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Serves as a resource for less experienced team members, audits and evaluates service quality, reviews audit findings and appeals, updates administrative rules, works on process improvements, performs regulatory research, leads audit initiatives, and conducts vendor audits.
Job Responsibility:
Serves as a resource for less experienced team members using broad knowledge, experience, and accomplishments to assist in the attainment of department goals
trains new employees
conducts training or identifies staff training needs
provides support for complex, large, and/or critical situations
coordinates with the Quality Auditors regarding the direction received from supervisors and initiates work (e.g., assigning immediate tasks)
answers questions on procedures, policies, instructions, and assists with resolution of more complex situations
Audits, monitors, coaches, and evaluates the quality of service provided by lower-level team members
leads calibration sessions and documents issues for review and follow-up
reviews, monitors status, and makes determinations for appeals submitted by respective business units
documents quality issues and performance measures for analyst and management review
gathers information to assist in the feedback and formal education process of individual employees
Reviews audit findings
assists with analyzing audit data before quality auditor sends report to business unit
performs ad hoc audits for business units, as requested
conducts root cause analysis
provides cause and mitigation plans to reduce errors
Identifies, documents, and updates administrative rules and provides information to communications teams for documenting procedures in accordance with established format and style guidelines
updates administrative rules as appropriate
communicates changes in administrative rules and impact on operational efficiency to divisional management
acts as subject matter expert (SME) in the development of business system rules or in the education of individual employees
participates in division/department initiatives
Works with management to develop and maintain efficient work processes
serves as a project team member or leader for initiatives within the department and/or division
monitors, documents, and tracks performance objectives and service-level data and reports trends/changes to management
develops appropriate document formats (e.g., reports, spreadsheets, graphs, and/or databases), as needed, to report findings
Reviews procedures/processes and recommends enhancements, as needed, to improve efficiency, turnaround time, productivity, and quality
coordinates the implementation of system modifications or training curriculum to correspond with process changes
recommends standard operating procedures and maintains department’s documentation of approved procedures
Performs research related to SOX and other regulatory requirements for external and internal audits and prepares audit responses
Conducts audits and verifies service level agreements for external vendors/suppliers
works with vendor and business unit to provide recommendations related to errors found in audit
completes audit reports
Performs other related duties as required
Requirements:
Bachelor's Degree In Business Administration or a related field
Two to four years of applicable work experience in auditing, quality, or process improvement
Microsoft Word: Intermediate
Microsoft Excel: Intermediate
Microsoft PowerPoint: Intermediate
Ability to lead audits
Ability to review audit results data and to perform root cause analysis
Demonstrated proficiency in all auditor competencies identified in CQA Body of Knowledge
Ability to perform cross functional audits
Strong problem-solving, analytical, and teamwork/facilitating skills
Ability to objectively review audit findings and business unit appeals and to make determinations on appeals
Excellent interpersonal, communication, customer service, and telephone customer service skills to effectively interact with customers, executive management, and external business contacts
Good comprehension, writing, and grammar skills
Able to travel, as required
Nice to have:
Certified Quality Auditor(CQA) certification
Experience with group insurance specifically leave and disability
What we offer:
medical, dental, and vision coverage
prescription drug coverage
health care flexible spending
dependent care flexible spending
Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
401(k) plans
annual bonuses
an opportunity to purchase company stock
11 paid holidays
up to 20 days PTO
state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)