the Following:

• Required Education: Bachelors in a job-related field

• Required Work Experience: 8 years of related technical, operations, customer service, healthcare, or project management experience, including either 3 years of management experience OR 3 years of equivalent military experience in grade E4 or above.

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

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