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Quality Assurance Manager - PGBA (Florence)
PGBA, LLC Florence, SC
$103k-129k (estimate)
Full Time | Insurance 2 Weeks Ago
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PGBA, LLC is Hiring a Quality Assurance Manager - PGBA (Florence) Near Florence, SC

SummaryWhy 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!
DescriptionJob Purpose:Oversees the conducting of operational audits, which provide verification of operating procedures and the development of quality control processes. Ensures compliance with all company directives and requirements.
LogisticsThis position is full-time (40 hours/week, 8 hours/day) Monday – Friday in a typical office environment. This role is onsite & is located at 160 North Dozier Blvd., Florence, SC. Some travel between office buildings and out of town.
What You'll Do
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
To Qualify For This Position, You'll Need
  • REQUIRED: DoD Security Clearance.
  • A Bachelor's degree.
  • 5 years of related operations or auditing experience, including either 1 year as a team lead or supervisor over related operations, quality management or auditing functions OR 1 year of equivalent military experience in grade E4 or above.
  • 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.
  • Knowledge of Microsoft Office applications.
We Prefer You To Have
  • Bachelor's degree in Business, Healthcare, or other job-related field.
  • PGBA experience.
  • Quality auditing experience.
What Blue Can Do For YouOur comprehensive benefits package includes:
  • 401(k) retirement savings plan with company match.
  • Subsidized health plans and free vision coverage.
  • Life insurance.
  • Paid annual leave — the longer you work here, the more you earn.
  • Nine paid holidays.
  • On-site cafeterias and fitness centers in major locations.
  • Wellness programs and a healthy lifestyle premium discount.
  • Tuition assistance.
  • Service recognition.
What To Expect NextAfter submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Here's more information.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$103k-129k (estimate)

POST DATE

06/06/2024

EXPIRATION DATE

07/03/2024

WEBSITE

pgba.com

HEADQUARTERS

COLUMBIA, SC

SIZE

1,000 - 3,000

FOUNDED

2002

CEO

MIKE SKARUPA

REVENUE

$200M - $500M

INDUSTRY

Insurance

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