Quality Auditor I or II- #39991NK - (US-OH-Mason - 45040)

Minimum Education: Bachelors
Job Type: Full Time
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WellPoint
is the nation's leading health benefits insurer and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to be the most trusted choice for consumers and a leader in affordable quality care with an unyielding commitment to meeting the needs of our diverse customers.
Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Quality Auditor I

Examines and evaluates the accuracy of transactions in accordance with regulations and company guidelines. Identifies documents and reports any transaction errors in a timely manner to ensure prompt resolution. Applies expert knowledge in most areas. Able to perform simple functions; works under general direction. Examines and evaluates on a prepayment basis the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines. Tracks and trends audit results, providing feedback to management. Generates monthly reports of audit findings, supports clients with issued identified, develops reports to assist management with information requested. Produces other ad hoc reports as requested by internal and external clients. Performs other duties as assigned.Experience on WGS, STAR and Facets. Prior Quality Experience helpful, with at least 2 years of Customer Service Experience in Senior Business.


Quality Auditor II
Examines and evaluates the accuracy of transactions in accordance with regulations and company guidelines. Primary duties may include, but are not limited to: Identifies documents and reports any transaction errors in a timely manner to ensure prompt resolution. Applies expert knowledge in all key areas. Able to perform multiple functions; works under minimal direction. Examines and evaluates on a prepayment basis the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines. Tracks and trends audit results, providing feedback to management. Generates monthly reports of audit findings, supports clients with issued identified, develops reports to assist management with information requested. Produces other ad hoc reports as requested by internal and external clients.Experience on WGS, STAR and Facets. Prior Quality Experience helpful, with at least 2 years of Customer Service Experience in Senior Business.

Skills:
Quality Auditor I High school diploma or equivalent. 9 months to 1 year related experience. Highly advanced written, oral, communication and problem-solving skills. In-depth knowledge of specialized area. Good analytical skills. Some PC skills. Experience on WGS, STAR and Facets, preferred. Prior Quality Experience helpful, with at least 2 years of Customer Service Experience in Senior Business, Required. Quality Auditor II Requires High School diploma; 2 to 3 years related experience; or any combination of education and experience, which would provide an equivalent background. A.S. degree preferred. Experience on WGS, STAR and Facets, preferred.Prior Quality Experience helpful, with at least 2 years of Customer Service Experience in Senior Business, required. WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2008 DiversityInc magazine Top 50 Company for Diversity

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