Remote Quality Assurance Auditor II

Premera Blue Cross; Lexington (KY); Remote; USD 34,000 - 55,000; Full time

Job summary

Premera Blue Cross is seeking a Telecommuter Quality Auditor to audit claims, enrollment, and customer service processes while upholding quality standards. You will plan, execute, and report audits, ensuring alignment with procedures and regulatory expectations.

Ideal candidates have 3 years in claims or enrollment with quality audit experience and may hold Quality 101 certification; bilingual English/Spanish is a plus. This remote role supports continuous improvement across the organization.

Qualifications

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

Responsibilities

• Audit processes professionally using applicable standards.
• Plan, develop, and communicate audits within scope; conduct meetings.
• Maintain knowledge of audit techniques and reference materials.
• Verify results, document reports, and evaluate corrective actions.
• Identify trends and root causes to improve procedures.
• Consult with external departments to resolve issues.

Skills

Quality auditing

Quality control

Quality assurance

Bilingual English/Spanish

Education

High school diploma or GED

Job description

Premera Blue Cross is seeking a Telecommuter Quality Auditor to audit claims, enrollment, and customer service processes while upholding quality standards. You will plan, execute, and report audits, ensuring alignment with procedures and regulatory expectations.

Ideal candidates have 3 years in claims or enrollment with quality audit experience and may hold Quality 101 certification; bilingual English/Spanish is a plus. This remote role supports continuous improvement across the organization.