Quality Assurance Manager
BlueCross BlueShield of South Carolina · Florence, SC · 1 wk ago
Quality AssuranceFull-time
What You Will Do
- Manages staff responsible for quality control activities
- Initiates and provides direction and quality focus in working directly with operational management in other functional departments to support quality improvement initiatives
- Develops auditing protocols/criteria and facilitates corrective and preventive action plans
- Prepares reports and analysis of quality data and impact on organization
- Affords assistance with special review or focus auditing as requested by management
- Maintains monitoring of reports, quality processes, resources and improvement plans
- Ensures maximum efficiency, effectiveness and consistency in all assigned areas/functions and meets/exceeds customer requirements and critical processes
- 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
- Creates and delivers highly effective quality assurance presentations for peers, management, partners and other audiences
Qualifications
- Required Education: Bachelor's degree-in Business, Healthcare, or other job related field
- Required Work Experience: Five years of related operations or auditing experience, (including either one year as a team lead or supervisor over related operations, quality management, assurance, or auditing functions OR one year of equivalent military experience in grade E4 or above)
- PGBA experience
- Excellent leadership skills
- Strong communication, negotiation, analytical, decision making, organizational and time management skills
- Excellent customer service and presentation skills
- Strong business math skills with the ability to use complex mathematical or statistical concepts and calculations
- Knowledge of related operations processing support systems
- Microsoft Office skills