Remote Health Benefits Configuration Quality Auditor II

Premera Blue Cross; United States; Hybrid; USD 48,000 - 73,000; Full time

Job summary

Premera is seeking a Product & Group Configuration Quality Specialist II to audit medical, dental, and pharmacy configurations and ensure accuracy before downstream processing. You will review outputs against sources and provide clear feedback to partners to drive improvements.

Join a collaborative team focused on foundational audits, with opportunities to advance to more complex work. This role supports internal customers and contributes to high-quality benefits delivery across plans.

Qualifications

• Two (2) years of work experience in claims, customer service, membership and billing, product configuration, quality, or auditing.
• One (1) year of auditing experience, quality review, configuration audit, or comparable experience.
• SQL experience and familiarity with health insurance products are required.

Responsibilities

• Perform audits and testing of standard medical, dental, and pharmacy configuration work, including shells and entry-level final configurations.
• Analyze configuration outputs for accuracy, completeness, and consistency before downstream processing.
• Deliver clear documentation of audit findings and required corrections to configuration partners.
• Provide timely, respectful feedback to enable correction and learning.
• Identify recurring issues to support training and process improvement.
• Maintain knowledge of audit procedures and configuration standards for consistent audits.
• Participate in calibration discussions and quality reviews to promote consistency.
• Support project work aligned to team priorities.

Skills

SQL experience

Auditing experience

Healthcare experience

Feedback delivery

Health insurance products knowledge

Education

High school diploma or GED

Job description

Premera is seeking a Product & Group Configuration Quality Specialist II to audit medical, dental, and pharmacy configurations and ensure accuracy before downstream processing. You will review outputs against sources and provide clear feedback to partners to drive improvements.

Join a collaborative team focused on foundational audits, with opportunities to advance to more complex work. This role supports internal customers and contributes to high-quality benefits delivery across plans.