BlueCross BlueShield of South Carolina · 1 month ago
Lead, PE QC & Training
Columbia, SC
Full-time
Onsite
Mid, Senior Level
2+ years expBlueCross BlueShield of South Carolina is focused on improving provider data quality. The role involves auditing the work of Provider Enrollment Analysts, developing reports on data quality, and providing training to new analysts.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
Reviews provider data to ensure accuracy
Develops reporting tools to keep management abreast of any data error trends or issues
Works with the supervisor to address individual errors
Develops and maintains departmental quality control protocol and policy and procedure manuals ensuring any changes are properly communicated
Trains new analysts on PIMS and departmental policies and procedures
Conducts training needs analysis based on quality control results
Recommends training materials and subject matter to management
Serves as a resource to analysts with difficult or escalated issues
Qualification
Required
Bachelor's Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
2 years of provider network enrollment/certification experience
Benefits
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
Company
BlueCross BlueShield of South Carolina
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.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
April Richardson
Vice President and Chief Operating Officer of Companion Benefit Alternative
Alli McGary
Talent Acquisition Partner
Recent News
2025-09-13
UPSTATE BUSINESS JOURNAL
2025-09-03
2025-06-03
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