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

Description Location This  role is full time M-F 8am-5pm, onsite at our Myrtle Beach, SC location.

Government Clearance :
This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.

SCA Benefit Requirements :
Blue Cross Blue Shield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

What You Will Do:

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.

To Qualify for This Position, You Will Need:

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

Required Software and tools:
Microsoft Office Required

Skills and Abilities:

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.

What We Can Do for You: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

What to Expect Next:

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 a recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

Equal Employment Opportunity Statement 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…