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Senior Quality Assurance Specialist
2 months ago
We are seeking a highly skilled Senior Quality Assurance Analyst to join our team at BlueCross BlueShield of South Carolina. As a key member of our operations team, you will be responsible for conducting quality audits, identifying areas for improvement, and implementing corrective action plans to ensure our operations functions meet the highest standards of quality and excellence.
Key Responsibilities- Conduct Quality Audits: Perform thorough and focused quality audits across various operations functions to ensure compliance with established procedures and methodologies.
- Identify Areas for Improvement: Analyze data and identify areas where processes can be improved, and develop recommendations for implementation of new systems, procedures, or organizational changes to reduce errors.
- Develop and Implement Quality Control Programs: Design and implement quality control and improvement programs based on targets identified through quality reviews, and monitor and evaluate the implementation of corrective action plans.
- Compile and Analyze Data: Compile data, provide feedback, and generate reports for operations and training areas on quality performance.
- Train and Develop Team Members: Train new employees and remain current with all guideline changes, work instructions, and develop and implement training materials for departments.
- Education: High School Diploma or equivalent.
- Experience: 1 year of related claims processing, customer service, auditing, training, analysis, or operations experience, and 2 years of experience performing quality audits.
- Skills and Abilities: Strong analytical, presentation, customer service, persuasion, and organization skills, strong business math proficiency, ability to document problems and assist in their resolution, ability to document processes and identify areas for improvement, strong written and verbal communication skills, and knowledge of Microsoft Office applications.
- Skills and Abilities: Strong proficiency with Excel and Access, prior experience with PGBA, and knowledge of BlueCross systems such as CMMS.
- Comprehensive Benefits Package: 401(k) retirement savings plan with company match, subsidized health plans and free vision coverage, life insurance, paid annual leave, nine paid holidays, on-site cafeterias and fitness centers in major locations, wellness programs, and a healthy lifestyle premium discount.
