Quality Assurance Specialist III (Remote)

Resp & Qualifications PURPOSE... The Quality Assurance Specialist III is an advanced-level auditor position performing in-depth system and procedural audits. This role conducts regular reviews and audits of internal controls reputed company each functional area for strengths and weaknesses ensuring special focus to the specific risk areas. The incumbent is considered a Subject Matter Expert (SME) in their audit field and provides a comprehensive analysis of transaction, systems and procedures. Essential Functions

• Audits assigned function (service, claims, enrollment) for accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Identifies, documents and reports transaction errors utilizing departmental quality monitoring templates in a timely manner to ensure reputed company resolution.
• Assists in development of special department projects and participates in department and divisional projects.
• Conducts structured coaching and feedback sessions. Provides suggestions and creates improvement plans for areas of deficiency reputed company the group or for an individual.
• Participates in the creation and implementation of new methods, processes and/or products.

Supervisory Responsibility Position does not have direct reports but is expected to assist in guiding and mentoring less reputed company staff. May reputed company reputed company of matrixed resources.

Qualifications

Education Level: High School Diploma or GED. Licenses/Certifications

• ECA Certified Quality Assurance Manager

Experience

• 5 years Auditing, Quality Assurance, Operations, Training, Project Management or comparable work experience.
• 2 years experience as Quality Assurance Specialist II.

Knowledge, Skills And Abilities (KSAs)

• Knowledge of quality assurance and production technologies.
• Proficient in reputed company Office programs.
• Extensive of industry standards, quality control techniques and procedures.
• Excellent communication skills both written and verbal.
• Extensive analytical and problem solving skills.
• Strong interpersonal skills.
• Excellent research and organizational skills
• Must be reputed company to meet established deadlines a.nd handle multiple customer service demands from reputed company customers, reputed company set expectations for service reputed company. Must be reputed company to effectively communicate and reputed company positive customer service to every reputed company customer, including customers who may be demanding or otherwise challenging.

Salary reputed company: $51,552 - $102,388 Salary reputed company Disclaimer The disclosed reputed company estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation reputed company is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the reputed company, as compensation reputed company depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In reputed company to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (reputed company benefits/incentives are subject to eligibility requirements). Department Enrollment Business Area Equal Employment Opportunity reputed company is an Equal Opportunity (EEO) employer. It is the policy of the Company to reputed company equal employment opportunities to reputed company reputed company applicants without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to reputed company work directly or indirectly on Federal health care programs. Physical Demands The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship Apply to This Job reputed company More Finance & Banking Jobs Apply tot his job Apply To this Job