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Strategic Plan Quality & Performance Reviewer
Job in
Biloxi, Harrison County, Mississippi, 39531, USA
Listed on 2026-08-12
Listing for:
Blue Cross & Blue Shield of Mississippi
Full Time
position Listed on 2026-08-12
Job specializations:
-
Quality Assurance - QA/QC
Quality Engineering
Job Description & How to Apply Below
Blue Cross & Blue Shield of Mississippi is seeking a Plan Performance and Quality Reviewer to evaluate the adequacy of internal and operational controls, ensuring quality outcomes. The role conducts quality reviews of claims adjudication, membership, and customer service functions and reports opportunities for performance improvements.
The incumbent coordinates audits related to MTM and PIP to ensure points are met by the Plan and maintains rigorous documentation and communication with
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