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Provider Enrollment Quality Control and Training Lead (PIMS)
Provider Enrollment Quality Control and Training Lead (PIMS)BlueCross BlueShield of South Carolina • Columbia, South Carolina
Provider Enrollment Quality Control and Training Lead (PIMS)

Provider Enrollment Quality Control and Training Lead (PIMS)

BlueCross BlueShield of South Carolina • Columbia, South Carolina
[job_card.30_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

Description

What You’ll Do :

  • Reviews provider data to ensure accuracy.
  • Develops reporting tools to keep management abreast of any data error trends or issues.
  • Works with the supervisor to address individual errors.
  • Develops and maintains departmental quality control protocol and policy and procedure manuals ensuring any changes are properly communicated.
  • Trains new analysts on PIMS and departmental policies and procedures.
  • Conducts training needs analysis based on quality control results.
  • Recommends training materials and subject matter to management.
  • Serves as a resource to analysts with difficult or escalated issues.
  • Work environment : Typical office environment. Travel between office buildings
  • Potential work from home when work duties allow.

To Qualify for This Position, You’ll Need :

  • Bachelor’s degree in any major OR Four (4) years of job-related work experience.
  • Two (2) years of provider network enrollment / certification experience. (Can be concurrent)

    • What Blue Can Do for You :

    Our comprehensive benefits package includes :

  • 401(k) retirement savings plan with company match
  • Subsidized health plans and free vision coverage
  • Life insurance
  • Paid annual leave — the longer you work here, the more you earn.
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness programs and a healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
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