Full job description Summary
Description
As an Operations Manager, you will manage the daily activities of a multi-functional area. You will be responsible for monitoring productivity, attendance, and quality of work produced. You will also be responsible for motivating associates to meet individual and departmental goals.
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team!
Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.
Logistics:
This position is located onsite at 160 Dozier Boulevard, Florence, SC, 29501. The hours are 11:00 a.m. – 8:00 p.m. Monday – Friday.
What You'll Do:
Direct and supervise claims / documents processing and support team associates to ensure claims / documents are processed in a timely and efficient manner to maintain contract compliance standards. Prepare and analyze reports of pending and processed documents, claims, adjustments and reprocesses, and quality audits of claims / documents that measure level of performance of the team. Administer and oversee quality control procedures and ensure compliance of all corporate and contract required guidelines. Select and maintain a well-trained staff. Identify potential education and system issues. Establish and maintain a high level of customer service with all internal and external customers. Direct and supervise the customer service associates to ensure that all correspondence and telephone inquiries are processed in a timely and efficient manner to maintain contract compliance standards. Select and maintain a well-trained staff. Identify potential education and system issues. Participate as project leader on policy changes, quality improvements initiatives, and system change efforts, while ensuring corporate, contractor, and department policies and procedures are administered timely, consistently, and accurately. Identify system errors and process / quality improvement opportunities, initiate work requests, and serve as the customer project lead to ensure accurate implementation. Assist in budget preparation and monitor expenses related to the budget. To Qualify for This Position, You'll Need:
Bachelor's Degree required. Three years of job-related work experience, including either 1 year of supervisory experience OR 1-year equivalent military experience in grade E4 or above. Strong management, organization, communication, decision-making, and analytical skills. Excellent customer service skills. Strong presentation skills and basic business math proficiency. Knowledge of applicable laws and regulations pertaining to business unit operations. Experience with Microsoft Office. What We Prefer:
Three years of related health or managed care industry work experience. One year of management experience OR 1 year of equivalent military experience in grade E4 or above. Ability to use complex mathematical calculations. Knowledge of mathematical or statistical concepts. Proficient in database software. 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 your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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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 minorities, females, disabled individuals and 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 physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail or call with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
