Senior Quality Assurance Specialist

2 weeks ago

Florence, South Carolina, United States PGBA Full time
Job Summary

We are seeking a highly skilled Senior Quality Assurance Analyst to join our team at PGBA. As a key member of our operations team, you will be responsible for conducting quality control audits to ensure that our processes and procedures are meeting the highest standards.

Key Responsibilities
  • Conduct focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
  • Document findings of analysis and prepare recommendations for implementation of new systems, procedures, or organizational changes to reduce errors.
  • Identify areas of weakness and communicate recommendations on changes and improvements to training materials.
  • Provide feedback to management on errors detected, ensure errors are resolved, and provide long-range solutions to causes.
  • Develop and implement a quality control and improvement program based on targets identified through the quality reviews.
  • Monitor and evaluate the 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 remain current with all guideline changes, work instructions, etc.
  • Write or assist in writing desk procedures and training materials for departments.
Requirements
  • A High School Diploma or equivalent.
  • 1 year of related claims processing, customer service, auditing, training, analysis or operations experience.
  • 2 years of experience performing quality audits.
Preferred Qualifications
  • Strong proficiency with Excel and Access.
  • Prior experience with PGBA.
  • Knowledge of BlueCross systems such as CMMS.
What We Offer
  • 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 a healthy lifestyle premium discount.
  • Tuition assistance.
  • Service recognition.

We are an Equal Opportunity Employer and participate in E-Verify. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please email or call, ext with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

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