Quality Assurance Auditor, Specialist

Blue Shield of California•Rancho Cordova, CA

2h•$26 - $41•Hybrid

About The Position

The Quality Review team completes audits of front-line staff to ensure alignment with department processes and regulatory compliance. Quality Assurance Auditors also provide coaching and work closely with business leaders to drive optimal results. The Quality Assurance Auditor, Specialist will report to the Quality Review Senior Manager. In this role you will develop performance metrics audit tools, evaluate performance, and provide coaching to ensure that staff have the skills and knowledge required to be successful in Appeals & Grievance (AGD). Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Requirements

Must have experience in auditing front-line staff
Must have experience in ensuring alignment with department processes and regulatory compliance
Must have experience in providing coaching
Must have experience working closely with business leaders
Must have experience developing performance metrics audit tools
Must have experience evaluating performance
Must have experience coaching staff on skills and knowledge required for success in Appeals & Grievance (AGD)

Nice To Haves

Energized by creative and critical thinking
Experience building and sustaining high-performing teams
Experience getting results the right way
Experience fostering continuous learning

Responsibilities

Develop performance metrics audit tools
Evaluate performance
Provide coaching to ensure staff have the skills and knowledge required to be successful in Appeals & Grievance (AGD)