Operations Manager

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*
* Location:

** This position is full-time (40 hours/week) Monday-Friday from
** 8:00am-5:00pm.
** This role is located on-site at 200 N Dozier Blvd, Florence, SC 29501.
* 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.

Select and maintain a well-trained staff. Identify potential education and system issues.
* 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. Select and maintain a well-trained staff. Identify potential education and system issues.
* 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.
* Assist in budget preparation and monitor expenses related to the budget.
* ** 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.
** 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.
* ** Preferred

Work Experience:

*** 3 years-of related health or managed care industry work experience.
* 1 year-of management experience OR 1 year of equivalent military experience in grade E4 or above.
* Tricare Experience.
* ** Preferred

Skills and Abilities:

*** Strong time management skills.
* Good communication 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
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