Summary
 

Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.

Description
 

Logistics: This position is full-time (40 hours/week), Monday-Friday, in a typical office environment. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located on-site at 17 Technology Circle, Columbia, SC 29223, and provides a typical office work environment.

What You’ll Do:

• Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed promptly and efficiently 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 the team's level of performance. Administer and oversee quality control procedures and ensure compliance with all corporate and contract-required guidelines. Select and maintain a well-trained staff. Identify potential education and system issues.
• Establish and maintain high 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 promptly and efficiently 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 improvement 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
• 3 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.
• Microsoft Office.

What Do We Prefer:

• Preferred Work Experience: 3 years of work experience in the related health or managed care industry. 1 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:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits on the first of the month following 28 days of employment.  

• Subsidized health plans, dental, and vision coverage
• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeteri