Teams at BlueCross BlueShield of South Carolina

Manage daily operations of multi-functional claims and customer service teams, monitor productivity, quality, and attendance, oversee compliance and quality control, lead process improvement and system change projects, and assist with budget preparation and expense monitoring.

Supervises case management, utilization review, medical review, health management, quality management, and appeals functions. Leads staff, oversees specialty program implementation, maintains procedures and audit standards, conducts quality control, analyzes program data, prepares reports, and ensures URAC/NCQA compliance. Coordinates across departments and supports effective healthcare service delivery.

Administer, maintain, troubleshoot, and optimize IBM z/OS mainframe systems software. Install patches and upgrades, analyze complex issues, support audits, execute disaster recovery procedures, and participate in 24x7 on-call operations. The role also provides technical leadership, coaching, and mentoring while supporting high-availability, mission-critical enterprise systems.