Quality Assurance Analyst

Description

Job Purpose :

As a member of our Quality Assurance team, you will be under direct supervision and will perform 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.

Your analytical skills will be used to identify problems, analyze cause and effect and makes recommendation for improvements.

Here is your opportunity demonstrate your customer service, organization skills, and basic business math proficiency; document problems and assist in their resolution;

document problems and assist in their resolution.

Logistics :

This position is full-time (40 hours / week, 8 hours / day) Monday Friday in a typical office environment. This role is located at 4101 Percival Road in Columbia, SC.

There is the possibility to work remotely once training is complete and performance standards are being met.

What You'll Do :

• Perform routine quality audits, reviews, or monitoring across various operations functions to ensure quality standards, procedures, and methodologies are being followed.
• Recognize and document any potential fraud and abuse situations. May provide one on one guidance to new hires upon completion of initial training.
• Provide necessary feedback or coaching to operations and training areas on errors assessed so that additional training can be initiated as needed.

Compile data and generate reports for operations areas on quality performance.

• Identify areas of weakness and communicate recommendations on changes and improvements to training materials. Document findings of analysis and prepare recommendations for implementation of new systems, procedures or organizational changes.
• Assist with training documentation and development of new processes and procedures. Remain current with all guidelines, work instructions, etc.

To Qualify for This Position, You'll Need :

• A High School Diploma or equivalent.
• One year of related claims processing, customer service, auditing, training, analysis or operations experience.
• Good analytical, customer service, and organization skills.
• Basic business math proficiency.
• The ability to document problems and assist in their resolution.
• The ability to document processes and identify areas for improvement.
• Effective written and verbal communication skills.
• Knowledge of Microsoft Office applications.

We You to Have :

• One year of experience in a healthcare or insurance industry.
• Experience with quality control.

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.
30+ days ago