Senior Quality Assurance Analysts

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. Identifies problems, analyzes cause and effect, and makes recommendations for improvements.

This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is onsite at 200 North Dozier Boulevard, Florence, SC.

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. Identifies problems, analyzes cause and effect, and makes recommendations for improvements.

This position is not eligible for sponsorship now or in the future.

• 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.
• Trains 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.

• Required
  
  Education:
  
  High School Diploma or equivalent.
• Required
  
  Work Experience:
  
  1 year of related claims processing, customer service, auditing, training, analysis or operations experience.
• 2 years of experience performing quality audits.

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.

Microsoft Office.

Typical office environment.

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

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.

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.

Blue Cross Blue Shield 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…