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Quality Assurance Analyst

2 months ago


Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time
Quality Assurance Analyst

We are seeking a highly skilled Quality Assurance Analyst to join our team at BlueCross BlueShield of South Carolina. As a Quality Assurance Analyst, you will be responsible for conducting quality control audits to evaluate the accuracy and effectiveness of our departmental operations functions.

Key Responsibilities:

  • Conduct focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
  • 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.

Requirements:

  • High School Diploma or equivalent.
  • One year of related claims processing, customer service, auditing, training, analysis, or operations experience.
  • Two years of experience performing quality audits.

Preferred Qualifications:

  • One year of experience in a healthcare or insurance industry.
  • Experience with auditing calls and claims.

What We Offer:

  • 401(k) retirement savings plan with company match.
  • Fantastic 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 significant locations.
  • Wellness programs and a healthy lifestyle premium discount.
  • Tuition assistance.
  • Service Recognition.

About Us:

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.

Equal Employment Opportunity Statement:

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status.