Provider Enrollment Quality Assurance Specialist

1 month ago


Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full time

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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