Senior Quality Assurance Analyst

BlueCross BlueShield of South Carolina•Florence, SC

2d•Onsite

About The Position

Performs quality control audits to evaluate the accuracy and effectiveness of departmental operations, including claims, membership, customer service/call center, workflows, processing support systems, procedures, and documentation. Identifies problems, analyzes causes and effects, and recommends improvements. This is a full-time, onsite position in Florence, South Carolina, with a Monday–Friday, 8 a.m.–5 p.m. schedule. The position requires the ability to obtain a security clearance, which requires U.S. citizenship. The role conducts focused quality audits, documents findings, recommends operational improvements, and monitors corrective actions. It also supports training, reporting, procedure documentation, and special projects, including testing for new business implementations or system changes. The employer states that federal contracts are subject to the Service Contract Act. Employees cannot opt out of health benefits and will receive supplemental pay until enrolled in health benefits 28 days after hire. Employees become eligible to participate in the benefits program the first of the month following 28 days of employment.

Requirements

High school diploma or equivalent.
At least 1 year of related claims processing, customer service, auditing, training, analysis, or operations experience.
2 years of experience performing quality audits.
Microsoft Office skills.
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.
Ability to obtain a security clearance; applicants must be U.S. citizens.

Responsibilities

Conduct focused quality audits across operations functions to verify compliance with quality standards, procedures, and methodologies.
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 about detected errors, ensure errors are resolved, and recommend long-term solutions to their causes.
Develop and implement a quality control and improvement program based on targets identified through quality reviews.
Monitor and evaluate 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 for new business implementations or system changes, reviewing change requests, interpreting department workload and statistical reports, and assisting coworkers.