BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina

📍 Location: South Carolina, W@H, United States

BlueCross BlueShield of SC is an insurance company with the highest A.M. Best rating, deeply rooted in South Carolina.

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Training and Quality Assurance Coordinator (W@H Anywhere)

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4 days ago
🛢️ Workday
Full Time
🏠 Remote
🟡 Junior (4 Years)
🩺 Healthcare Services Jobs
💰 Finance
✍️ Full Description
We are currently hiring for a Training and Quality Assurance Coordinator to join BlueCross BlueShield of South Carolina. In this role, you will coordinate the quality control program for the medical review area, research CMS changes, train new staff, and provide continuing education to clinical staff.

Requirements

  • Reviews medical review decisions for accuracy and to ensure CMS instructions have been applied correctly.
  • Develops/implements the quality control program used as an intense review of clinical staff's technical knowledge and evaluation of medical judgment ability.
  • Assists provider service departments with medical coverage issues to ensure continuity of application of CMS guidelines.

Benefits

  • 401(k) retirement savings plan with company match.
  • Subsidized health plans and free vision coverage.
  • Life insurance.
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