Summary
 

Responsible for leading Medicare Advantage team initiatives and project oversight including coordinating work efforts among the team and internal departments. Leads the day-to-day operations and responsible for reporting key metrics to management on a regular basis. Provides guidance for special training, data validation, project implementation and employee coaching. Meets with management team to review all active and planned work efforts and develop strategic plans based on team specialty. Schedules review sessions to obtain feedback from staff, troubleshoot issues and ensure that staff have adequate resources to complete assigned projects. Plans detailed projects and organizes concurrent initiatives through well-prepared staff training and resource alignment. Shifts resources as needed and manages project schedule to reach established goals.

Description
 

Position Purpose

We are currently hiring for a Supervisor Medicare Advantage Quality Operations, to join BlueCross BlueShield of South Carolina. In this role as a Supervisor Medicare Advantage Quality Operations, you will be responsible for leading Medicare Advantage team initiatives and project oversight including coordinating work efforts among the team and internal departments. Leading the day-to-day operations and responsible for reporting key metrics to management on a regular basis. Provide guidance for special training, data validation, project implementation and employee coaching. Meet with management team to review all active and planned work efforts and develop strategic plans based on team specialty. Schedule review sessions to obtain feedback from staff, troubleshoot issues and ensure that staff have adequate resources to complete assigned projects. Plan detailed projects and organizes concurrent initiatives through well-prepared staff training and resource alignment. Shift resources as needed and manages project schedule to reach established goals.

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Logistics

Location: This role is full time M-F 8am-5pm, hybrid (minimum 2 days a week onsite)

What You Will Do:

• Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner

• Empowers employees for high engagement, job satisfaction, and corporate success. Arranges schedules, training resource plan based on team objectives and needs

• Establishes goals and timelines in partnership with management and disseminates information to team for successful deployment. Conducts meetings and organizes projects to achieve established goals

• Plans detailed projects, makes team assignments and oversees initiatives until completion

• Conducts and participates in functional area meetings related to current and upcoming activities, review active projects, assess team needs, and ensure the department is on schedule with initiatives

• Develops qualitative and quantitative reports to share with management for team progress

• May also give presentations or lead discussions among internal and external stakeholders

• Responsible for all team activities within specialty area and maintains relationships with internal and external stakeholders

• Acts as a subject matter expert and represents manager at both internal and external meetings

• Researches external vendor offerings, monitors vendor performance according to service level agreement and makes appropriate recommendations for the business

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