Statistical Programming Analyst III - Palmetto GBA

Location: Columbia

Summary
Palmetto GBA is one of the nation's largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans.

Our team leads the organization's statistics, data analysis, and research functions. We support strategic decision making by delivering high quality analytics, actionable insights, and data driven recommendations. We work closely with cross functional partners to improve performance, measure outcomes, and strengthen organizational learning.

Our culture is collaborative, curious, and mission driven. We value analytical rigor, integrity, and continuous improvement. Team members support each other through open communication, shared problem solving, and a commitment to professional growth. We encourage creativity in methodological approaches, welcome diverse perspectives, and maintain a positive and respectful work environment.
Description

Logistics: Palmetto GBA - one of Blue Cross Blue Shield's South Carolina subsidiary companies.

Position Purpose :

Develops difficult statistical analysis using standard reporting, AD HOC reporting, and data mining tools in order to identify patterns and trends. Prepares charts, illustrations, and other graphics and narrative reports to identify and explain data findings.

What You'll Do :

• Develops, maintains, and executes complex database programs for the extraction and presentation of data for standard and ad hoc reporting. Creates supporting documentation outlining all procedures within scope of responsibility.
• Develops complex sampling design and/or execution methodology for sample selection.
• Develops difficult statistical analysis using standard reporting, ad hoc reporting, and data mining tools. Provides sophisticated data interpretation, compilation, and verification to guide departmental efforts.
• Prepares charts, illustrations, and other graphics and narrative reports to identify and explain patterns and trends.
• Participates in writing of articles suitable for internal/external publication to support departmental efforts. May assume a leadership role in this activity.
• Provides assistance in development of project plans and system life cycle maintenance, performing quality checks on relational database tables, and in the development of focused end-user applications.
• With leadership responsibilities as assigned by management, participates in development of change requests and testing plans for changes to existing relational database tables. Researches new sources of data and provides written and/or verbal feedback to management.

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

Required

Education:

• Bachelor's in a job related field

Required

Work Experience:

• Four years statistical programming or statistical interpretation.

Required

Skills and Abilities:

• Strong organizational, customer service, and analytical skills.
• Ability to use complex mathematical calculations.
• Demonstrated knowledge of mathematical or statistical concepts.
• Relevant computer programming skills.

Required Software and Tools:

• Microsoft Office.

We Prefer That You Have the Following :

• Experience with Prior Auth programs and Review Choice Demonstration reporting.
• Python experience
• Develop and maintain SAS programs for analyzing Medicare claims data and identifying trends in medical claims.
• Conduct data extraction, manipulation, and validation using PROC SQL, PROC REPORT, PROC TABULATE, and macro programming.
• Code, maintain, and execute database programs for the extraction and presentation of data for standard and ad hoc reporting.
• Develop supporting material and guidelines on report design and resulting data.
• Perform statistical analysis and hypothesis testing for fraud detection and risk assessment.
• Ensure compliance with industry standards, data integrity, and regulatory reporting requirements.
• Collaborate with cross-functional teams to optimize reporting workflows and develop submission-ready datasets.
• Good oral and written communication skills.
• Computer systems support knowledge.
• SAS, Business Objects,…