Senior Quality Assurance Analyst

About the role

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. Identifies problems, analyzes cause and effect, and makes recommendations for improvements. Location This role is full time M-F 8am-5pm, onsite at our Florence, SC location. Government Clearance : This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements : BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

Responsibilities

• Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed
• Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors
• Identifies areas of weakness and communicates recommendations on changes and improvements to training materials
• Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes
• Develops and implements a quality control and improvement program based on targets identified through the quality reviews
• Monitors and evaluates the implementation of corrective action plans
• Compiles data, provides feedback, and generates reports for operations and/or training areas on quality performance
• Train new employees and remains current with all guideline changes, work instructions, etc
• Writes or assists in writing desk procedures and training materials for departments.
• Provides assistance with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc.
• To Qualify for This Position, You Will Need:
• Required Education: High School Diploma OR equivalent
• Required Work Experience : 1 year of related claims processing, customer service, auditing, training, analysis or operations experience. 2 years of experience performing quality audits
• Required Software and tools: Microsoft Office
• What We Can Do for You:
• 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 healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Incentive Plan
• Merit Plan
• Continuing education funds for additional certifications and certification renewal
• 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 a recruiter to verify resume specifics and salary requirements.
• Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
• Equal Employment Opportunity Statement
• If you need special assistance or an accommo

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