Reporting Solutions Consultant I - QIP

The Medicare Advantage Enrollment Billing Management team is excited to welcome a Reporting Solutions Consultant I to help drive smarter, data‑powered decision‑making across our organization. In this role, you’ll help shape how we design, enhance, and deliver reporting solutions that support both day‑to‑day operations and long‑term strategic goals. What you’ll do:

• Provide end‑to‑end support for enrollment and disenrollment validation, CMS and state reporting activities, billing reconciliation & discrepancy analysis
• Ensure data integrity across MARx (the system CMS uses to run Medicare Advantage & Part D enrollment and payments), enrollment, billing, and downstream systems
• Partner closely with business and tech teams to build ad hoc and scheduled reporting that informs operations, compliance, and leadership

Preferred experience:

• Proficiency with SQL and Tableau to build, analyze, and visualize complex datasets
• Familiarity with CMS data and regulatory environments (preferably healthcare)
• Excitement around and/or experience with leveraging AI for automation (examples: bot development, workflow optimization)

If you enjoy building data solutions, improving reporting frameworks, and working in an environment where your technical expertise can make a measurable impact for our 3.4 million members, we’d love to hear from you! Notes:

• This is a fully remote role, but travel to our Chattanooga, TN headquarters for final interviews may be required.
• Sponsorship is not available for this role.

Job Responsibilities

• Define requirements, analyze, design, enhance, and develop reporting methods to efficiently and effectively fulfill corporate initiatives and planning/development objectives.
• Assist in determining data requirements and Metadata definitions in the data warehouse environment.
• Effectively administer reporting solutions in a rapid application development environment ensuring short term proof of concepts meet long term objectives.
• Maintain technical skill sets across a broad range of software languages, databases and platforms that will be used in the development and production of analyses and reporting solutions.
• Provides significant input to establishment of reporting protocols, tools, and systems development and enhancement.
• Documents and coordinates complex, cross functional analytic and reporting solution test plans.
• Participate in vendor evaluation and selection processes

Job Qualifications Education

• Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

Experience

• 3 years - Reporting development and programming experience required

SkillsCertifications

• Must have proven analytical and system design skills and demonstrated success in leading large projects or multiple concurrent small to medium projects .
• In-depth knowledge of systems development life cycle and/or operational maintenance environment
• Proficient in MicroSoft Office (Outlook, Word, Excel, Access and Powerpoint)
• Excellent oral and written communication skills

Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means. Apply tot his job Apply To this Job