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Resp & Qualifications
PURPOSE:
Responsible for systematic investigations of a specific area of operations (i.e., claims, customer service, enrollment) within the organization. Incumbent conducts a variety of audit activities which may include, but not be limited to, process audits where there is a technology component, operational audits involving internal and/or external process and procedures, and audits of vendors/partner contracted services. In addition, the incumbent is responsible for ensuring QA testing is thorough and accurate in ensuring the audits under review adhere to company policies and procedures, audit methodologies, BCBSA guidelines and all applicable regulations.
ESSENTIAL FUNCTIONS:
QUALIFICATIONS:
Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 3 years Auditing experience.
Knowledge, Skills and Abilities (KSAs)
Salary Range: $54,072 - $107,393
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range 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 range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
Enrollment Business Area - Qua
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, 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 perform 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
#LI-DM1
Full Time
$79k-95k (estimate)
12/14/2023
05/04/2024
carefirst.co...
MD
<25
The job skills required for Quality Assurance Auditor (Remote) include Auditing, Customer Service, Problem Solving, Initiative, Communicates Effectively, Decision Making, etc. Having related job skills and expertise will give you an advantage when applying to be a Quality Assurance Auditor (Remote). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Quality Assurance Auditor (Remote). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Quality Assurance Auditor (Remote) positions, which can be used as a reference in future career path planning. As a Quality Assurance Auditor (Remote), it can be promoted into senior positions as a Claims Quality Auditor II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Quality Assurance Auditor (Remote). You can explore the career advancement for a Quality Assurance Auditor (Remote) below and select your interested title to get hiring information.
If you are interested in becoming a Quality Assurance Auditor, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Quality Assurance Auditor for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Quality Assurance Auditor jobs
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Step 3: View the best colleges and universities for Quality Assurance Auditor.