PE QC & Training Lead

Senior level position focused on improving provider data quality by auditing the work of Provider Enrollment Analysts and Senior Provider Enrollment Analysts. Develops reports to keep management informed of the overall quality control of Provider Information Management Systems (PIMS). Performs training needs assessments and recommends training courses based on issues found during the quality control process. Provides training to new analysts and ongoing developmental training to the department.

Why should you join the Blue Cross Blue Shield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts.

We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

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

Logistics: Blue Cross Blue Shield of South Carolina - About Us | Blue Cross Blue Shield of South Carolina

Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 7:00AM - 5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings.
This role is located onsite at 4101 Percival Road Columbia, SC 29229.

What You’ll Do:

• 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.

To Qualify for This Position, You’ll Need the Following:

• Required
  
  Education:
  
  Bachelor's
• Degree equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
• Required
  
  Work Experience:
  
  2 years of provider network enrollment/certification experience..

Our Comprehensive Benefits Package Includes The Following:

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

What We Can Do for You:

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.

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 our recruiter to verify resume specifics and…