Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.
You Belong At Blue
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 Summary
This position is responsible for performing quality assurance for production areas and within the quality teams of Membership. Delivering feedback to representatives and leadership staff for appropriate coaching actions. Assisting in evaluation of department policies and procedures and being available to communicate, and assist others, with problem solving, coaching, and process improvements.
“This position is eligible to work onsite at the Topeka campus in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.”
What you’ll do
Responsibilities:
- Responsible for identifying areas of weakness where additional training may be needed and for communicating this information to supervisor/assistant supervisor.
- Responsible for meeting turnaround times that ensure staff can achieve individual, departmental, and corporate goals (to include MTM targets), and to ensure areas of weakness are identified and addressed at the earliest possible time.
- Assists with feedback to supervision on the types of errors made. Makes suggestions on procedure clarifications and on tools or resources to improve accuracy levels.
- Enters employee accuracy data into the Membership Accuracy data base so reports can be used for performance evaluations and reporting accuracy levels for the unit and department.
- Meets regularly with other staff and supervisors to ensure consistency and to share ideas for improvement.
- Must be able to serve on cross departmental or cross divisional teams / meetings as needed for supervision regarding quality additional education, and coaching.
- Responsible for monitoring the status of work items being checked to ensure necessary corrections are complete.
- Answer questions on corporate policies, membership procedures, and state and federal laws as applicable to Membership for BCBSKS staff.
- Must comply with corporate information security policies, standards, and guidelines relative to access control.
- Performs job related projects as assigned by management.
What you need
Knowledge/Skills/Abilities:
- Knowledge of Membership systems and ability to perform reviews and inspect new and existing contracts, groups, member and group level maintenance, benefit coding, membership finance transactions, customer service packages, and other items within the membership workflow to determine if correct action was taken. Analysis is performed across all lines of business.
- Ability to critically think about and analyze Membership policies, procedures, and processes.
- Ability to identify quality control issues on new or changing products, systems, government laws, mandates, and policies at the individual, unit, and department level to improve accuracy of the department and service to customers.
- Responsible for daily reporting accuracy and completion.
- Responsible for participating and possibly leading meetings and other events as it pertains to the quality assurance goals set by the company.
- Ability to communicate with supervision when additional reference materials are needed.
- Ability to maintain productivity standards as outlined, adhere to corporate compliance program and complete annual required trainings, while maintaining confidentiality.
- Must be able to frequently use judgement to interpret policies and procedures, critical thinking skills, situation appraisal, and problem solving.
Education and Experience:
- High school graduate or equivalent required. Additional education in business, communications, or related field is preferred.
- Six months Membership experience or one-year experience in a quality assurance or equivalent related work experience is preferred.
- Experience using Microsoft programs preferred.
- Experience with reporting and analyzing data preferred.
Physical Requirements:
- Ability to work on a PC for up to 90% of the day.
- In person attendance may be required when requested by leadership.
Compensation
$23.58- $29.40
Non- Exempt Grade 12
- Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
Our Commitment to Connection and Belonging
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.
Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.
