**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:**

+ Perform quality assurance audits to investigate all aspects of the systems and/or procedures in place to ensure consistent and reliable product quality. Review the official lines of authority put in place to drive Q/A initiatives, the systems p...