Head of Operations & Business Management

End Date: August 6, 2026 (5 days left to apply)job requisition id: R1049699# **Summary**Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Description****Logistics:****PGBA****– one of BlueCross BlueShield's South Carolina subsidiary companies****Location:**This position is full-time (40 hours/week) Monday-Friday from **9:00am-6:00pm; This role is located on-site at 17 Technology Circle, Columbia, SC 29203.* **Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.****What You’ll Do:*** Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed in a timely and efficient manner to maintain contract compliance standards. Prepare and analyze reports of pending and processed documents, claims, adjustments and reprocesses, and quality audits of claims/documents that measure level of performance of the team. Administer and oversee quality control procedures and ensure compliance of all corporate and contract required guidelines. Establish and maintain a high level of customer service with all internal and external customers. Direct and supervise the customer service associates to ensure that all correspondence and telephone inquiries are processed in a timely and efficient manner to maintain contract compliance standards. Participate as project leader on policy changes, quality improvements initiatives and system change efforts, while ensuring corporate, contractor, and department policies and procedures are administered timely, consistently and accurately. Identify system errors and process/quality improvement opportunities, initiate work requests, and serve as the customer project lead to ensure accurate implementation.* To Qualify for This Position, You'll Need the Following:*** **Required Education:** Bachelor’s* **Required Work Experience:** 3 years of job related work experience, including either 1 year of supervisory experience OR 1 year equivalent military experience in grade E4 or above.* **Required Skills and Abilities:*** Strong management, organization, communication, decision-making, and analytical skills.* Excellent customer service skills.* Strong presentation skills and basic business math proficiency.* Knowledge of applicable laws and regulations pertaining to business unit operations.* **Required Software and Tools:** Microsoft Office.**We Prefer That You Have the Following:*** **Preferred Work Experience:*** 3 years-of related health or managed care industry work experience.* 3 years-of management experience OR 1 year of equivalent military experience in grade E4 or above.* Preferred Skills and Abilities:*** Strong time management skills.* Preferred Software and Other Tools:**Proficient database software skills.**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**What We Can Do for You:**We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.**What To Expect Next:**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.**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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the View email address on click.appcast.io CommunityIf you don’t have an account with us and don’t see the dream job you are looking for, click on the link above to ***Join Our Talent Community*** by submitting your resume and contact information and we will reach out if we find a good fit.### About UsPGBA, LLC is a leading provider of administrative services for the TRICARE health benefit program and health benefit programs of Veteran’s Health Administration for both state and federal governments. PGBA employees work in an atmosphere that is conducive to growth and on that fosters a focus on personal and professional development with an environment made up of people from different parts of the world with diverse cultural Excellent benefits, as well as a competitive compensation program, make us one of the leading employers in today’s corporate market.

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