Senior QA Analyst — Operations & Process Improvement

001 BlueCross and BlueShield of South Carolina; Florence (SC); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health plans

Dental coverage

Vision coverage

401k retirement savings with company-m

Life Insurance

Paid Time Off

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a Quality Control Auditor to evaluate the accuracy and effectiveness of departmental operations, including claims, membership, customer service, workflow, and processing systems. You will identify problems, analyze causes, and propose improvements in a fast-paced office in Florence, SC.

The position is full-time, 40 hours per week, Monday–Friday, onsite at our Florence campus.

Qualifications

• Requires High School Diploma or equivalent.
• 1 year of related claims processing, customer service, auditing, training, analysis or operations experience.
• 2 years of experience performing quality audits.

Responsibilities

• Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
• Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors.
• Identifies areas of weakness and communicates recommendations on changes and improvements to training materials.
• Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes.
• Develops and implements a quality control and improvement program based on targets identified through the quality reviews.
• Monitors and evaluates the implementation of corrective action plans.

Skills

Analytical skills

Presentation

Customer service

Persuasion

Organization

Math proficiency

Documentation

Written communication

Verbal communication

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a Quality Control Auditor to evaluate the accuracy and effectiveness of departmental operations, including claims, membership, customer service, workflow, and processing systems. You will identify problems, analyze causes, and propose improvements in a fast-paced office in Florence, SC.

The position is full-time, 40 hours per week, Monday–Friday, onsite at our Florence campus.