Senior Quality Assurance Analyst

BlueCross BlueShield of South Carolina•Florence, SC

7h•Onsite

About The Position

Performs quality control audits to evaluate the accuracy and effectiveness of departmental operations, including claims, membership, customer service/call center, workflow, processing support systems, procedures, and documentation. Identifies problems, analyzes causes and effects, and recommends improvements. This is a full-time, onsite position at the company’s Florence, South Carolina location, Monday through Friday, 8:00 a.m. to 5:00 p.m. The position requires the ability to obtain a security clearance, which requires U.S. citizenship. As the company has federal contracts subject to the Service Contract Act, employees cannot opt out of health benefits. Supplemental pay is provided until employees are enrolled in health benefits 28 days after their hire date. The role conducts audits, documents findings, recommends improvements, monitors corrective actions, reports on quality performance, supports training, and assists with special projects and process documentation.

Requirements

High school diploma or equivalent.
At least 1 year of related claims processing, customer service, auditing, training, analysis, or operations experience.
At least 2 years of experience performing quality audits.
Experience with Microsoft Office.
Strong analytical, presentation, customer service, persuasion, and organizational skills.
Strong business math proficiency.
Ability to document problems and assist in resolving them.
Ability to document processes and identify areas for improvement.
Strong written and verbal communication skills.
U.S. citizenship and ability to obtain a security clearance.

Responsibilities

Conduct focused quality audits across operations functions to verify quality standards, procedures, and methodologies are followed.
Document analysis findings and recommend new systems, procedures, or organizational changes to reduce errors.
Identify weaknesses and recommend changes or improvements to training materials.
Provide management with feedback on detected errors, ensure errors are resolved, and recommend long-range solutions to their causes.
Develop and implement a quality control and improvement program based on targets identified through quality reviews.
Monitor and evaluate the implementation of corrective action plans.
Compile data, provide feedback, and generate quality performance reports for operations and/or training areas.
Train new employees and stay current with guideline changes and work instructions.
Write or assist in writing departmental desk procedures and training materials.
Assist with special projects, including testing new business implementations or system changes, reviewing change requests, interpreting workload and statistical reports, and assisting coworkers.