Supervisor, Quality Assurance
BlueCross BlueShield of South Carolina
full-time
Posted on:
Location Type: Hybrid
Location: Columbia • South Carolina • United States
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About the role
- Supervises staff in conducting timely quality control audits for one or more 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.
Requirements
- Required Education: Bachelor's degree.
- Degree Equivalency: 4-years job related work experience OR Associate's and 2-years job related work experience
- Required Work Experience: 3-years of experience performing quality audits, including 1-year of related claims processing, customer service, auditing, training, analysis or operations experience.
- Required Skills and Abilities: 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
quality control auditsclaims processingcustomer serviceauditingtraininganalysisreport writingmathematical proficiencyprocedural enhancementsquality improvement process
Soft Skills
supervisionmediationnegotiationdecision makinggoal settingtraining coordinationconflict resolutioncommunicationorganizational skillsperformance management