Senior Provider Data QC & Training Lead

001 BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health plans

401k retirement savings with company 3

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a senior-level professional to improve provider data quality by auditing the work of Enrollment Analysts. The role develops reports to inform management about data quality trends, and trains analysts in PIMS and departmental procedures.

It requires evaluating training needs and maintaining QC protocols. The position is full-time onsite in Columbia, SC, with potential overtime and travel between buildings.

Qualifications

• Bachelor's Degree equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
• 2 years of provider network enrollment/certification experience.

Responsibilities

• Reviews provider data to ensure accuracy.
• Develops reporting tools to keep management abreast of any data error trends or issues.
• Works with the supervisor to address individual errors.
• Develops and maintains departmental quality control protocol and policy and procedure manuals ensuring any changes are properly communicated.
• Trains new analysts on PIMS and departmental policies and procedures.
• Conducts training needs analysis based on quality control results.
• Recommends training materials and subject matter to management.
• Serves as a resource to analysts with difficult or escalated issues.

Skills

Data quality

Reporting tools

Training & development

Quality control

Education

Bachelor's Degree equivalency

Tools

PIMS system

Enrollment data systems

Job description

BlueCross BlueShield of South Carolina is seeking a senior-level professional to improve provider data quality by auditing the work of Enrollment Analysts. The role develops reports to inform management about data quality trends, and trains analysts in PIMS and departmental procedures.

It requires evaluating training needs and maintaining QC protocols. The position is full-time onsite in Columbia, SC, with potential overtime and travel between buildings.