Senior Quality Assurance Specialist
1 week ago
Overview
BlueCross BlueShield of South Carolina seeks a highly skilled Senior Quality Assurance Specialist to lead our provider enrollment quality control and training initiatives. This role is responsible for ensuring the accuracy of provider data, developing reporting tools, and training new analysts on PIMS and departmental policies and procedures.
Estimated Salary:$65,000 - $90,000 per year, depending on experience.
About the Role
The Senior Quality Assurance Specialist will be responsible for reviewing provider data to ensure accuracy, developing reporting tools to keep management abreast of any data error trends or issues, and working with the supervisor to address individual errors. This role will also develop and maintain departmental quality control protocol and policy and procedure manuals, ensuring any changes are properly communicated.
Responsibilities
- Review provider data to ensure accuracy
- Develop reporting tools to track data error trends
- Work with supervisor to address individual errors
- Develop and maintain quality control protocol and policy manuals
- Train new analysts on PIMS and departmental policies and procedures
- Conduct training needs analysis based on quality control results
- Recommend training materials and subject matter to management
- Serve as a resource to analysts with difficult or escalated issues
Requirements
To qualify for this position, you'll need:
- Bachelor's degree in any major OR Four (4) years of job-related work experience
- Two (2) years of provider network enrollment/certification experience (can be concurrent)
About Our Benefits
Our comprehensive benefits package includes:
- 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
Location
This role is based in South Carolina, USA, but remote work options may be available.
Language: English
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