Logistics: National Alliance one of BlueCross BlueShields South Carolina subsidiary companies.

Location: This hybrid position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. This role is located at 4101 Percival Road Columbia SC 29229.

What Youll Do:

• Supervises staff in conducting timely quality control audits for one or more of the following functions; claims customer service inquiries membership coordination of benefits refunds billing etc. May also supervise staff in completing special projects including system changes. Mediates and negotiates staff conflicts makes hiring disciplinary and performance decisions and sets department goals or standards.

• Determines training priorities and coordinates internal training activities as needed. Identifies and recommends procedural enhancements to improve quality and minimize financial loss to the corporation.

• Prepares and reviews reports and analyses providing interpretation of production and quality standards.

• Maintains and updates desk procedures to ensure quality and minimize processing errors.

To Qualify for This Position Youll Need the Following:

• Required Education: Bachelors degree.

• Degree Equivalency: 4-years job related work experience OR Associates and 2-years job related work experience

• Required Work Experience: 3-years of experience performing quality audits including 1-year of related claims processing customer service auditing training analysis or operations experience.

• Required Skills and Abilities:

  • Conducts audits

  • Prepares summary reports

  • Demonstrates strong proficiency in math

  • Maintains quality improvement process

  • Writes reports of audit findings

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Subsidized health plans dental and vision coverage

• 401k retirement savings plan with company match

• Life Insurance

• Paid Time Off (PTO)

• On-site cafeterias and fitness centers in major locations

• Education Assistance

• Service Recognition

• National discounts to movies theaters zoos theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.

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.

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 pregnancy-related 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 call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.

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