Membership Quality Assurance - Service Unit

Blue Cross and Blue Shield of Kansas; Topeka (KS); On-site; USD 33,000 - 39,000; Full time

Benefits offered by this job

Health/Vision/Dental insurance

6 weeks paid parental leave

Fertility/Adoption assistance

2 weeks paid caregiver leave

401(k) plan matching up to 5%

Tuition reimbursement

Health & fitness benefits

Job summary

Blue Cross and Blue Shield of Kansas is seeking a Quality Assurance professional in Topeka, KS. The role focuses on random quality checks of Service Unit production and collaboration with the Membership team to ensure accurate member communications and timely coaching.

You will analyze policies, participate in meetings, and support process improvements with emphasis on accuracy, compliance, and confidentiality. This full-time position offers extensive benefits and growth opportunities.

Qualifications

• High school diploma or equivalent required.
• Experience with Microsoft programs and Membership Application preferred.
• Experience in quality assurance or related work preferred.
• Knowledge of membership policies and procedures helpful.

Responsibilities

• Perform random quality checks of Service Unit production to ensure information sent to members is correct.
• Meet turnaround times to help achieve department and corporate goals.
• Participate in meetings and events related to quality assurance goals.
• Perform daily quality checks and report accuracy and completion of tasks.
• Provide feedback to supervision and suggest coaching or procedural improvements.
• Enter accuracy data into the Service Unit Accuracy database for reporting.
• Collaborate with staff to maintain consistency and share improvement ideas.

Skills

Quality assurance

Membership systems

Data analysis

Microsoft programs

Education

High school diploma or equivalent

Additional education in business/communications or related field

Tools

Membership Application

Microsoft Office

Job description

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us?

• 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.

Benefits & Perks

• 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

Job Summary

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.

Work Location

This position is located in our Topeka, KS office.

What you’ll do

• 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.

What you’ll need

Education

• High school diploma or equivalent required
• Additional education in business, communications, or related field preferred

Experience

• 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

Travel

• No travel

Knowledge, Skills and Abilities

• 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.

Compensation

$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.

Our Commitment to Connection and Belonging

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.