Membership Quality Assurance

Knowledge of Membership systems and ability to perform reviews and inspect new and existing contracts, groups, member and group level maintenance, benefit coding, membership finance transactions, customer service packages, and other items within the membership workflow to determine if correct action was taken. Responsible for meeting turnaround times that ensure staff can achieve individual, departmental, and corporate goals (to include MTM targets), and to ensure areas of weakness are identified and addressed at the earliest possible time.

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

You Belong At Blue

Why Join Us?

• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• FamilyComes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Professional Growth Opportunities: Advance your career with ongoing training and development programs.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
• Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
• Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks

• Base compensation is only one component of your competitive Total Rewards package
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 401(k) plan matching up to 5%
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Job Summary

This position is responsible for performing quality assurance for production areas and within the quality teams of Membership. Delivering feedback to representatives and leadership staff for appropriate coaching actions. Assisting in evaluation of department policies and procedures and being available to communicate, and assist others, with problem solving, coaching, and process improvements.

"This position is eligible to work onsite at the Topeka campus in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

What you'll do

Responsibilities:

• Responsible for identifying areas of weakness where additional training may be needed and for communicating this information to supervisor/assistant supervisor.
• Responsible for meeting turnaround times that ensure staff can achieve individual, departmental, and corporate goals (to include MTM targets), and to ensure areas of weakness are identified and addressed at the earliest possible time.
• Assists with feedback to supervision on the types of errors made. Makes suggestions on procedure clarifications and on tools or resources to improve accuracy levels.
• Enters employee accuracy data into the Membership Accuracy data base so reports can be used for performance evaluations and reporting accuracy levels for the unit and department.
• Meets regularly with other staff and supervisors to ensure consistency and to share ideas for improvement.
• Must be able to serve on cross departmental or cross divisional teams / meetings as needed for supervision regarding quality additional education, and coaching.
• Responsible for monitoring the status of work items being checked to ensure necessary corrections are complete.
• Answer questions on corporate policies, membership procedures, and state and federal laws as applicable to Membership for BCBSKS staff.
• Must comply with corporate information security policies, standards, and guidelines relative to access control.
• Performs job related projects as assigned by management.

What you need

Knowledge/Skills/Abilities:

• Knowledge of Membership systems and ability to perform reviews and inspect new and existing contracts, groups, member and group level maintenance, benefit coding, membership finance transactions, customer service packages, and other items within the membership workflow to determine if correct action was taken. Analysis is performed across all lines of business.
• Ability to critically think about and analyze Membership policies, procedures, and processes.
• Ability to identify quality control issues on new or changing products, systems, government laws, mandates, and policies at the individual, unit, and department level to improve accuracy of the department and service to customers.
• Responsible for daily reporting accuracy and completion.
• Responsible for participating and possibly leading meetings and other events as it pertains to the quality assurance goals set by the company.
• Ability to communicate with supervision when additional reference materials are needed.<