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Premera Blue Cross

Quality Specialist II

Remote · Full time · Mid level

$48.4k–$72.6k / year

About the role

Join the Provider Contact Center Quality Program to oversee compliance and improve quality across offshore operations. Conduct audits, verify transactions, and drive quality improvements in claims, inquiries, and enrollments.

What you’ll do

• Conduct audits professionally and objectively. • Plan and communicate audits within defined scope. • Maintain knowledge of audit techniques and systems. • Verify and document audit results. • Identify trends and recommend improvements.

What you’ll bring

• High school diploma or GED. • Three years claims, customer service or enrollment experience. • One year quality audit or assurance experience. • Preferred bilingual proficiency English/Spanish. • Preferred Quality 101 certification.

Life at Premera Blue Cross

Comprehensive benefits include medical, dental, vision, retirement plans, wellness programs, tuition assistance, and employee recognition. Flexible hybrid work options and on-campus amenities available.

About Premera Blue Cross

Premera Blue Cross is committed to improving healthcare by empowering employees to innovate and lead with purpose. Recognized as a great workplace, it serves members and communities with quality healthcare solutions.

Posted 3 hours ago