BlueCross BlueShield of South Carolina · 10 hours ago
Supervisor, Quality Assurance
Columbia, SC
Full-time
Hybrid
Mid Level
3+ years expBlueCross BlueShield of South Carolina is a healthcare organization seeking a Supervisor for their Quality Assurance department. The role involves supervising staff performing quality control activities, conducting audits, and ensuring quality improvement processes are maintained.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
Supervises staff in conducting timely quality control audits for one or more of the following functions; claims, customer service inquiries, membership, coordination of benefits, refunds, billing, etc. May also supervise staff in completing special projects including system changes. Mediates and negotiates staff conflicts, makes hiring, disciplinary and performance decisions and sets department goals or standards
Determines training priorities and coordinates internal training activities as needed. Identifies and recommends procedural enhancements to improve quality and minimize financial loss to the corporation
Prepares and reviews reports and analyses providing interpretation of production and quality standards
Maintains and updates desk procedures to ensure quality and minimize processing errors
Qualification
Required
Bachelor's degree
4-years job related work experience OR Associate's and 2-years job related work experience
3-years of experience performing quality audits, including 1-year of related claims processing, customer service, auditing, training, analysis or operations experience
Conducts audits
Prepares summary reports
Demonstrates strong proficiency in math
Maintains quality improvement process
Writes reports of audit findings
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
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.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
April Richardson
Vice President and Chief Operating Officer of Companion Benefit Alternative
Alli McGary
Talent Acquisition Partner
Recent News
2025-09-13
UPSTATE BUSINESS JOURNAL
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2025-06-03
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