Find Jobs
Find Jobs Near You – Available Work in Your Location
Manager, Operations
Career Insights for Operations Manager (General)
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on California data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
An Operations Manager manages operations for a specific area within a company or organization. Supervises staff, oversees quality control, process improvement, and budget management for daily work activities. Has significant authority within their area of responsibility such as hiring, training, and managing staff.
$123,566 / year median in California
+6% projected growth
Job Description
Manager, Operations Blue Shield of CA United States, California, El Dorado Hills 4205 Town Center Boulevard (Show on map) Sep 03, 2026 Your Role The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business and the No Surprise Billing(NSB) process. The team also partners with an offshore vendor to complete provider disputes and other strategic projects. The PDR Operations Manager will report to the Director of PDR. In this role you will be responsible for ensuring PDR and NSB inventory stays within compliance and regulatory guidelines, manage both onshore and offshore teams, and partner with the PDR Regulatory Audit Manager to create efficiencies in procedures, systems, and develop and implement strategic initiatives that will enhance the PDR department. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a college degree or equivalent experience and minimum 7 years prior relevant experience, including 3 years of management experience gained as a team leader, supervisor or project/program manager
Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management and delegation
Understands Blue Shield of CA's mission and business plan
Has functional expertise within the area of responsibility
Requires advanced knowledge of job area usually obtained through advanced education combined with experience
Requires previous experience working for a payor in claims or similar business unit
Requires expertise in at least one or more of the following lines of business - Commercial, Medi-Cal and/or Medicare
Prior auditing and/or compliance/regulatory experience is preferred
Possess the acumen to handle complex situations and responsibilities simultaneously with the urgency of immediate demands brought by leadership or other departments Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.