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BlueCross BlueShield of South Carolina · 3 days ago

Senior Quality Assurance Analyst

Florence, SC

Full-time

Onsite

Mid, Senior Level

2+ years exp

BlueCross BlueShield of South Carolina is seeking a Senior Quality Assurance Analyst to perform quality control audits across various operations functions. The role involves evaluating accuracy and effectiveness, identifying problems, and recommending improvements to enhance departmental operations.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed

Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors

Identifies areas of weakness and communicates recommendations on changes and improvements to training materials

Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes

Develops and implements a quality control and improvement program based on targets identified through the quality reviews

Monitors and evaluates the implementation of corrective action plans

Compiles data, provides feedback, and generates reports for operations and/or training areas on quality performance

Train new employees and remains current with all guideline changes, work instructions, etc

Writes or assists in writing desk procedures and training materials for departments

Provides assistance with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc

Qualification

Quality auditsAnalytical skillsMicrosoft OfficeCustomer serviceTraining experienceBusiness math proficiencyPresentation skillsPersuasion skillsOrganizational skillsWritten communicationVerbal communication

Required

High School Diploma OR equivalent

1 year of related claims processing, customer service, auditing, training, analysis or operations experience

2 years of experience performing quality audits

Microsoft Office

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

Benefits

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

On-site 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

Company

BlueCross BlueShield of South Carolina

Glassdoor3.6

For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees