Senior Quality Assurance Analyst — Process & Training Leader

Blue Cross Blue Shield Association; Florence (SC); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Subsidized health plans

401k retirement savings plan with公司

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts to movies, theaters

Job summary

BlueCross BlueShield of South Carolina is seeking a Quality Auditor to perform focused audits across claims, membership, and customer service operations at our Florence, SC facility. The role emphasizes identifying root causes, documenting findings, and implementing improvement plans within a full-time, onsite team.

You will train staff, help develop desk procedures, and generate actionable reports while ensuring compliance with guidelines and federal requirements.

Qualifications

• 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.
• Proficiency in Microsoft Office.

Responsibilities

• Conducts focused quality audits across various operations to ensure quality standards and adherence to procedures.
• Documents findings and prepares recommendations for new systems, procedures, or changes to reduce errors.
• Identifies weaknesses and communicates improvements to training materials and procedures.
• Provides feedback to management, ensures errors are resolved, and suggests long-range corrective actions.
• Develops and implements a quality control program based on audit targets and results.
• Monitors implementation of corrective action plans and evaluates outcomes.
• Generates reports for operations and training on quality performance.
• Trains new employees and stays current with guideline changes and desk procedures.

Skills

Analytical skills

Customer service

Auditing

Documentation

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a Quality Auditor to perform focused audits across claims, membership, and customer service operations at our Florence, SC facility. The role emphasizes identifying root causes, documenting findings, and implementing improvement plans within a full-time, onsite team.

You will train staff, help develop desk procedures, and generate actionable reports while ensuring compliance with guidelines and federal requirements.