Information Technology Jobs in State Park, SC

About this Position:

Job Title: Software Architect

Duties and Responsibilities:

• Report to Project Manager and provide regular written/verbal updates on architecture responsibilities.
• Develop in-depth understanding of technical requirements and their impact on functional design.
• Collaborate with the System Development Contractor (SDC) to plan, schedule, and resource tasks for requirements validation, design, and testing.
• Oversee SDC activities across SDLC phases, ensuring quality work and maintaining effective daily coordination.
• Review SDC deliverables in line with project plans, processes, and contractual requirements.
• Manage requirements processes, ensuring controlled changes and full traceability via a Requirements Traceability Matrix.
• Oversee State development efforts and support state's New Hire and child support portal applications, including requirement analysis and system design.
• Lead requirement analysis (user stories/use cases), support testing and change management, prepare technical reports, and collaborate with teams to ensure project success.

REQUIRED SKILLS:

• 5+ years of experience with the state-level child support management system application.
• Experience with child Support.
• Experience with Federal Regulations regarding Child Support (IV-D).
• Experience working with Developers and End Users for functional requirements.
• Experience with new-Hire applications.

PREFERRED SKILLS:

• SharePoint.
• Team Foundation Server.
• SQL Server.
• Visio.

REQUIRED EDUCATION:

• BS Degree in Computer Science, Information Systems, Engineering, or related field.

"No phone calls please."

"We are an equal opportunity employer and do not discriminate based on race, color, religion, gender, sexual orientation, national origin, age, disability, citizenship or any protected status."

• 
  
• Responsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments, terminations/cancellations, changes, renewals, database updates, and/or monthly billings.
  

• 
  
• 50% Receives and logs subscriber and member enrollment applications to the system. Processes/keys complex applications including new enrollments, terminations/cancellations, changes, and renewals. Updates all electronic enrollment files. Works edit/error reports generated from membership transactions.
  
• 15% Works with multiple operational areas to ensure relevant/appropriate group structure, status, benefits, and/or billing. May prepare and issue contracts, benefit books, and standard and custom id cards.
  
• 15% Responds to and resolves customer inquiries. Contacts plan administrators and internal and external customers to resolve issues/problems.
  
• 10% Trains new staff and updates/maintains accurate desk procedures. Assists with problem resolution.
  
• 10% Coordinates monthly billing and preparations of monthly invoices. May print, register, and mail monthly bills.
  

• 
  
• Ability to acquire knowledge of the membership system.
  
• Good judgment. Effective customer service and organizational skills.
  
• Demonstrated proficiency in spelling, punctuation, and grammar skills.
  
• Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills.
  
• Ability to handle confidential or sensitive information with discretion.
  

• 
  
• Computer systems support knowledge.
  
• Knowledge of booklet id card preparation, underwriting enrollment regulations, contract formats.
  
• Knowledge of state and federal laws related to private business types of insurance.
  
• Knowledge of standard benefit structures.
  

Job Title: Statistical Programming Analyst

Location: Columbia, SC

Contract duration: 6 Month contract with potential for extension or conversion

Job Summary

We are seeking a Statistical Programming Analyst III to join our Research & Analysis team in a partially onsite role, responsible for developing and delivering data-driven reports using large healthcare datasets. This role focuses on ensuring data integrity, executing routine monthly reporting processes, and creating ad hoc analyses to meet customer needs through statistical programming and data interpretation using tools such as SAS, SQL, and/or Python, with a transition toward Python and expanded data visualization capabilities.

Key Job Responsibilities:

• Ensure data integrity by validating and supporting monthly data warehouse table loads
• Execute standard and routine reporting processes using updated datasets
• Develop and deliver recurring and ad hoc reports based on customer requirements
• Use statistical programming (SAS, SQL, and/or Python) to extract, manipulate, and analyze large healthcare datasets
• Perform mathematical computations and data interpretation to generate meaningful insights
• Collaborate with internal teams, external vendors, and CMS stakeholders to understand reporting needs
• Translate technical findings into clear, concise reports and documentation for both technical and non-technical audiences
• Create and maintain detailed documentation for reporting processes and outputs
• Support the transition of existing processes to Python and contribute to enhancements in data visualization, dashboarding, and modeling
• Adapt to evolving tools, systems, and requirements within a dynamic contract environment

Job Qualifications:

• Bachelor’s or Master’s degree in Statistics, Biostatistics, Mathematics, Computer Science, or a related field
• Minimum of 4 years of experience in statistical programming or statistical data interpretation
• Strong experience with statistical programming and reporting (SAS, SQL, and/or Python preferred)
• Proficiency with Microsoft Office applications
• Experience working with relational databases and large datasets
• Ability to perform mathematical computations and analyze complex data
• Strong written and verbal communication skills, including the ability to explain technical concepts to non-technical audiences
• Experience creating clear, detailed documentation for reports and processes
• Ability to work with multiple stakeholders, including external vendors and CMS
• Adaptability to changing tools, technologies, and processes (including transition to Python and new visualization tools)
• Self-motivated, able to work independently, and comfortable solving complex problems with limited direction
• Must meet CMS security clearance and U.S. residency requirements (3 of the last 5 years in the U.S.)

Screening questions:

Do you now or in the future require sponsorship (e.g. H-1B)? Y/N

EEO and ADA Statement:

Consulting Solutions and its family of companies is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

If you are a person with a disability needing assistance with the application or at any point in the hiring process, please contact us at:

• 
  
• 75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
  
• 15% Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
  
• 10% Serves as expert resource on methodology and procedures for medical records and coding issues.
  

• 
  
• Responsible for providing assistance in the acquisition, negotiation and renewal functions related to IT vendor contracts. Register vendors for IT contracts and manages databases for IT vendor contracts.
  
• 35% Assists in the acquisition, negotiation, and renewal functions related to IT vendor contracts. Reviews, analyzes and creates hierarchy for IT vendor agreements. Maintains and updates various IT vendor databases in support of area workflow and department projects.
  
• 35% Perform quality reviews of databases to ensure agreements are entered correctly. Works with staff to correct and advise of proper protocols.
  
• 10% Trains and assists new employees with processes and procedures of the databases. Creates work instructions, procedures and standards for databases.
  
• 10% Request vendor registrations from new and established vendors and assists IT Payables with finalizing the required documentation.
  
• 10% Creates, reviews, maintains, and completes various reports for management.
  

• 
  
• This position manages key vendor and contract activities, including requesting vendor registrations and assisting IT Payables with required documentation.
  
• Responsibilities include supporting renewal functions for critical IT vendor contracts, reviewing and analyzing reports for senior leadership, and collaborating closely with the Chief Negotiator, IS Negotiation team, and key vendors.
  
• The position also involves maintaining and updating IT vendor databases to ensure accurate workflow and support department projects.
  

• 
  
• Fast paced, multi-platformed environment which may require action and response 24X7 to support the technical business needs of the customer.
  

• 
  
• This department operates in a fast-paced environment, supporting a wide range of customers across BCBSSC and most of various lines of business. Our work often involves tight deadlines, with busy end of quarters, a very busy end of year for renewals, and at times it may require overtime to meet critical deliverables.
  
• We're a close-knit team that values collaboration and support. While we work in a high-functioning environment and pride ourselves on being hardworking, we also make space for fun and positivity.
  
• We partner closely with other teams across the AIMS organization. Our culture is a safe, inclusive space where everyone feels accepted and respected, and we welcome diverse perspectives.
  

• 
  
• 4 years project coordination or other related work experience.
  

• 
  
• Bachelor's Degree
  
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
  

• 
  
• Excellent organizational skills and quality research skills.
  
• Excellent verbal and written communication skills.
  
• Demonstrated skills to work with and assist others.
  
• Ability to acquire in-depth knowledge of department functions, procedures and workflow.
  
• Analytical or critical thinking skills.
  
• Good judgment skills.
  
• Ability to handle confidential or sensitive information with discretion.
  
• Ability to work in a team environment and prioritize work effectively.
  
• Ability to assist in the preparation, documentation, and presentation of recommendations to management.
  

• 
  
• Microsoft Office.
  
• Vendor Management experience
  
• Experience communicating with executive level management
  
• Service Now Experience
  

• 
  
• Smart Cloud Control Desktop
  

• 
  
• Provides prompt, accurate, thorough and courteous responses to all customer inquiries.
  
• Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures.
  
• Performs research as needed to resolve inquiries.
  
• 60% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries.
  
• Handles situations which may require adaptation of response or extensive research.
  
• Accurately documents inquiries.
  
• 15% Initiates or processes adjustments or performs other research as needed to resolve inquiries.
  
• Coordinates with other departments to resolve problems.
  
• Responds to, researches and/or assists with priority inquiries and special projects as required by management.
  
• 10% Provides feedback to management regarding customer problems, questions and needs.
  
• Maintains accurate records on complaints and/or other customer comments, and makes recommendations for changes to management.
  
• Follows through on complaints until resolved or reports to management as needed.
  
• 10% Maintains basic knowledge of quality work instructions and company policies.
  
• Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations.
  
• Maintains all departmental productivity, quality, and timeliness standards.
  
• 5% Assist with the training of new employees and cross training of coworkers.
  

• 
  
• 50% Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
  
• 25% Provides discharge planning and assesses service needs in cooperation with providers and facilities. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Collaborates with client's Care Management and other areas to ensure proper care management processes are executed within a timely manner. Manages assigned members and authorizations through appropriate communication.
  
• 15% Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.
  
• 5% Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Promotes enrollment in care management programs and/or health and disease management programs. 5% Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services.
  

• 
  
• 60% Provides active case management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high risk pregnancy or other at risk conditions thatconsist of: intensive assessment/evaluation of condition, at risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement.
  
• 20% Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but isnot limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
  
• 10% Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs.
  
• 5% Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services.
  
• 5% Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.
  

Now offering a $10,000 Sign On Bonus for Full Time PTs!

Join a Team That Puts Your Passion for Care First
Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Encompass Health, you'll find an opportunity to provide exceptional care and support to our patients, witnessing their remarkable progress firsthand. As a Physical Therapist, your specialized skills will help deliver high-quality, compassionate care, allowing you the time to deeply understand and guide patients on their rehabilitation journey. Our well-equipped physical therapy gyms, backed by the latest technology, foster a supportive, driven, and welcoming environment. From day one, you'll experience a rewarding career and comprehensive benefits that prioritize your peace of mind and professional growth. Welcome to a place where your passion for care fuels remarkable progress and fulfillment.

A Glimpse into Our World
Whether you're at the early stages of your career, seeking to build a strong foundation, or an experienced Physical Therapist in search of a better environment to call home, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means being with a growing national inpatient rehabilitation leader. We take immense pride in our career growth opportunities and how our team collaborates for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us truly remarkable.

Our Commitment to You
Our benefits are designed to support your well-being and start on day one:

• Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
• Generous paid time off that accrues over time.
• Tuition reimbursement and continuous education opportunities for your professional advancement.
• Company-matching 401(k) and employee stock purchase plans for a secure financial future.
• Flexible spending and health savings accounts tailored to your unique needs.
• A community of individuals passionate about what they do.

Be the Physical Therapist You've Always Aspired to Be
Your journey involves:

• Providing direct inpatient care to patients in need of physical therapy.
• Supervising care and treatments, leading patient assessments, creating personalized care plans, and addressing patient concerns.
• Building meaningful relationships with patients by taking the time to understand their physical, mental, and emotional needs to support their recovery.
• Celebrating every victory along the way.

Qualifications

• Current licensure or certification as required by state regulations.
• CPR certification.
• Master's Degree preferred, or Bachelor's Degree plus sufficient experience in the field.
  

We're eager to meet you, and we truly mean that. Join our family, and let's make a difference together!