Information Technology People Jobs in Cayce

Build a Career That Matters with One of the World's Most Respected Employers!

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Requirements of the Tech Scholar:

• Be enrolled as a full-time student in a Mechatronics or EET program at a partnered Technical College with Michelin
• Be a full time student (12 credit hour per semester)
• Have and maintain a minimum 2.5 GPACumulative
• Be able to work at least 20 hours per week at Michelin during the program

Job Achievements:
* Methods and practices applied (job performed in safety, quality, respect of instruction,...)
* Sustain equipment compliance (standard, cleanliness, cycle time, influent parameters,...)
* Interventions are encoded, documented, and analyzed
* Effectiveness of all interventions (prevent breakdowns, cure the default within an optimized time,collaboration with Production, Quality, ...)
* Efficiency of all interventions (resources used, consumption of spare parts, sustained energy efficiency of equipment)
* Support MDP processes (participating in analyzes, requirements from 5' briefing treated or upgraded...)
* Machine performance assured for perimeter of responsibility

Ready to Shape the Future of Innovation?

Michelin is building a world-leading manufacturer of life-changing composites and experiences. Pioneering engineered materials for more than 130 years, Michelin is uniquely positioned to make decisive contributions to human progress and a more sustainable world. Drawing on its deep know-how in polymer composite materials, Michelin is constantly innovating to manufacture high-quality tires and components for critical applications in demanding fields as varied as mobility, construction, aeronautics, low-carbon energies and healthcare.

The care placed in its products and deep customer knowledge inspire Michelin to offer the finest experiences. This spans from providing data- and AI-based connected solutions for professional fleets to recommending outstanding restaurants and hotels curated by the MICHELIN Guide.

Why Michelin?

• Career Growth: Personalized development plans, mentorship, and cross-functional opportunities. Unique career paths and opportunities for advancement.
• Inclusive Culture: Thrive in a diverse, supportive environment where your competencies, contributions and behaviors are recognized. Option to join one of our Business Resource Groups and Inclusion Councils.
• Innovation-Driven: Work on projects that matter-from sustainable materials to digital transformation.
• Community Impact: Be part of a company that does what's right. We use sustainable business practices while balancing the needs of our customers and communities.

Michelin provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. Consistent with these obligations, Michelin also provides reasonable accommodations to employees and applicants with disabilities and for sincerely held religious beliefs. If you need accommodation for any part of the employment process because of a disability, please contact us at .

This position is not available for immigration sponsorship.

We build the future with people like you. Begin your career with Michelin today!

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• 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.
  

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• 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.
  

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• 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.
  

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• 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:

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• 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.
  

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• 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.
  

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• 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.
  

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

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• 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.
  

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• 4 years project coordination or other related work experience.
  

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

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• 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.
  

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

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• Smart Cloud Control Desktop
  

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• 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.
  

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• 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.
  

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• 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.