Quality Assurance Auditor, Specialist
Blue Shield of CA | |
United States, California, El Dorado Hills | |
4205 Town Center Boulevard (Show on map) | |
Oct 08, 2024 | |
Your Role The Provider Dispute Resolution (PDR) Quality Assurance team under Healthcare Business Operations completes a variety of quality audits on the PDR onshore and offshore teams to ensure that DMHC standards are met on a monthly basis. The Quality Assurance Auditor - Specialist will report to the Senior Manager of the Quality Assurance Audit Team. In this role you will conduct audits on the Commercial Coordinators of the PDR Team, document audit findings monthly and audit observations and trends, communicate quality issues and performance measures to supervisors immediately, provide coaching to PDR coordinator staff as needed, and conduct reviews of policies and procedures to ensure alignment with service level requirements. You will also be involved in the training of new PDR Coordinator staff as needed. Your Work In this role, you will:
Your Knowledge and Experience
Pay Range: The pay range for this role is: $ 24.48 to $ 34.27 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. |