SummaryOversees the conducting of operational audits, which provide verification of operating procedures and the development of quality control processes. Ensures compliance with all company directives and requirements.
DescriptionLocation: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.
