Facebook · 2 months ago
Operations Manager
BlueCross BlueShield of South Carolina is seeking an Operations Manager to oversee daily activities in a multi-functional area. The role involves managing productivity, attendance, and quality of work, while also motivating associates to achieve departmental goals.
Computer Software
Responsibilities
Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed in a timely and efficient manner 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 level of performance of the team. Administer and oversee quality control procedures and ensure compliance of all corporate and contract required guidelines. Select and maintain a well-trained staff. Identify potential education and system issues
Establish and maintain a high level of 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 in a timely and efficient manner 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 improvements 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
Qualification
Required
Bachelor's
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
Preferred
3 years-of related health or managed care industry work experience
1 year-of management experience OR 1 year of equivalent military experience in grade E4 or above
Tricare Experience
Strong time management skills
Good communication skills
Proficient database software skills
Benefits
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
Funding
Current Stage
Late StageLeadership Team
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase