Business Quality Assurance Specialist
4 days ago
Job Description
Company OverviewBlueCross BlueShield of South Carolina is a leading healthcare provider committed to delivering high-quality services to its customers. Our team is dedicated to ensuring that our operations meet the highest standards, and we are seeking a skilled Quality Control Auditor to join our team.
Job SummaryThis role will be responsible for performing quality control audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
Responsibilities- Perform routine quality audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
- Recognize and document any potential fraud and abuse situations.
- May provide one on one guidance to new hires upon completion of initial training.
- Provides necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed.
- Compiles data and generates reports for operations areas on quality performance.
- Identifies areas of weakness and communicates recommendations on changes and improvements to training materials.
- Documents findings of analysis and prepares recommendations for implementation of new systems, procedures or organizational changes.
- Assists with training documentation and development of new processes and procedures.
To be successful in this role, you will need:
- Good analytical, customer service, and organization skills.
- Basic business math proficiency.
- Able to document problems and assist in their resolution.
- Able to document processes and identify areas for improvement.
- Effective written and verbal communication skills.
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