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Membership Quality Assurance - Service Unit

Blue Cross Blue Shield of Kansas

Topeka, KSJobSeen 2 days agoSeen in employer's feed 2 days ago

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At a glance

Compensation
No compensation found
Location
Topeka, KS
Work Authorization
Not specified

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Job overview

Blue Cross Blue Shield of Kansas seeks a Membership Quality Assurance employee to review Service Unit production, coordinate with Membership quality teams, and provide feedback to representatives and leadership. The role supports accurate and timely member communications through quality checks, reporting, coaching suggestions, and process improvement. It is located in the company’s Topeka office and includes answering staff questions about applicable policies, procedures, and laws.

Skills & qualifications

RequiredNice to have

Skills

Quality AssuranceData AnalysisMembership SystemsMicrosoft ProgramsMembership ApplicationReportingCommunicationProductivity

Qualifications

High School Diploma or EquivalentBusiness or Related EducationCommunications or Related EducationSix Months Service Unit ExperienceOne Year Quality Assurance or Related Experience

Benefits

Paid Time Off
Parental Leave
Medical Insurance
Vision Insurance
Dental Insurance
401(k) Match
Tuition Assistance

Full job description

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13702314 Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas. Why Join Us? - Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. - Family Comes 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 SummaryThis 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. Work LocationThis position is located in our Topeka, KS office. What you'll do - 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'll need Education - High school diploma or equivalent required - Additional education in business, communications, or related field preferred Experience - Six months Service Unit experience preferred or - Minimum 1 years' experience in a quality assurance or equivalent related work experience preferred - Previous experience using Microsoft programs and Membership Application preferred - Previous experience with reporting and analyzing data preferred Travel - No travel Knowledge, Skills and 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

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