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Highmark Health
Senior Business Systems Analyst
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This is a fully remote position, allowing you to work from anywhere. We are actively seeking a highly skilled and experienced Senior Business Systems Analyst with a specialized focus on the GuidingCare platform to join our dynamic team. This pivotal role encompasses the entire IT lifecycle, demanding expertise from initial solutioning and meticulous requirements gathering through to robust configuration, comprehensive testing, and precise environment synchronization. A core responsibility will be the design, configuration, and ongoing maintenance of FICO and SQL rules within GuidingCare, vital for supporting diverse business processes, clinical guidelines, and operational requirements. The successful candidate will collaborate closely with business stakeholders to translate complex needs into actionable functional and technical specifications, proposing innovative solutions to optimize GuidingCare...

Dec 16, 2025
Otsuka Pharmaceutical Companies (U.S.)
Senior Analyst, Supply Chain
Otsuka Pharmaceutical Companies (U.S.) Columbia, SC, USA
At Otsuka our mission is to create new products for better health worldwide. Our purpose is to defy limitation so that others can too. In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a complex portfolio of products with competing priorities that include balancing inventory, managing vendor / supplier relationships, optimizing total delivered cost to meet finished goods demand with focus on delivering value to our patients, our suppliers, and to Otsuka. You will create an environment for proactive communications with cross functional collaborators that will help ensure both internal and external customer demands are consistently met with no laps in supply and availability of products to our patients. Additional facets of the role include coordinating purchase requisitions in the...

Dec 26, 2025
Highmark Health
Senior Stop Loss Claims Analyst - HNAS
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. ESSENTIAL RESPONSIBILITIES Processes daily incoming Stop Loss claims including...

Dec 26, 2025
Highmark Health
Senior Reporting Analyst - HNAS
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job collects, validates, analyzes, and organizes data into meaningful computerized reports by manipulating and extracting data to meet customer needs, generates reports through mainframe and/or PC applications by utilizing established applications/programs or developing new applications/programs, develops work plans to meet deadlines, accurately estimating completion dates and communicating report status to customers and management, and resolves business problems related to automated systems and provide data analysis and recommend solutions. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we...

Dec 26, 2025
JLG Industries Inc
Sr. MES Systems Analyst
JLG Industries Inc Spartanburg, SC, USA
About Oshkosh Defense, an Oshkosh company Oshkosh Defense stands behind those who dedicate their lives to protecting others. As an industry-leading tactical vehicle manufacturer, every day we strive to meet or exceed our customers' ever-changing needs with next generation defense technologies and advanced systems. We operate with unparalleled commitment to those who depend on our products and services worldwide to perform their missions. The Senior Systems Analyst will be responsible for developing, enhancing, and supporting the SCADA (Ignition) and MES (Sepasoft) applications for Spartanburg NGDV assembly. This individual will support both SCADA/MES enhancements and daily Production system uptime. YOUR IMPACT These duties are not meant to be all-inclusive, and other duties may be assigned. Develop and modify SCADA/MES Systems, including Tag generation, report development, and configuration Conduct SCADA/MES operator training as necessary Provide...

Dec 23, 2025
Highmark Health
Associate Account Support Analyst
Highmark Health Columbia, SC, USA
Company : United Concordia Dental Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent is new to the role and is developing competence in performing work assignments. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small market clients. May also be involved with managing...

Dec 22, 2025
CBRE
Process Improvement Sr. Analyst - Automation
CBRE Goose Creek, SC, USA
Process Improvement Sr. Analyst - Automation Job ID 251342 Posted 18-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Facilities Management Location(s) Goose Creek - South Carolina - United States of America, Moncks Corner - South Carolina - United States of America About the Role The CBRE team is expanding its support for autonomous and semi-autonomous robotics across a global data center portfolio and is seeking a Senior Process Improvement Analyst to help drive these initiatives. Based in Moncks Corner, SC, this role applies construction, safety, and operational best practices to streamline the deployment of robotics-focused automation solutions. You'll collaborate with engineers, project managers, CAD/BIM specialists, technical writers, and suppliers while communicating regularly through video calls, email, and internal ticketing systems. What You'll Do Design and document optimized future-state processes using Lean...

Dec 22, 2025
CBRE
Process Improvement Sr. Analyst - Automation
CBRE Moncks Corner, SC, USA
Process Improvement Sr. Analyst - Automation Job ID 251342 Posted 18-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Facilities Management Location(s) Goose Creek - South Carolina - United States of America, Moncks Corner - South Carolina - United States of America About the Role The CBRE team is expanding its support for autonomous and semi-autonomous robotics across a global data center portfolio and is seeking a Senior Process Improvement Analyst to help drive these initiatives. Based in Moncks Corner, SC, this role applies construction, safety, and operational best practices to streamline the deployment of robotics-focused automation solutions. You'll collaborate with engineers, project managers, CAD/BIM specialists, technical writers, and suppliers while communicating regularly through video calls, email, and internal ticketing systems. What You'll Do Design and document optimized future-state processes using Lean...

Dec 22, 2025
PT
Sr. IT Risk & Controls Analyst - Contract Negotiations - Remote
Prime Therapeutics Columbia, SC, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Risk & Controls Analyst - Contract Negotiations - Remote Job Description We are presenting a unique opportunity for an experienced IT Risk and Controls Analyst with a background in Contract Negotiations. As a Sr. IT Risk & Controls Analyst you would be responsible for leading the development and execution of processes and people to ensure IT compliance with regulatory, industry and client security requirements. This role is responsible for working with cross-functional teams and management to set direction and secure resources for the operational processes needed to support the Security Governance Risk and Compliance program. Responsibilities Lead the development, implementation and enforcement...

Dec 22, 2025
Highmark Health
Senior Digital Marketing Analyst
Highmark Health Columbia, SC, USA
Company : Highmark Health Job Description : JOB SUMMARY The Senior Marketing Analytics Analyst plays a critical role in transforming customer, digital, and campaign data into insights that improve acquisition, retention, member experience, and marketing effectiveness. This role works across Marketing, Digital, Sales, and Enterprise Analytics to translate business questions into analytical approaches, build performance dashboards, evaluate campaign ROI, and uncover opportunities to improve engagement across the member and patient lifecycle. This individual must bring strong statistical rigor, advanced marketing analytics skills, and deep understanding of healthcare customer journeys-including Medicare, Medicaid, Commercial, and provider engagement pathways. Experience with enterprise data platforms such as Salesforce Data Cloud, Adobe AEP/CJA, and Tableau is preferred. ESSENTIAL RESPONSIBILITIES Develops, evolves, and then communicates various digital...

Dec 22, 2025
Highmark Health
Benefit and Claims Analyst
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ESSENTIAL RESPONSIBILITIES Coordinate, analyze, and interpret the benefits and claims processes for the department. Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties....

Dec 22, 2025
PT
Compliance Analyst (Regulatory Change Management) - Remote
Prime Therapeutics Columbia, SC, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Compliance Analyst (Regulatory Change Management) - Remote Job Description The Compliance Analyst assists in the implementation of Prime's compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Develop solutions to moderately complex compliance problems by referring to precedence, policies and standard...

Dec 21, 2025
Highmark Health
Account Support Analyst
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small...

Dec 21, 2025
PT
Senior Compliance Analyst (Regulatory Change Management) - Remote
Prime Therapeutics Columbia, SC, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

Dec 21, 2025
Otsuka Pharmaceutical Companies (U.S.)
Manager, Medical Data Analytics
Otsuka Pharmaceutical Companies (U.S.) Columbia, SC, USA
The Manager, Data Analytics is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will serve as the data and analytics lead supporting operational excellence across the Global Medical Affairs organization. This role is responsible for collecting, analyzing, and translating data into actionable insights that inform medical strategy, field engagement, performance measurement and medical strategy. The Manager, Data Analytics will work closely with both Field Medical and Headquarters teams to understand business needs and system requirements, support development of analytical solutions and other projects to drive key business processes and decisions for the Medical Affairs function. This role reports into the Business Solutions & Analytics Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities: Data Collection, Management and Governance...

Dec 19, 2025
Highmark Health
Senior Business Process Analyst - HNAS
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This job collects, validates, analyzes, and organizes data into meaningful computerized reports by manipulating and extracting data to meet customer needs, generates reports through mainframe and/or PC applications by utilizing established applications/programs or developing new applications/programs, develops work plans to meet deadlines, accurately estimating completion dates and communicating report status to customers and management, and resolves business problems related to automated systems and provide data analysis and recommend...

Dec 19, 2025
Highmark Health
Customer Implementation Analyst - HNAS
Highmark Health Columbia, SC, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance...

Dec 19, 2025
Highmark Health
Senior Epic Systems Analyst
Highmark Health Columbia, SC, USA
Company : enGen Job Description : JOB SUMMARY This job is responsible for the configuration, rollout, and ongoing support of the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, systems design, and problem resolution. The Senior Epic analyst communicates with end-users of the system to understand and resolve complex issues and implement solutions. Senior Analysts are subject matter experts in their area of knowledge. ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements and maintains Epic software. Develops and documents workflow analysis while evaluating user experience. Supports and maintains environment or applications using advanced knowledge of the application(s) and technologies in the environment while recommending enterprise-level solutions. Using advanced knowledge of Epic, configures changes within the system to provide standardized,...

Dec 16, 2025
Highmark Health
Epic Systems Analyst
Highmark Health Columbia, SC, USA
Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts...

Dec 14, 2025
CBRE
Cybersecurity Analyst
CBRE Columbia, SC, USA
Cybersecurity Analyst Job ID 248917 Posted 10-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Digital & Technology/Information Technology Location(s) Remote - US - Remote - US - United States of America About the role Executes on Cybersecurity governance, risk and compliance activities to evaluate and reduce information technology (IT) risk. Supports with the identification, management and mitigation of risk. This individual is learning the Cybersecurity space, and building a knowledge base of risk controls, analysis, assessments, methodologies, and mitigation strategies. Receives direction from management and takes action with manager review and approval. Individuals in this role are exploring niche spaces to specialize in, including: cyber risk management, controls, policies and standards, disaster recovery, vulnerability management, vendor risk management, assessments and control testing. What you'll do...

Dec 14, 2025
BC
Full time
 
Sr Quality Assurance Analyst
BlueCross BlueShield of South Carolina Florence, SC, USA
Summary Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Identifies problems, analyzes cause and effect, and makes recommendations for improvements. Description Location This role is full time M-F 8am-5pm, onsite at our Columbia, SC location. Government Clearance : This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements : BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days...

Dec 14, 2025
Humana
Senior Technical Finance Analyst- Medicaid
Humana Columbia, SC, USA
Become a part of our caring community and help us put health first The Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: Collect, analyze, and report on market data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. Deliver project-based and ad-hoc reporting for Medicaid markets; provide insights into membership analysis, provider performance, RFPs, and market trends. Manage ad hoc requests from Market CFOs, Presidents, and leadership, ranging from member utilization to premium...

Dec 14, 2025
CT
Functional Analyst / Developer
Cgi Technologies Corporation Greenville, SC, USA
Functional Analyst / Developer Category: Software Development/ Engineering Main location: United States, South Carolina, Greenville Position ID: J1225-0837 Employment Type: Full Time Position Description: CGI is looking for an experienced Functional Analyst / Developer with minimum 5 years experience and exposure to Supply Chain Management principles, with good written & oral communication skills; and experience working with business users in addressing system issues. The right person for this role will be responsible for ongoing development, support and maintenance of a suite of mainframe applications (IDMS / ADSO, CICS/DB2) related to Order to Cash & Supply Chain Business functionality. This will be a great opportunity to the right candidate providing member exposure to working of a Global organization in a collaborative environment with team member's spread across the globe. In addition, at CGI, we are actively incorporating AI into our...

Dec 14, 2025
PT
Financial Analyst Senior - Remote
Prime Therapeutics Columbia, SC, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Financial Analyst Senior - Remote Job Description The Senior Financial Analyst is responsible for providing leadership on financial analysis and reporting related to the profitability of various Prime business areas or units. This position directs the budgeting and forecasting processes for the departments it supports, develops new analytical models that utilize cost drivers and associated metrics, and supports the financial requirements of Prime. This position will be a partner of the departments it supports, will be viewed as the voice of Finance for those departments, and become a member of the department's leadership team. Responsibilities Provide financial leadership and direction to various Prime departments...

Dec 14, 2025
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