Supervisor, Medicare Advantage Quality Operations Lead
4 weeks ago
Job Summary
We are seeking a highly skilled Quality Operations Supervisor to join our Medicare Advantage team at PGBA. In this role, you will be responsible for leading team initiatives and project oversight, including coordinating work efforts among the team and internal departments.
Key Responsibilities
- Lead day-to-day operations and report key metrics to management on a regular basis.
- Provide guidance for special training, data validation, project implementation, and employee coaching.
- Meet with management team to review active and planned work efforts and develop strategic plans.
- Schedule review sessions to obtain feedback from staff, troubleshoot issues, and ensure staff have adequate resources to complete assigned projects.
- Plan detailed projects and organize concurrent initiatives through well-prepared staff training and resource alignment.
Requirements
- Bachelor's degree or degree equivalency: 4 years job-related work experience or Associate's and 2 years job-related work experience.
- 4 years of project administration, work coordination experience in a healthcare environment or similarly complex environment, including experience in a supervisory role or team lead role.
- Strong organizational, leadership, decision-making, analytical, problem-solving, interpersonal, and project management skills.
- Excellent verbal and written communication skills.
- Ability to persuade, negotiate, and influence.
- Highly proficient PC skills.
- Basic business math proficiency.
- Analytical and critical thinking skills.
- Basic knowledge of information systems environments and concepts.
- Flexibility to adapt to changing business, client, and project needs.
- Ability to balance workload for several work requests simultaneously.
- Basic understanding of resource planning and organizational impacts.
Preferred Qualifications
- Strong HEDIS experience.
- Experience educating providers on quality metrics.
- Registered Nurse.
What We Offer
- 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 healthy lifestyle premium discount.
- Tuition assistance.
- Service recognition.
- Incentive Plan.
- Merit Plan.
- Continuing education funds for additional certifications and certification renewal.
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 a 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.
-
Quality Assurance Coordinator
4 weeks ago
Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob Summary:We are seeking a Quality Assurance Coordinator to join our team at BlueCross BlueShield of South Carolina. As a Quality Assurance Coordinator, you will be responsible for ensuring the quality of our services and products.Key Responsibilities:Assigns and monitors the work of quality audit staff.Monitors workloads, generates work samples, and...
-
Analytical Operations Supervisor
4 weeks ago
Columbia, South Carolina, United States Navarro Inc. Full timeJob Title: Analytical Operations SupervisorNavarro Research and Engineering is seeking an experienced Analytical Operations Supervisor to lead laboratory field operations in Richland, WA.The successful candidate will provide leadership and oversight to laboratory personnel, ensuring compliance with company policies, procedures, and regulations. Key...
-
Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob SummaryWe are seeking a highly skilled Provider Enrollment Quality Control and Training Lead to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for reviewing provider data to ensure accuracy, developing reporting tools to keep management informed of data error trends or issues, and working with the...
-
Nurse Practitioner
4 weeks ago
Columbia, South Carolina, United States Greater Good Health Full timeAbout the RoleWe are seeking a skilled Nurse Practitioner to join our team at Greater Good Health. As a key member of our healthcare team, you will be responsible for providing exceptional care to our senior Medicare patients.Your primary focus will be on conducting annual wellness visits, documenting medical histories, and administering various tests and...
-
Operations Lead
4 weeks ago
Columbia, South Carolina, United States Flex Full timeJob SummaryWe are seeking a skilled Lead to join our team in USA, SC, ColumbiaThe successful candidate will provide leadership and direction to groups of non-exempt employees, ensuring a high level of productivity and quality.Key ResponsibilitiesProvide ongoing feedback and coaching to team members to improve performance and achieve goals.Develop and...
-
Clinical Supervisor
4 weeks ago
Columbia, South Carolina, United States MU Health Care Full timeClinical Supervisor Job DescriptionMU Health Care is seeking an experienced Clinical Supervisor to lead the Logistics Center. The successful candidate will serve as a content expert, liaison, and collaborator with departmental staff, clinical departments, clinical units, medical staff, and professional and non-professional staff related to patient...
-
Production Supervisor
4 weeks ago
West Columbia, South Carolina, United States Scout Motors Full timeAbout the RoleScout Motors is seeking a highly skilled Assembly Production Supervisor to lead a team of hourly employees in achieving production and cost targets. This role is responsible for driving the culture and processes to promote continuous improvement in safety, quality, cost, and delivery.Key ResponsibilitiesSupervise and evaluate an hourly team to...
-
Software Quality Assurance Lead
4 weeks ago
Columbia, South Carolina, United States System One Full timeJob SummaryWe are seeking a highly skilled Software Quality Assurance Lead to join our team at System One. As a key member of our QA team, you will be responsible for ensuring the highest quality of our software products.Key Responsibilities:Develop and execute detailed test plans, test cases, and test scripts for functional, integration, regression, and...
-
Maintenance Supervisor
4 weeks ago
West Columbia, South Carolina, United States Scout Motors Full timeAbout the RoleScout Motors is revolutionizing the electric pick-up truck and rugged SUV marketplace, and we're looking for a skilled Maintenance Supervisor to lead our Paintshop team. As a key member of our Manufacturing Group, you'll be responsible for managing production maintenance activities, ensuring a safe and efficient work environment, and driving...
-
Quality Assurance Lead Auditor
4 weeks ago
Columbia, South Carolina, United States Adient Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Lead Auditor to join our team at Adient. As a Quality Assurance Lead Auditor, you will be responsible for coordinating actions to achieve or maintain IATF 16949 Certification.Key Responsibilities:Organize and ensure the completeness of BOS systems.Maintain document control per BOS requirements.Work...
-
Otolaryngology Specialist
3 weeks ago
Columbia, South Carolina, United States Provider Solutions & Development Full timeAbout the RoleKadlec Regional Medical Center is seeking a full-time Otolaryngologist to join a collaborative group in Richland, Washington. As a member of our team, you will have the opportunity to work with a diverse patient population and provide care to all ages.ResponsibilitiesMix of inpatient and outpatient careServe a medically diverse patient...
-
Network Service Field Engineer
4 weeks ago
Columbia, South Carolina, United States Advantage Industries Inc Full timeWe are seeking a skilled, self-motivated, and customer-oriented individual to join our team at Advantage Industries, Inc. to begin an exciting and challenging career.Key Responsibilities:* Deliver exceptional customer service while identifying, troubleshooting, implementing, and maintaining various aspects of client IT environments.* Provide hands-on, onsite...
-
Nuclear Facilities Operations Lead
2 weeks ago
Columbia, South Carolina, United States Pacific Northwest National Laboratory Full timeJob SummaryThe Radiochemical Processing Laboratory (RPL) Building Manager leads a team focused on operating and maintaining RPL, a Hazard Category II Department of Energy (DOE) non-reactor nuclear facility in a safe, compliant, environmentally sound, and reliable manner capable of supporting the research mission.The successful candidate must have a strong...
-
Imaging Department Supervisor
3 weeks ago
Columbia, South Carolina, United States Prisma Health Full timeTransform Healthcare with UsJob SummaryAs a key member of the Prisma Health team, the Imaging Department Supervisor will oversee the technical operations of assigned departments, ensuring effective working relationships with internal and external customers. This role requires strong leadership and budgetary skills, with a focus on improving departmental...
-
Restaurant Operations Manager
4 weeks ago
Columbia, South Carolina, United States MOD Pizza Full timeMOD Pizza Restaurant Shift SupervisorAs a MOD Pizza Restaurant Shift Supervisor, you will be responsible for leading a team of crew members to deliver exceptional customer service and high-quality pizzas to our guests. You will be the face of MOD Pizza, embodying our values of hospitality, teamwork, and a passion for great food.Key Responsibilities:Lead by...
-
Operational Director
4 weeks ago
Columbia, South Carolina, United States ABM Full timePosition Overview:The Operational Director is responsible for overseeing the day-to-day operations of assigned buildings, ensuring compliance with contract requirements and customer specifications. This role involves developing and implementing cost control measures, quality control measures, and inventory control procedures.Key Responsibilities:Ensure...
-
Network Architect
4 weeks ago
Columbia, South Carolina, United States Advantage Technical Full timeJob Title:Network ArchitectJob Summary:Advantage Technical is seeking a skilled Network Architect to design and implement the organization's network infrastructure, and integrated IT systems. The ideal candidate will have approximately 5 years of related experience and be familiar with NIST compliance requirements. Key responsibilities include ensuring...
-
Lead Business Analyst, Implementation
1 month ago
Columbia, South Carolina, United States Evolent Health Full timeAbout Evolent HealthEvolent Health is a healthcare company that partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions.Job SummaryWe are seeking a skilled Business Analyst to lead the requirements management for implementation projects across our client and Evolent organizations. This...
-
Nursing Team Lead
4 weeks ago
Columbia, South Carolina, United States Kadlec Full timeJob SummaryAs a Nursing Team Lead - House Supervisor at Kadlec Regional Medical Center, you will play a vital role in coordinating complex nursing functions related to patient care. This position requires strong leadership skills, with the ability to interpret and adhere to laws, rules, and regulations relating to patient care. You will interact daily with...
-
Office Supervisor
4 weeks ago
Columbia, South Carolina, United States Howard Community College Full timeJob SummaryThe Office Supervisor is a vital member of the frontline customer service team, serving as the primary contact in Financial Aid Services (FAS). This role ensures that all incoming documents are complete and linked to student financial aid files. The office manager provides guidance on FAFSA, MHEC OneApp, and HCC scholarship applications to...