Location:
This role is full time M-F 8am-5pm at our Florence, 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 after the hire date.
What You Will Do:
Manages staff responsible for quality control activities, which provide accurate and timely data in assessing operations performance
Initiates and provides direction and quality focus in working directly with operational management in other functional departments to support quality improvement initiatives, training, developing auditing protocols/criteria and facilitating corrective and preventive action plans
Prepares reports and analysis of quality data and impact on organization
Assists with special review or focus auditing as requested by management
Monitors reports, quality processes, resources and improvement plans, so that maximum efficiency, effectiveness and consistency are achieved in all assigned areas/functions and that customer requirements and critical processes are met and/or exceeded
Interviews, hires and maintains adequate staff to respond to all business requirements
Manages staff performance to ensure productivity, quality and timeliness standards are met
Provides management oversight and assistance to staff with questions or problems
Manages employee/human resource issues and handles disciplinary action quickly and professionally
Provides input, influence and partnership with training areas in developing training initiatives with regards to on-going quality performance data and error trends
Initiates and supports process improvement initiatives
Prepares and monitors departmental budget
Manages and reviews project management activities that include the development of project schedules, cost estimates, resource allocations, specifications and project reporting
Assists in development of quality assurance plans for new business contracts and proposals
Creates and delivers highly effective quality assurance presentations for peers, management, partners and other audiences.
To Qualify for This Position, You Will Need:
Required Education: Bachelor's degree-in Business, Healthcare, or other job related field
Required work experience: Five years of related operations or auditing experience, (including either one year as a team lead or supervisor over related operations, quality management, assurance, or auditing functions OR one year of equivalent military experience in grade E4 or above)
PGBA experience
Excellent leadership skills
Strong communication, negotiation, analytical, decision making, organizational and time management skills
Excellent customer service and presentation skills
Strong business math skills with the ability to use complex mathematical or statistical concepts and calculations
Knowledge of related operations processing support systems
Ability to audit and prepare audit reports
Microsoft Office skills
What We Can Do for You:
401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave – the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Tuition assistance
Service recognition
Incentive Plan
Merit Plan
Continuing education funds for additional certifications and certification renewal
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
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