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1 Vacancy
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This role is full time MF 8am5pm onsite at our Columbia SC location. Ability to work remotely may be available after training.
What You Will Do:
Assigns/monitors/audits the work of the quality audit staff. Monitors workloads generates work samples analyzes the outputs for timeliness/quality and ensures audit/performance/reporting deadlines are met
Serves as subject matter expert and primary point of contact for coordination of their particular work specialty
Represents quality assurance on workgroups/special teams and in meetings
Assumes managerial tasks as needed and acts in a backup capacity
Develops work plans objectives priorities methods and procedures to improve quality performance
Writes updates and maintains all work instructions. Creates reporting methodologies to analyze and measure effectiveness of implemented improvements
Uses new or existing data to identify and implement qualitative and quantitative improvements focusing on prevention planning and quality control
Provides training for quality audit staff
Conducts quality targeted audits for all designated areas of responsibility as needed to include those audits of a complex nature
Enters quality results and data into various databases and presents audit finding to customers. Negotiates errors/handles rebuttals
Completes monthly quality reporting for customers trend analysis etc
Maintains effective ongoing communication with all departments and their management including task forces for implementation of process improvements
Actively participates in calibration sessions meetings conference calls and training
Provides leadership and support for the quality management system by gathering synthesizing and presenting information to all levels of division management for the purpose of determining feasibility of proposed changes
To Qualify for This Position You Will Need:
Required Education: Bachelors OR 4 years job related work experience or Associates and 2 years job related work experience
Required Software and tools: Microsoft Office
Required work experience: 1 year of quality assurance experience.
Required Skills and Abilities: Demonstrated leadership skills. Strong analytical presentation customer service persuasion and organization skills. Advanced business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Excellent written and verbal communication skills. Ability to produce written documentation and summarize for management level.
What We Prefer:
Experience conducting quality audits written reports of audit findings proficient in Access Database Microsoft Excel and knowledge of AMMS/ITS claims processing
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.
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 individuals with disabilitiesand protected 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 disabilities pregnant individuals individuals with pregnancyrelated conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.
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.
We participate in EVerify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.
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Required Experience:
IC
Full-Time