Membership Quality Assurance - Service Unit
Blue Cross & Blue Shield of Kansas, Inc.
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Benefits offered by this job
Job summary
Blue Cross and Blue Shield of Kansas is seeking a Quality Assurance professional to perform QA for Service Unit production and coordinate with membership quality teams. You will deliver feedback to representatives and leadership staff for coaching actions and assist in evaluating policies and procedures.
You will communicate to others, help improve processes, and support problem-solving across departments while ensuring compliance and accuracy in member communications.
Qualifications
- Must have basic QA knowledge or experience.
- Familiarity with data reporting and analysis desired.
- Strong attention to detail and problem solving.
Responsibilities
- Perform random quality checks of Service Unit production to ensure information sent to members is correct.
- Meet turnaround times to help staff achieve goals and identify errors early.
- Lead or participate in meetings on QA goals for the company, department and unit.
- Perform daily quality checks and report accuracy of tasks.
Skills
Education
Tools
Job description
Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
Family Comes First: Total rewards package that promotes the idea of family first for all employees.
Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
Professional Growth Opportunities: Advance your career with ongoing training and development programs.
Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.
- Base compensation is only one component of your competitive Total Rewards package.
- Incentive pay program (EPIP).
- Health/Vision/Dental insurance.
- 6 weeks paid parental leave for new mothers and fathers.
- Fertility/Adoption assistance.
- 2 weeks paid caregiver leave.
- 401(k) plan matching up to 5%.
- Tuition reimbursement.
- Health & fitness benefits, discounts and resources.
This position is responsible for performing quality assurance for Service Unit production and to work and coordinate with the quality teams of Membership. Delivering feedback to representatives and leadership staff for appropriate coaching actions. Assisting with the evaluation of unit and department policies and procedures and being available to communicate, and assist others, with problem solving, coaching, and process improvements.
This position is located in our Topeka, KS office.
- Perform random quality checks of Service Unit production to ensure that information sent to members is correct.
- Meet turnaround times that ensure staff can achieve individual, departmental, and corporate goals and to ensure errors are identified and addressed at the earliest possible time.
- Participate in and possibly lead meetings and other events as it pertains to the quality assurance goals for the company, department and unit.
- Perform daily quality checks and reporting accuracy and completion of tasks.
- Assists with feedback to supervision on the types of errors made.
- Make suggestions on coaching, procedure clarifications, and procedural changes to improve accuracy levels.
- Enters employee accuracy data into the Service Unit Accuracy database so reports can be used for performance evaluations and reporting accuracy levels for employees, the unit, and department.
- Meets with other employees and supervision to ensure consistency and to share ideas for improvement.
- Serve on cross departmental or cross divisional teams/meetings as needed for supervision regarding quality, additional education, and coaching.
- Monitor the status of work items being checked to ensure necessary corrections are completed and mailed within timeliness guidelines.
- Answer questions on corporate policies, membership procedures, and state and federal laws as applicable to Service Unit for BCBSKS staff.
- Must comply with corporate information security policies, standards, and guidelines related to access control.
- Performs other job-related projects as assigned by management.
- High school diploma or equivalent required.
- Additional education in business, communications, or related field preferred.
- Six months Service Unit experience preferred or Minimum 1 years’ experience in a quality assurance or equivalent related work experience preferred.
- Previous experience using Microsoft programs and Membership Application preferred.
- Previous experience with reporting and analyzing data preferred.
No travel.
- Knowledge of Membership systems and ability to use information to review Service Unit activities to determine if mailing content is correct.
- Analysis is performed across all Service Unit outgoing information to ensure both quality and timeliness.
- Ability to analyze Membership policies, procedures, and processes.
- Ability to identify quality control issues on new or changing products, procedures, government laws, mandates, and policies at the individual, unit, and department level.
- Ability to communicate with supervision when additional training, procedures or materials are needed.
- Ability to maintain productivity standards as outlined, adhere to corporate compliance program, and complete annual required trainings, while maintaining confidentiality.
- Must be able to use judgement to interpret different quality situations, critical thinking skills, and problem solving.
$24.11 - $28.60 hourly
Non-Exempt Grade 12 Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.
For more than 70 years, Blue Cross and Blue Shield of Kansas has built a reputation of trust. As we move forward in this new era of health care we want to continue that tradition. Whether a member needs Blue Cross to cover an annual check-up or give them peace of mind during a major medical crisis, we want our members to know they can trust BCBSKS to meet their needs. Our mission: Being the insurer Kansans trust with their health.
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.
For more than 70 years, Blue Cross and Blue Shield of Kansas has built a reputation of trust. As we move forward in this new era of health care we want to continue that tradition. Whether a member needs Blue Cross to cover an annual check-up or give them peace of mind during a major medical crisis, we want our members to know they can trust BCBSKS to meet their needs. Our mission: Being the insurer Kansans trust with their health.
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