PGBA
Logistics
Manager,Operations
Neural analysis suggests this role is
optimal for Mid candidates.
“Manager, Operations at PGBA. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. Manages the daily activities of a multi-functional area. monitoring productivity, attendance and quality of work produced”
What You'll Achieve.
meet individual and departmental goals; ensure claims/documents are processed in a timely and efficient manner to maintain contract compliance standards; maintain contract compliance standards; measure level of performance of the team; ensure compliance of all corporate and contract required guidelines; ensure accurate implementation
Industry & Context.
decision-making; analytical skills; Identify potential education and system issues; Identify system errors and process/quality improvement opportunities
ability to obtain a security clearance, applicants to be a U. S. Citizen
What They're Looking For.
Must Have
3 years of job related work experience, 1 year of supervisory experience OR 1 year equivalent military experience in grade E4 or above, management skills, organization skills, communication skills, decision-making skills, analytical skills, Excellent customer service skills, presentation skills, basic business math proficiency, Knowledge of applicable laws and regulations pertaining to business unit operations, Microsoft Office
Nice to Have
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, Tricare experience, time management skills, Good communication skills, Proficient database software skills
What You'll Do.
Manages the daily activities of a multi-functional area
monitoring productivity
attendance and quality of work produced
motivating associates to meet individual and departmental goals
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
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
Participate as project leader on policy changes
quality improvements initiatives and system change efforts
while ensuring corporate
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
How You'll Work.
Team & Collaboration
cross-functional coordination; vendor/stakeholder management; customer service with all internal and external customers; serve as the customer project lead
Communication Scope
communication; presentation skills; Good communication skills
Process & Methodology
project leader on policy changes, quality improvements initiatives and system change efforts
Full Job Description
# _**Summary**_ Manages the daily activities of a multi-functional area. Responsible for monitoring productivity, attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals. # **_Description_** **Logistics:**[**PGBA**](https://www.pgba.com/)**– one of BlueCross BlueShield 's South Carolina subsidiary companies** **Location:** This position is full-time (40 hours/week) Monday-Friday from **8:00am-5:00pm.** 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. 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 opportun
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