Quality Assurance Manager - Pgba

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!

• 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.
• 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.
• 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.
• 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.
• 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.

• Strong business math skills with the ability to use complex mathematical or statistical concepts and calculations.
• Excellent customer service and presentation skills.
• Knowledge of Microsoft Office applications.
• A Bachelor's degree.
• Strong communication, negotiation, analytical, decision making, organizational and time management skills.
• Excellent leadership skills.
• Knowledge of related operations processing support systems.

• Bachelor's degree in Business, Healthcare, or other job-related field.
• PGBA experience.

• Subsidized health plans and free vision coverage.
• Wellness programs and a healthy lifestyle premium discount.
• Tuition assistance.
• Nine paid holidays.
• Life insurance.
• Paid annual leave — the longer you work here, the more you earn.
• Service recognition.
• 401(k) retirement savings plan with company match.
• On-site cafeterias and fitness centers in major locations.