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BlueCross BlueShield of South Carolina · 11 hours ago

Analyst, Quality Assurance

Columbia, SC

Full-time

Onsite

Entry Level

1+ years exp

BlueCross BlueShield of South Carolina is seeking an Analyst for Quality Assurance to perform quality control audits and monitoring of departmental operations. The role involves identifying problems, analyzing causes, and making recommendations for improvements in various operations functions.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

Responsibilities

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

Qualification

Analytical skillsCustomer serviceMicrosoft OfficeBusiness math proficiencyProblem documentationProcess improvementEffective communicationOrganizational skills

Required

High School Diploma or equivalent

1-year of related claims processing, customer service, auditing, training, analysis, or operations experience

Knowledge of Microsoft Office

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

Preferred

1-year of experience in the healthcare or insurance industry

Benefits

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

Company

BlueCross BlueShield of South Carolina

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For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees