Summary
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Description
 

Job Purpose:

Responsible for leading and managing staff responsible for organizational projects and initiatives to include: project management, strategic planning, quality assurance (QA), quality management system (QMS), lean continual improvement, and reporting.

Logistics:

This position is full-time (40 hours/week) Monday – Friday and will be preferred as onsite at One Century Plaza in Nashville, TN, with highly qualified remote candidates to be considered.

What You’ll Do:

• Oversees staff responsible for project management, strategic planning, lean continuous improvement program, and reporting activities for the organization.
• Provides oversight and direction to project managers and project teams, including the development of project plans, risk management plans and project documentation.
• Oversees the execution of various project and initiative plans, including monitoring and control of resources, delivery timelines, and budgeted costs.
• Partners with senior leadership to deploy and implement annual strategic planning activities across the organization and on schedule.
• Oversees multiple quality improvement teams/functions, including the staff responsible for the Quality Assurance (QA) program which provides accurate and timely data in assessing operations performance.
• Maintains the organization’s Quality Management System (QMS) to meet accreditation standards and drive continuous operational efficiencies.
• Utilizes quality trends and results to initiate improvement opportunities.
• Assists with external organizations conducting audits.
• Assists in development of quality assurance plans for new business contracts and proposals.
• Partners with internal customers to define business goals, recommend effective strategies and services, and execute on the activities required to successfully meet those goals.
• Identify items that impact the scope, budget, risk and resources of various work efforts to assess the impact of project plans and resources on operational processes.
• Research best practices, gather and analyze data both proactively and as requested to facilitate improvement outcomes.
• Utilizes expertise and knowledge to identify/recommend appropriate improvement solutions and drive best practice sharing across the organization.
• Directs and monitors budget activities.        

To Qualify for This Position, You’ll Need:

Required Education:

• A Bachelor's degree OR 4 years of job-related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree is required).

Required Work Experience:

• 7 years of experience in operations management, project management, strategic planning, business process engineering, or quality improvement, including 4 years of demonstrated experience leading project and other quality teams from inception through implementation phases.

Required Skills and Abilities:

• Strong presentation and negotiation skills.
• Advanced knowledge of business process engineering methodology.
• Demonstrated analytical and decision-making skills.
• Excellent and effective communication, customer service and time-management skills.
• Ability to communicate complex information with understanding to a variety of audiences who have different levels of experience and knowledge.
• Thorough understanding of project management phases, techniques, and tools.
• Demonstrated aptitude for effective leadership of staff.
• Ability to recognize problems or situations that are new or without clear precedent and offer solutions.

Required Software and Tools:

• Knowledge of Microsoft Office applications.

We Prefer You to Have:

• Experience in Medicare, healthcare, or insurance industry.
• Experience in leading an organization's strategic planning process.
• Experience driving business transformation through quality assurance and/or lean continuous process improvement initiatives.
• Project management and/or quality certification.

What Blue Can Do For You:

Our comprehensive benefits package includes:

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave — the longer you work here, the more you earn
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and a healthy lifestyle premium discount
• Tuition assistance
• Service recognition

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.  

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

 

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 [email protected] 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.