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HM
Quality Assurance Trainer II - Bluecard
HMSAUnited Statesfull_timeVerifiedPosted 20 Jul 2026
About the role
- Conducts audits in the operational areas to include:
- Monthly audits to monitor controls and performance.
- Document and review findings with operational staff and management.
- Track audit results and spot error trends to identify training needs and process improvements.
- Perform other functions to include:
- Identify specific case/scenarios beneficial for information sharing and lead discussions of case/scenario in unit meetings.
- Conducts audit for new hires and operational staff learning new functions, transitioning to new system changes or processing procedures.
- Develop reference and training documentation and conduct training for our operational staff.
- Track and perform post-training audit to ensure training effectiveness.
- Respond to simple audit findings or inquiries from internal departments. Working with management, review findings, conduct root cause analysis, and execute follow-up action.
- Triage simple questions and issues raised by operational staff. Perform root cause analysis of processing issues. Collaborate with management and subject matter experts to resolve production issues.
- Support business or system changes.
- Review and contribute to business requirements or system changes. Represent our operational area in meetings to discuss requirements.
- Participate on project testing activities to include development of test cases, submitting test claims, validating and approving test results. Support project rollout to the operational areas.
- Review documents and attend meetings relating to business requirements or system changes
- Regularly participate in process and operational improvement activities. Complete or participate in corporate training, compliance certification or initiatives as directed by management
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
- Associate's degree and two year of related work experience; or an equivalent combination of education and related work experience.
- Strong verbal and written communications skills.
- Working knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim forms.
- Ability to develop reference and training documentation.
- Ability to coach/train staff and track and evaluate effectiveness of training.
- Keyboard and typing skills with low error rate.
- Intermediate knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
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