Operations Manager-2
On-siteFlorence, South Carolina, United States
Job Summary
Direct and supervise claims/documents processing and support team associates to ensure timely, efficient processing while maintaining contract compliance standards. Prepare and analyze reports on pending documents, claims, adjustments, and reprocesses; administer quality control procedures and oversee quality audits measuring team performance. Select and maintain a well-trained staff, identify system errors and education issues, and establish high customer service levels for internal and external stakeholders. Participate as project leader on policy changes, quality improvements, and system change efforts, initiating work requests to ensure accurate implementation. Assist in budget preparation and monitor related expenses. This full-time role (40 hours/week, Monday-Friday, 8:00am-5:00pm) is located on-site at 200 N Dozier Blvd, Florence, SC.
Required Qualifications
- Bachelor's degree
- Strong management skills
- Strong organization skills
- Strong communication skills
- Strong decision-making skills
- Strong analytical skills
- Excellent customer service skills
- Strong presentation skills
- Basic business math proficiency
- Knowledge of applicable laws and regulations pertaining to business unit operations
- Microsoft Office proficiency
Desired Qualifications
- 3 years of related health or managed care industry work experience
- 1 year of management experience
- 1 year of equivalent military experience in grade E4 or above
- Ability to use complex mathematical calculations
- Knowledge of mathematical or statistical concepts
- Proficiency in database software
- Knowledge of Provider Data Management system
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