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Senior Quality Assurance Analyst

001 BlueCross and BlueShield of South Carolina

Florence, South Carolina, United States

Florence, South Carolina, United States

Über

Summary Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Location Florence, SC. Full time, Monday–Friday, 8am–5pm, onsite. What You Will Do Conduct focused quality audits across various operations functions to ensure standards, procedures, and methodologies are followed. Document findings and prepare recommendations for new systems, procedures, or changes to reduce errors. Identify areas of weakness and communicate recommendations on improvements to training materials. Provide feedback to management on detected errors, ensure resolution, and suggest long‑range solutions. Develop and implement a quality control and improvement program based on identified targets. Monitor and evaluate implementation of corrective action plans. Compile data, provide feedback, and generate reports for operations and or training areas on quality performance. Train new employees and stay current with guideline changes, work instructions, etc. Write or assist in writing desk procedures and training materials for departments. Assist with special projects such as testing new business implementations, system changes, reviewing change requests, interpreting department workload, and statistical reports. Qualifications Education: High School Diploma or equivalent. Experience: 1 year of related claims processing, customer service, auditing, training, analysis or operations experience; 2 years performing quality audits. Security Clearance: Ability to obtain a U.S. security clearance. Tools: Microsoft Office. Skills & Abilities: Strong analytical, presentation, customer service, persuasion, organization, business math proficiency; ability to document problems, processes, and improvement areas; strong verbal and written communication. Benefits 401(k) retirement plan with company match Subsidized health plans and free vision coverage Life insurance Paid annual leave (based on tenure) Nine paid holidays On‑site cafeterias and fitness centers at major locations Wellness programs and healthy lifestyle premium discount Tuition assistance Service recognition and incentive plan Merit plan Continuing education funds for certifications and renewal Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and its subsidiary companies maintain a continuing policy of nondiscrimination in employment for all protected classes and comply with applicable laws. We are an equal opportunity employer.
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Florence, South Carolina, United States

Sprachkenntnisse

English

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