Quality Assurance Specialist

3 weeks ago


North Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time

We are a leading administrator of government contracts, operating one of the most sophisticated data processing centers in the Southeast.

This position is responsible for performing quality control audits to evaluate accuracy and effectiveness of departmental operations functions.

The ideal candidate will have at least one year of related claims processing, customer service, auditing, training, analysis or operations experience.

Responsibilities include:

  • Conducting focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
  • Documenting findings of analysis and preparing recommendations for implementation of new systems, procedures, or organizational changes to reduce errors.
  • Identifying areas of weakness and communicating recommendations on changes and improvements to training materials.
  • Developing and implementing a quality control and improvement program based on targets identified through the quality reviews.
  • Monitoring and evaluating the implementation of corrective action plans.
  • Compiling data, providing feedback, and generating reports for operations and/or training areas on quality performance.
  • Writing or assisting in writing desk procedures and training materials for departments.
  • Providing assistance with special projects such as testing for new business implementation or system changes, review change requests, interpret department workload, statistical reports, assist co-workers, etc.

Required qualifications include:

  • ~1 year of related claims processing, customer service, auditing, training, analysis or operations experience.
  • ~2 years of experience performing quality audits.
  • The ability to document problems and assist in their resolution.
  • The ability to document processes and identify areas for improvement.
  • Knowledge of Microsoft Office applications.
  • Strong proficiency with Excel and Access.

We are an equal opportunity employer and 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.



  • Myrtle Beach, South Carolina, United States Chili's Grill & Bar Full time

    Quality Assurance SpecialistAt Chili's Grill & Bar, we're passionate about delivering exceptional guest experiences. As a Quality Assurance Specialist, you'll play a critical role in ensuring our food meets the highest standards of quality and taste.Key Responsibilities:Prepare food to company specifications and standardsEnsure food orders are delivered...


  • North Myrtle Beach, South Carolina, United States Chili's Grill & Bar Full time

    Quality Assurance Specialist At Chili's Grill & Bar, we're committed to delivering the best experience to every Guest, every day. As a Quality Assurance Specialist, you'll play a crucial role in ensuring that our food meets the highest standards of quality and taste. Responsibilities: • Ensure food is prepared to company standards and specifications •...


  • North Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at BlueCross BlueShield of South Carolina. The successful candidate will be responsible for conducting quality control audits to evaluate the accuracy and effectiveness of departmental operations functions.Key ResponsibilitiesConduct focused quality audits across various...


  • North Myrtle Beach, South Carolina, United States PGBA Full time

    Job SummaryWe are seeking a skilled Quality Assurance Specialist to join our team at PGBA. In this role, you will be responsible for performing quality control audits to evaluate the accuracy and effectiveness of departmental operations functions.Key Responsibilities:Conduct focused quality audits across various operations functions to ensure quality...


  • North Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a highly skilled Senior Quality Assurance Specialist to join our team at BlueCross BlueShield of South Carolina. As a key member of our operations team, you will be responsible for conducting quality control audits to evaluate the accuracy and effectiveness of our departmental operations functions. Your expertise will help us...


  • North Myrtle Beach, South Carolina, United States Food Lion Full time

    Job Summary:As a Quality Assurance Associate at Food Lion, you will play a vital role in maintaining a clean, safe, and inviting shopping environment for our customers. Your primary responsibility will be to ensure that our store meets the highest standards of quality and cleanliness, minimizing shrink and adhering to company guidelines and policies.Key...


  • North Myrtle Beach, South Carolina, United States Ocean Reef Resort Full time

    The Housekeeping Quality Assurance Manager is responsible for supporting the Director and Assistant Director of Housekeeping in managing, training, and coaching housekeeping associates to ensure hotel quality standards are met.Additionally, the Quality Assurance Manager will perform regular housekeeping duties as directed by resort management.This is a...


  • Myrtle Beach, South Carolina, United States Syms Strategic Group, LLC (SSG) Full time

    Job Title: Senior Quality Assurance TesterSyms Strategic Group, LLC (SSG) is seeking a highly skilled Senior Quality Assurance Tester to join our team.Job SummaryThe Senior Quality Assurance Tester will be responsible for managing and coordinating testing events, creating test plans and test scripts, and leading testing efforts in accordance with Master Test...


  • Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryBlueCross BlueShield of South Carolina is seeking a skilled Senior Quality Assurance Auditor to join our team. As a Senior Quality Assurance Auditor, you will be responsible for conducting quality control audits to evaluate the accuracy and effectiveness of departmental operations functions. This includes identifying problems, analyzing cause and...


  • Myrtle Beach, South Carolina, United States Food Lion Full time

    Job Title: Quality Assurance Associate - Retail OperationsJob Summary: We are seeking a Quality Assurance Associate to join our team at Food Lion. As a Quality Assurance Associate, you will be responsible for maintaining standards in accordance with the standard practice manual, minimizing shrink through proper utilization of standard practice, and providing...


  • Myrtle Beach, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Job SummaryWe are seeking a highly skilled Tester II, FCMB WEB Business to join our team at BlueCross BlueShield of South Carolina. The successful candidate will be responsible for developing test plans and test matrices, conducting thorough testing, and reporting test results for system changes.Key ResponsibilitiesDevelop and execute test plans and test...


  • North Myrtle Beach, South Carolina, United States Tidelands Health Full time

    Job Summary:The Oncology Pharmacist Specialist will oversee the supervisory, distributive, and clinical functions of the pharmacy, including the prompt and accurate checking and monitoring of physician orders, patient medication profiles, and completed prescriptions. This role requires the ability to work under direct or minimal supervision and handle stress...

  • Quality Navigator

    3 weeks ago


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

    Job SummaryWe are seeking a highly skilled Quality Navigator to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for abstracting and reviewing medical records for HEDIS (Health Plan Employer Data Information Set) for both prospective and retrospective seasons to ensure compliance with NCQA (National Committee for...


  • North Charleston, South Carolina, United States Bosch Group Full time

    Job Title: Quality EngineerWe are seeking a highly skilled Quality Engineer to join our team at Bosch-Charleston. As a Quality Engineer, you will be responsible for managing customer complaints, processing customer returns, and providing internal technical support in resolving product production capability problems and defects.Key Responsibilities:Manage...


  • Myrtle Beach, South Carolina, United States Steritech Full time

    Job DescriptionWe are seeking a highly skilled Food Safety Brand Specialist to join our team at Steritech. As a key member of our team, you will be responsible for ensuring that our clients' food safety and quality standards are met.Key Responsibilities:Conduct assessments to measure conformity to established regulatory, industry, and proprietary brand...


  • Myrtle Beach, South Carolina, United States FASTSIGNS® OF MYRTLE BEACH, SC Full time

    Job DescriptionAt FASTSIGNS® of Myrtle Beach, SC, we are seeking a skilled Production & Installation Specialist to join our team. As a key member of our production team, you will be responsible for the physical production and installation of signs, ensuring high-quality results and meeting customer expectations.Responsibilities:Prepare substrates for vinyl...

  • Receiving Inspector

    4 weeks ago


    North Myrtle Beach, South Carolina, United States Olsten Full time

    Olsten is seeking a skilled Receiving Inspector to join their team in North Myrtle Beach, SC. The ideal candidate will have quality inspection and receiving experience, as well as good computer skills and the ability to learn new software programs. Responsibilities include receiving, quality checking, labeling, and storing incoming inventory, as well as...


  • Myrtle Beach, South Carolina, United States A Head for Profits Full time

    Job DescriptionCareer Opportunities in Beer ServiceWe are seeking a highly motivated and detail-oriented individual to join our team as a Draft Beer Quality Technician. As a key member of our team, you will be responsible for ensuring local bars and restaurants serve the highest quality pints of draft beer.Key Responsibilities:Clean and maintain draft beer...

  • To Go Specialist

    3 weeks ago


    North Myrtle Beach, South Carolina, United States Longhorn Steakhouse Full time

    As a To Go Specialist at Longhorn Steakhouse, you will be responsible for ensuring that food is packaged for convenience without compromising quality. This involves carefully preparing and presenting orders to meet the high standards of our guests. Additionally, you will focus on building guest loyalty by delivering accurate orders on time and maintaining a...


  • North Myrtle Beach, South Carolina, United States DispatchHealth Management Full time

    About the RoleAs a Diagnostic Imaging Specialist with DispatchHealth Management, you will play a critical role in delivering high-quality, patient-centered care in the comfort of patients' own homes. You will be responsible for performing mobile diagnostic imaging procedures, including X-rays and EKGs, in a variety of settings and locations.Key...