Senior Quality Assurance Analyst
Senior Quality Assurance Analyst
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Job Description
Summary
Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including but not limited to claims membership customer service/call center workflow processing support systems procedures documentation etc. Identifies problems analyzes cause and effect and makes recommendations for improvements.
Description
Location: This role is full time MF 8am5pm onsite at 300 N Dozier Blvd Florence SC 29501.
Government Clearance: This position requires the ability to obtain a security clearance which requires applicants to be a U.S. Citizen.
SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamaraOHara Service Contract Act (SCA) employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.
What You Will Do:
Conduct focused quality audits across various operations functions to ensure quality standards procedures and methodologies are followed
Document analysis findings and prepare recommendations for implementing new systems procedures or organizational changes to reduce errors
Identify weaknesses and communicate recommendations on changes and improvements to training materials
Provide feedback to management on errors detected ensure errors are resolved and provide longrange solutions to causes
Develop and implement a quality control and improvement program based on targets identified through the quality reviews
Monitor and evaluate the implementation of corrective action plans
Compile data provide feedback and generate reports on quality performance for operations and/or training areas
Train new employees and remain current with all guideline changes work instructions etc. Writes or assists in writing desk procedures and training materials for departments
Assist with special projects such as testing for new business implementation or system changes reviewing change requests interpreting department workload and statistical reports assisting coworkers etc
To Qualify for This Position You Will Need:
Required Education: High School Diploma OR equivalent
Required Work Experience: One 1 year of related claims processing customer service auditing training analysis or operations experience OR two 2 years of experience performing quality audits.
Required Software and tools: Microsoft Office
Required Skills and Abilities: Strong analytical presentation customer service persuasion and organization skills strong business math proficiency able to document problems and assist in their resolution able to document processes and identify areas for improvement strong written and verbal communication skills
What We Prefer:
Background in quality assurance or quality analysis
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
Onsite 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 EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Heresmore information.
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 email or callext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a casebycase basis.
Required Experience:
Senior IC
Employment Type
Full-Time
