Quality Assurance Coordinator

Position Purpose

We are currently hiring for a Senior Quality Assurance Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Quality Assurance Coordinator, you will function as the subject matter expert and work leader for a team of operations quality auditors by assigning, monitoring and auditing their work. Ensure audits, performance, and reporting deadlines are met. Promote customer satisfaction, both internally and externally, through continuous quality assessments/improvements. Train and guide staff, develop work instructions, and assume managerial tasks in the absence of the supervisor.

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Logistics:

This position is full-time (40 hours/week, 8 hours/day) Monday – Friday in a typical office environment. This role is Work from home, but must be located near Columbia, SC for occasional onsite activities. 

What You'll 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'll Need:

• Bachelor's Degree OR Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience 1 year of quality assurance experience

• 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

• Microsoft Office

We Prefer You to Have:

• Previous Quality Assurance Analyst experience

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

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 our 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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information. 

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 minorities, females, disabled individuals and 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 physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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.