Senior Quality Assurance Analyst

Summary

Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc.

Florence, SC. Full time, Monday–Friday, 8am–5pm, onsite.

• Conduct focused quality audits across various operations functions to ensure standards, procedures, and methodologies are followed.
• Document findings and prepare recommendations for new systems, procedures, or changes to reduce errors.
• Identify areas of weakness and communicate recommendations on improvements to training materials.
• Provide feedback to management on detected errors, ensure resolution, and suggest long‑range solutions.
• Develop and implement a quality control and improvement program based on identified targets.
• Monitor and evaluate implementation of corrective action plans.
• Compile data, provide feedback, and generate reports for operations and or training areas on quality performance.
• Train new employees and stay current with guideline changes, work instructions, etc.
• Write or assist in writing desk procedures and training materials for departments.
• Assist with special projects such as testing new business implementations, system changes, reviewing change requests, interpreting department workload, and statistical reports.

• Education: High School Diploma or equivalent.
• Experience: 1 year of related claims processing, customer service, auditing, training, analysis or operations experience; 2 years performing quality audits.
• Security Clearance: Ability to obtain a U.S. security clearance.
• Tools: Microsoft Office.
• Skills & Abilities: Strong analytical, presentation, customer service, persuasion, organization, business math proficiency; ability to document problems, processes, and improvement areas; strong verbal and written communication.

• 401(k) retirement plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave (based on tenure)
• Nine paid holidays
• On‑site cafeterias and fitness centers at major locations
• Wellness programs and healthy lifestyle premium discount
• Tuition assistance
• Service recognition and incentive plan
• Merit plan
• Continuing education funds for certifications and renewal

Blue Cross Blue Shield of South Carolina and its subsidiary companies maintain a continuing policy of nondiscrimination in employment for all protected classes and comply with applicable laws. We are an equal opportunity employer.