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Quality Assurance Coordinator
2 months ago
Job Summary
We are seeking a highly skilled Quality Assurance Coordinator to join our team at BlueCross BlueShield of South Carolina. As a Quality Assurance Coordinator, you will be responsible for ensuring the quality of our services and products, and for identifying and implementing process improvements.
Key Responsibilities
- Assigns and monitors the work of quality audit staff, ensuring that all tasks are completed to a high standard.
- Monitors workloads and generates work samples to analyze timeliness and quality, ensuring that deadlines are met.
- Serves as a subject matter expert and primary point of contact for coordination of quality assurance activities.
- Represents quality assurance on workgroups and in meetings, providing leadership and support as needed.
- Develops work plans, objectives, priorities, methods, and procedures to improve quality performance.
- Writes, updates, and maintains all work instructions, ensuring that they are clear and concise.
- Creates reporting methodologies to analyze and measure the effectiveness of implemented improvements.
- Uses data to identify and implement qualitative and quantitative improvements, focusing on prevention, planning, and quality control.
- Provides training for quality audit staff, ensuring that they have the skills and knowledge needed to perform their jobs effectively.
- Conducts quality targeted audits for all designated areas of responsibility, including complex audits.
- Enters quality results and data into various databases and presents audit findings to customers, negotiating errors and handling rebuttals.
- Completes monthly quality reporting for customers, including trend analysis.
- Maintains effective communication with all departments and their management, including task forces for implementation of process improvements.
Requirements
- Bachelor's degree or equivalent work experience.
- 1 year of quality assurance experience.
- Microsoft Office skills.
- Demonstrated leadership skills, strong analytical and presentation skills, and excellent written and verbal communication skills.
Preferred Qualifications
- ACA experience.
- Medicare advantage experience.
- Insurance sales experience.
Our Benefits
- 401(k) retirement savings plan with company match.
- Fantastic health plans and free vision coverage.
- Life insurance.
- Paid annual leave and nine paid holidays.
- On-site cafeterias and fitness centers.
- Wellness programs and a healthy lifestyle premium discount.
- Tuition assistance.
- Service Recognition.
About Us
We are a diverse and inclusive workplace that values the unique abilities of our employees. We strive to create a work environment where employees can develop their skills, advance their careers, and contribute to the growth of our company.
