What are the responsibilities and job description for the Director, Operations Senior position at Palmetto GBA?
Summary
Lead, organize, and develop staff in administration of government program functions. Ensure performance and budgetary compliance per the Center for Medicare and Medicaid Service (CMS) guidelines. Interacting regularly with liaisons from federal and/or state agencies.
Description
Location:
This is a full-time position working on-site in Augusta, GA. This role home base is located at 2743 Perimeter Parkway, Building #200.
Position Purpose
Lead, organize, and develop staff to administer government program functions, ensuring compliance with CMS performance and budgetary guidelines. Regularly interact with federal and state agency liaisons.
What You'll Do
Operational Compliance and Business Operations:
To Qualify for This Position, You'll Need the Following:
Bachelor's
Required Work Experience
11 years of job-related experience including 6 years of progressively responsible health related work experience.
Either 5 years of management experience OR 5 years of equivalent military experience in grade E4 of above.
Demonstrated experience in strategic planning.
We Prefer That You Have The Following
Experience in proposal development and program management (PMP).
What We Can Do For You
Our comprehensive benefits package includes the following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
After 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 are the most qualified, with prioritization given to those candidates who demonstrate the required 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.
Lead, organize, and develop staff in administration of government program functions. Ensure performance and budgetary compliance per the Center for Medicare and Medicaid Service (CMS) guidelines. Interacting regularly with liaisons from federal and/or state agencies.
Description
Location:
This is a full-time position working on-site in Augusta, GA. This role home base is located at 2743 Perimeter Parkway, Building #200.
Position Purpose
Lead, organize, and develop staff to administer government program functions, ensuring compliance with CMS performance and budgetary guidelines. Regularly interact with federal and state agency liaisons.
What You'll Do
Operational Compliance and Business Operations:
- Ensure system and operational compliance with CMS directives.
- Establish, guide, and analyze the effectiveness of business operations against benchmarks developed as measures of success.
- Analyze performance trends and develop new or modified work processes to improve overall operations quality, timeliness, customer satisfaction, and financial outcomes.
- Direct, develop, evaluate, and motivate subordinates to achieve and maintain production and quality standards.
- Participate in the development of the corporate strategic plan.
- Implement a divisional strategic plan with goals supportive of the corporate strategic plan.
- Manage the budget to ensure cost-effectiveness and performance quality.
- Serve as a liaison and maintain proactive working relationships with CMS and other Medicare program leadership or state leadership as needed by contract definition.
- Investigate and resolve action items assigned by executive management.
- Resolve priority level problems from providers, beneficiaries, CMS, and/or state agencies.
To Qualify for This Position, You'll Need the Following:
Bachelor's
Required Work Experience
11 years of job-related experience including 6 years of progressively responsible health related work experience.
Either 5 years of management experience OR 5 years of equivalent military experience in grade E4 of above.
Demonstrated experience in strategic planning.
We Prefer That You Have The Following
Experience in proposal development and program management (PMP).
What We Can Do For You
Our comprehensive benefits package includes the following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits 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 cafeterias and fitness centers in major locations
- Education Assistance
- Service Recognition
- National discounts to movies, theaters, zoos, theme parks and more
After 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 are the most qualified, with prioritization given to those candidates who demonstrate the required 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.
