Provider Enrollment Quality Assurance Specialist
4 days ago
Job Summary:
We are seeking a highly skilled Provider Enrollment Quality Control and Training Lead to join our team at BlueCross BlueShield of South Carolina.
Key Responsibilities:
- Review provider data to ensure accuracy and develop reporting tools to keep management informed of any data error trends or issues.
- Work with the supervisor to address individual errors and develop and maintain departmental quality control protocol and policy and procedure manuals.
- Train new analysts on PIMS and departmental policies and procedures, conduct training needs analysis based on quality control results, and recommend training materials and subject matter to management.
- Serve as a resource to analysts with difficult or escalated issues and work in a typical office environment with potential work from home opportunities.
Requirements:
- Bachelor's degree in any major or four years of job-related work experience.
- Two years of provider network enrollment/certification experience, which can be concurrent.
What We Offer:
Our comprehensive benefits package includes a 401(k) retirement savings plan with company match, subsidized health plans, life insurance, paid annual leave, nine paid holidays, on-site cafeterias and fitness centers, wellness programs, tuition assistance, and service recognition.
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