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Service Unit Quality Assurance

Blue Cross Blue Shield of Kansas

Topeka, Kansas

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JOB DETAILS
SKILLS
Access Control, Analysis Skills, Coaching, Communication Skills, Content Management, Corporate Compliance, Corporate Policies, Data Entry, Dental Insurance, Federal Laws and Regulations, Fitness, Government Regulations, Identify Issues, Incentive Programs, Information/Data Security (InfoSec), Leadership, People Management, Performance Analysis, Performance Reviews, Policy Analysis, Problem Solving Skills, Process Improvement, QoS (Quality of Service), Quality Assurance, Quality Control, Security Compliance, State Laws and Regulations, Team Player, Training Program, Training/Teaching, Vision Plan
LOCATION
Topeka, Kansas
POSTED
10 days ago
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 Service Unit production and to work and coordinate with the quality teams of Membership. Delivering feedback to representatives and leadership staff for appropriate coaching actions. Assisting with the evaluation of unit and 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 our Topeka campus. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

What you'll do

Responsibilities:
  • Perform random quality checks of Service Unit production to ensure that information sent to members is correct.
  • Meet turnaround times that ensure staff can achieve individual, departmental, and corporate goals and to ensure errors are identified and addressed at the earliest possible time.
  • Participate in and possibly lead meetings and other events as it pertains to the quality assurance goals for the company, department and unit.
  • Perform daily quality checks and reporting accuracy and completion of tasks.
  • Assists with feedback to supervision on the types of errors made. Make suggestions on coaching, procedure clarifications, and procedural changes to improve accuracy levels.
  • Enters employee accuracy data into the Service Unit Accuracy database so reports can be used for performance evaluations and reporting accuracy levels for employees, the unit, and department.
  • Meets with other employees and supervision to ensure consistency and to share ideas for improvement.
  • Serve on cross departmental or cross divisional teams/meetings as needed for supervision regarding quality, additional education, and coaching.
  • Monitor the status of work items being checked to ensure necessary corrections are completed and mailed within timeliness guidelines.
  • Answer questions on corporate policies, membership procedures, and state and federal laws as applicable to Service Unit for BCBSKS staff.
  • Must comply with corporate information security policies, standards, and guidelines related to access control.
  • Performs other job-related projects as assigned by management.

What you need

Knowledge/Skills/Abilities:
  • Knowledge of Membership systems and ability to use information to review Service Unit activities to determine if mailing content is correct. Analysis is performed across all Service Unit outgoing information to ensure both quality and timeliness.
  • Ability to analyze Membership policies, procedures, and processes.
  • Ability to identify quality control issues on new or changing products, procedures, government laws, mandates, and policies at the individual, unit, and department level.
  • Ability to communicate with supervision when additional training, procedures or materials are needed.
  • Ability to maintain productivity standards as outlined, adhere to corporate compliance program, and complete annual required trainings, while maintaining confidentiality.
  • Must be able to use judgement to interpret different quality

About the Company

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Blue Cross Blue Shield of Kansas