About the role

  • Supervising staff in conducting quality control audits at BlueCross BlueShield in Columbia. Involves mediating staff conflicts, setting standards, and training.

Responsibilities

  • 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

Job title

Supervisor, Quality Assurance

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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