Provider Enrollment Quality Control and Training Lead

2 weeks 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. As a key member of our organization, you will be responsible for ensuring the accuracy of provider data, developing reporting tools, and training new analysts on PIMS and departmental policies and procedures.

Key Responsibilities
  • Review provider data to ensure accuracy and completeness.
  • Develop and maintain departmental quality control protocols and policy and procedure 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
  • Bachelor's degree in any major or four years of job-related work experience.
  • Two years of provider network enrollment/certification experience.
What We Offer
  • Comprehensive benefits package, including 401(k) retirement savings plan, subsidized health plans, and life insurance.
  • On-site cafeterias and fitness centers in major locations.
  • Wellness programs and a healthy lifestyle premium discount.
  • Tuition assistance.
  • Service recognition.


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