Senior Quality Auditor – PLADS Policy Contracts

Role Overview

• 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
• 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
• 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
• 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
• Reviews procedures/processes and recommends enhancements, as needed, to improve efficiency, turnaround time, productivity, and quality
• Performs research related to SOX and other regulatory requirements for external and internal audits and prepares audit responses
• Leads audit initiatives
• 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

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
• Certified Quality Auditor(CQA) certification preferred.
• Experience with group insurance specifically leave and disability
• Intermediate proficiency in Microsoft Word, Excel, and PowerPoint
• 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
• 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

Benefits

• 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
• opportunity to purchase company stock
• 11 paid holidays
• up to 20 days PTO to be used for any reason
• state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)
• other leaves of absence, if eligible