Member Services Manager

Logistics

This position is full time (40 hours/week) Monday-Friday from 8:00am-4:30pm and will have the opportunity to work a hybrid schedule after mandatory on-site training in Columbia, SC at our Percival Rd location.

What You Will Do:

• Manages the administration, implementation, maintenance and day-to-day operations, procedures, and activities of assigned cost centers or areas. Provides communication and dissemination of information to staff members. Prepares, reviews, and submits various reports required by management. Prepares, monitors, and analyzes expenditures. Ensures overall operational compliance.
• Works with marketing, underwriting, claims, fiscal services, medical review, and other internal/external customers to ensure appropriate group structure, status, benefits, billing, and commissions. Works with other major departments in the company to identify and further overall business goals.
• Responds to more sensitive, complicated and/or escalated issues and inquiries from internal/external customers.
• Selects, trains, develops, and guides staff and ensures excellent customer service is given to employees, customers, management, etc. Monitors department performance and productivity. Performs quality control functions for work performed. Makes recommendations on process improvements and identifies training needs of staff.

To Qualify for This Position, You Will Need:

• Bachelor's degree OR 4 years job related work experience OR Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
• 5 years of experience in insurance, membership, billing, claims processing, or customer service, or combination of these. 2 of the 5 years listed must either have been in a supervisory role OR be 2 years of equivalent military experience in grade E4 or above.
• Knowledge and proven ability in a membership or billing system.
• Ability to work independently, prioritize effectively, and make sound decisions.
• Good judgment skills.
• Demonstrated customer service, organizational, and presentation skills.
• Demonstrated verbal and written communication skills.
• Ability to persuade, negotiate, or influence others.
• Analytical or critical thinking skills.
• Basic business math proficiency.
• Ability to handle confidential or sensitive information with discretion.
• Ability to direct, motivate, and assess performance of others.
• Microsoft Office.

What We Prefer:

• Membership experience is highly recommended.
• Bachelor's degree-in Business Administration, Healthcare Administration or other job-related field.
• 5 years-of budget management and healthcare program management experience.
• Knowledge of underwriting guidelines, legislative law, benefit structures.
• Knowledge of corporate contracts, marketing procedures, and procedural manuals.
• Working knowledge of database software.
• Understanding of compliance rules and regulations.
• Knowledge of state insurance laws.
• Knowledge/ability to use computer and reporting systems/files. Such systems/files are membership, billing, CES, AMMS, OPRS, PABS, TOTL, OPAS. additional systems/files are web, GCOM, PRO, Corbel, TSO.
• Working knowledge of Microsoft Access, Easytrieve, DB2.

What We Can Do for You:

• 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.

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.

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 mycareer.help@bcbssc.com 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.