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Quality Assurance Auditor, Advanced

Blue Shield of CA
United States, California, Rancho Cordova
Sep 20, 2025

Your Role

The Quality Review team completes audits of front-line staff to ensure alignment with department processes and regulatory compliance. Quality Assurance Auditors also provide coaching and work closely with business leaders to drive optimal results. The Quality Assurance Auditor, Experienced will report to the Quality Review Senior Manager. In this role you will develop performance metrics audit tools, evaluate performance, and provide coaching to ensure that staff have the skills and knowledge required to be successful in Behavioral Health Management Healthcare administration.

Your Knowledge and Experience

  • Requires minimum of 3 years of experience. May require vocational or technical education in addition to prior work experience

  • Requires basic job knowledge of systems and procedures obtained through prior work experience or education

  • Behavioral Health Management knowledge required, with understanding of behavioral health facility-based levels of care preferred

  • Auditing experience preferred

  • Knowledge of Health Plan operations, lines of business, general healthcare industry standards, and terminology preferred

  • Strong organizational skills to conduct audits and reporting timely

  • Attention to details and the ability to communicate effectively

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