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Quality Assurance Analyst Jobs
Recruited by BlueCross BlueShield of South Carolina 9 months ago Address , Columbia, Sc

Quality Assurance Analyst Jobs

Company

BlueCross BlueShield of South Carolina
Address , Columbia, 29203
Employment type FULL_TIME
Salary
Expires 2023-10-08
Posted at 9 months ago
Job Description
Summary
Position Purpose

As a member of our Quality Assurance team, you will be Under direct supervision, performs quality control audits, reviews, or monitoring of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation. Your analytical skills will be used to identifies problems, analyzes cause and effect, and makes recommendations for improvements.

Here is your opportunity demonstrate your customer service, organization skills, and basic business math proficiency; document problems and assist in their resolution; document problems and assist in their resolution.

Description

Logistics:
This position is full-time (40 hours/week, 8 hours/day) Monday – Friday in a typical office environment. This role is onsite & is located at 8901 Farrow Road in Columbia, SC.
What You'll Do:
  • Perform routine quality audits, reviews or monitoring across various operations functions to ensure quality standards, procedures and methodologies are being followed.
  • Assist with training documentation and development of new processes and procedures.
  • Identify areas of weakness and communicates recommendations on changes and improvements to training materials.
  • Provide necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed.
To Qualify for This Position, You'll Need:
  • Effective written and verbal communication skills.
  • A High School Diploma or equivalent.
  • Knowledge of Microsoft Office applications.
  • One year of related claims processing, customer service, auditing, training, analysis or operations experience.
We Prefer You to Have:
  • One year of experience in the healthcare or insurance industry.
  • Experience working with in iFlow and MMIS, Curam or OnBase.
  • Experience in Medicaid Operations which could include experience/knowledge in Provider Enrollment, Data Entry, Provider Service Center, Nursing Home/Claims Resolution, Input Control, NHPLC or Eligibility.
What Blue Can Do for You:
Our comprehensive benefits package includes:
  • Service recognition.
  • Tuition assistance.
  • Paid annual leave — the longer you work here, the more you earn.
  • Nine paid holidays.
  • Wellness programs and a healthy lifestyle premium discount.
  • On-site cafeterias and fitness centers in major locations.
  • Subsidized health plans and free vision coverage.
  • 401(k) retirement savings plan with company match.
  • Life insurance.
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.
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. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.