Analyst, Quality Assurance

Summary

Under direct supervision performs quality control audits reviews or monitoring of departmental operations functions including but not limited to claims membership customer service / call center workflow processing support systems procedures documentation etc. Identifies problems analyzes cause and effect and makes recommendations for improvements.

Description

Location : This hybrid position is full-time (40-hours / week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8 : 30AM-5 : 00PM. This role is located at 17 Technology Circle Columbia SC 29203.

What Youll Do :

Performs routine quality audits reviews or monitoring across various operations functions to ensure quality standards procedures and methodologies are being followed. Recognizes and documents any potential fraud and abuse situations. May provide one-on-one guidance to new hires upon completion of initial training.

Provides necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed. Compiles data and generates reports for operations areas on quality performance.

Identifies areas of weakness and communicates recommendations on changes and improvements to training materials. Documents findings of analysis and prepares recommendations for implementation of new systems procedures or organizational changes.

Assists with training documentation and development of new processes and procedures. Remains current with all guidelines work instructions etc.

To Qualify for This Position Youll Need the Following :

Required Education : High School Diploma or equivalent

Required Work Experience : 1-year of related claims processing customer service auditing training analysis or operations experience.

Required Software and Tools : Knowledge of Microsoft Office.

Required Skills and Abilities :

Good analytical customer service and organization skills.

Basic business math proficiency.

Able to document problems and assist in their resolution.

Able to document processes and identify areas for improvement.

Effective written and verbal communication skills.

We Prefer That You Have the Following :

1-year of experience in the healthcare or insurance industry.

Our Comprehensive Benefits Package Includes the Following :

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

Subsidized health plans dental and vision coverage

401k retirement savings plan with company match

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers in major locations

Education Assistance

Service Recognition

National discounts to movies theaters zoos theme parks and more

What We Can Do for You :

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.

What To Expect Next :

After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation .

Some states have required notifications. Heres more information.

Required Experience :

IC

Key Skills

Test Cases,SQL,Quality Assurance,Agile,TFS,Jira,Software Testing,Test Automation,Cucumber,QA / QC,SDLC,Selenium

Employment Type : Full-Time

Experience : years

Vacancy : 1