What are the responsibilities and job description for the Vice President position at Palmetto GBA?
Summary
Provides overall executive leadership and responsibility for the effective and efficient control of all functional operations of the division, including but not limited to all claims processing and customer service related functions. Formulates strategy for the contract and/or business unit and oversees its execution. Ensures that all contractual and/or corporate standards and requirements are met and all corporate guidelines are followed. Responsible for financial planning, budget control and profit and revenue forecasting. Responsible for the oversight and development of all staff. Leads all staff according to a strong moral and ethical code of conduct that is aligned with the compliance policy. Establish and maintain effective working relationships with all internal and external clients. Overall authority for the contract and/or business unit.
Description
Ensures effective and efficient contract performance, to include contractual performance standards, budget goals, cost containment and profit and revenue goals.
Maintains effective and productive working relationships with internal and external contracts and/or business units.
Directs, motivates and develops staff.
Required Education: Bachelor's
Required Work Experience: 10 Years of work-related experience. 5 Years Management experience OR equivalent military experience in grade E4 or above(may be concurrent with the ten plus years).
Required Skills and Abilities: Must have strong management skills, previous experience required. Strong leadership, communication, decision-making, human relations and analytical skills. Ability to multi-task. Working knowledge of the various current forms of health care delivery systems utilized. Understanding of Information Systems processes to solve operations and strategic problems. Demonstrated proficiency in mathematical calculations and general principals of managing standards of performance. Thorough understanding of business statistics to be able to make decisions on staffing, budget, etc., based on the analysis of data. Must be able to understand the claims processing system and support systems and possess understanding and experience in the use of a personal computer and related software, such as Microsoft Office. Experience in responding to Requests For Proposal (RFP) to support current business and/or the development of new business. Presentation skills are required. Experience in budget planning, preparation and monitoring. Must use the most cost-effective management means without reducing the quality of performance. Ethical decision-making skills to promote a culture that ensures employees conduct business in compliance with laws, regulations, policies, and procedures in accordance with our Corporate Values.
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.
Provides overall executive leadership and responsibility for the effective and efficient control of all functional operations of the division, including but not limited to all claims processing and customer service related functions. Formulates strategy for the contract and/or business unit and oversees its execution. Ensures that all contractual and/or corporate standards and requirements are met and all corporate guidelines are followed. Responsible for financial planning, budget control and profit and revenue forecasting. Responsible for the oversight and development of all staff. Leads all staff according to a strong moral and ethical code of conduct that is aligned with the compliance policy. Establish and maintain effective working relationships with all internal and external clients. Overall authority for the contract and/or business unit.
Description
Ensures effective and efficient contract performance, to include contractual performance standards, budget goals, cost containment and profit and revenue goals.
Maintains effective and productive working relationships with internal and external contracts and/or business units.
Directs, motivates and develops staff.
Required Education: Bachelor's
Required Work Experience: 10 Years of work-related experience. 5 Years Management experience OR equivalent military experience in grade E4 or above(may be concurrent with the ten plus years).
Required Skills and Abilities: Must have strong management skills, previous experience required. Strong leadership, communication, decision-making, human relations and analytical skills. Ability to multi-task. Working knowledge of the various current forms of health care delivery systems utilized. Understanding of Information Systems processes to solve operations and strategic problems. Demonstrated proficiency in mathematical calculations and general principals of managing standards of performance. Thorough understanding of business statistics to be able to make decisions on staffing, budget, etc., based on the analysis of data. Must be able to understand the claims processing system and support systems and possess understanding and experience in the use of a personal computer and related software, such as Microsoft Office. Experience in responding to Requests For Proposal (RFP) to support current business and/or the development of new business. Presentation skills are required. Experience in budget planning, preparation and monitoring. Must use the most cost-effective management means without reducing the quality of performance. Ethical decision-making skills to promote a culture that ensures employees conduct business in compliance with laws, regulations, policies, and procedures in accordance with our Corporate Values.
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.
