Quality Assurance Coordinator

Location

This role is full time M-F 8am-5pm, onsite at our Columbia, SC location. Ability to work remotely may be available after training.

What You Will Do:

• Assigns/monitors/audits the work of the quality audit staff. Monitors workloads, generates work samples, analyzes the outputs for timeliness/quality, and ensures audit/performance/reporting deadlines are met

• Serves as subject matter expert and primary point of contact for coordination of their particular work specialty

• Represents quality assurance on workgroups/special teams and in meetings

• Assumes managerial tasks as needed and acts in a back-up capacity

• Develops work plans, objectives, priorities, methods and procedures to improve quality performance

• Writes, updates and maintains all work instructions. Creates reporting methodologies to analyze and measure effectiveness of implemented improvements

• Uses new or existing data to identify and implement qualitative and quantitative improvements focusing on prevention, planning, and quality control

• Provides training for quality audit staff

• Conducts quality targeted audits for all designated areas of responsibility as needed, to include those audits of a complex nature

• Enters quality results and data into various databases and presents audit finding to customers. Negotiates errors/handles rebuttals

• Completes monthly quality reporting for customers, trend analysis, etc

• Maintains effective on-going communication with all departments and their management, including task forces for implementation of process improvements

• Actively participates in calibration sessions, meetings, conference calls and training

• Provides leadership and support for the quality management system by gathering, synthesizing, and presenting information to all levels of division management for the purpose of determining feasibility of proposed changes

To Qualify for This Position, You Will Need:

• Required Education: Bachelors OR 4 years job related work experience or Associate's and 2 years job related work experience

• Required Software and tools: Microsoft Office

• Required work experience: 1 year of quality assurance experience.

• Required Skills and Abilities: Demonstrated leadership skills. Strong analytical, presentation, customer service, persuasion, and organization skills. Advanced business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Excellent written and verbal communication skills. Ability to produce written documentation and summarize for management level.

What We Prefer:

• Experience conducting quality audits, written reports of audit findings, proficient in Access Database, Microsoft Excel, and knowledge of AMMS/ITS claims processing

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

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 mycareer.help@bcbssc.comor call 800-288-2227, 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.

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