Summary
 

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’ve 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 dedicated to the same philosophy, consider joining our team!

Description
 

Job Purpose:

Oversees 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.

Logistics:

This position is full-time (40 hours/week, 8 hours/day) Monday – Friday in a typical office environment. This role is onsite & is located at 160 North Dozier Blvd., Florence, SC.  Some travel between office buildings and out of town.

What You'll 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'll Need:

• A Bachelor's degree.
• 5 years of related operations or auditing experience, including either 1 year as a team lead or supervisor over related operations, quality management or auditing functions OR 1 year of equivalent military experience in grade E4 or above.
• Excellent leadership skills.
• Strong communication, negotiation, analytical, decision making, organizational and time management skills.
• Excellent customer service and presentation skills.