Quality Assurance & Compliance Auditor - Hybrid

Blue Shield of CA; Long Beach (CA); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Blue Shield of California is seeking an Operational Quality Services Auditor to join our Hybrid workplace in California. You will perform production and quality control audits to measure performance and ensure adherence to specifications and quality standards.

You will conduct comprehensive quality reviews, analyze trends and root causes, and create management reports for leadership review and follow-up. The role emphasizes problem-solving, accuracy, and proactive process improvement.

Qualifications

• Bachelor's degree or HS diploma with 4 years of relevant experience.
• Knowledge in health care compliance, legislative or legal services, healthcare, privacy, audit or investigative services preferred.
• Practical knowledge of production and quality control audits typically obtained through education and experience.
• Knowledge and experience with claims processing preferred.

Responsibilities

• Perform production and quality control audits to measure performance.
• Assure adherence to established specifications and quality standards.
• Conduct comprehensive quality reviews to identify performance deficiencies.
• Create management reporting for review and follow up.

Skills

Auditing

Quality control

Data analysis

Reporting

Education

Bachelor's degree

High School Diploma/GED + 4 years experience

Job description

Blue Shield of California is seeking an Operational Quality Services Auditor to join our Hybrid workplace in California. You will perform production and quality control audits to measure performance and ensure adherence to specifications and quality standards.

You will conduct comprehensive quality reviews, analyze trends and root causes, and create management reports for leadership review and follow-up. The role emphasizes problem-solving, accuracy, and proactive process improvement.