Remote Quality Assurance Auditor

Premera Blue Cross; Beaverton (OR); Remoto; USD 48.000 - 83.000; Tempo integral

Benefícios oferecidos por esta vaga

Medical, vision, dental coverage

401K employer match

Pension plan after 3 years

Wellness resources

Paid time off

Tuition assistance

On-site parking (when applicable)

Fitness & well-being center access

Resumo da vaga

Premera Blue Cross is seeking a Quality Auditor to conduct audits across claims, enrollment, and customer service processes. You will plan and perform audits, document findings, and drive corrective actions to improve quality and compliance.

The role supports ongoing improvements and partner collaboration. The ideal candidate brings at least 3 years of related experience, including quality assurance work, and may benefit from bilingual skills and Quality 101 certification.

Qualificações

• High school diploma or GED.
• 3 years of claims, customer service or enrollment experience, including 1 year in quality audit/quality assurance.
• Bilingual proficiency in English/Spanish preferred.
• Quality 101 certification preferred.

Responsabilidades

• Audit planning and execution within defined scope; schedule resources and conduct meetings.
• Maintain knowledge of procedures, audit techniques, and reference materials for audit functions.
• Apply wide range of quality auditing tools; verify, document, communicate audit results, and evaluate corrective actions.
• Resolve audit findings through direct and respectful dialogue; identify root causes and improve procedures.
• Consult with external departments to resolve high-impact quality issues.
• Lead and facilitate team meetings on Quality Review & Reporting initiatives and incentives.
• Explain quality principles and align audit functions with organizational goals.
• Perform other duties as assigned.

Conhecimentos

Quality auditing

Customer service

Bilingual EN/ES

Formação

High school diploma or GED

Descrição da vaga

Premera Blue Cross is seeking a Quality Auditor to conduct audits across claims, enrollment, and customer service processes. You will plan and perform audits, document findings, and drive corrective actions to improve quality and compliance.

The role supports ongoing improvements and partner collaboration. The ideal candidate brings at least 3 years of related experience, including quality assurance work, and may benefit from bilingual skills and Quality 101 certification.