Remote Quality Assurance Specialist II

Premera Blue Cross; Colorado Springs (CO); Remote; USD 60,000 - 75,000; Full time

Job summary

Premera Blue Cross is seeking a Quality Auditor to conduct audits, analyze data, and communicate findings across departments. This telecommuter role emphasizes adherence to standards, root-cause analysis, and ongoing improvement of quality processes from a remote setting.

The position requires a high school diploma, at least three years in related fields including one year in quality audit, and preferred bilingual ability English/Spanish with Quality 101 certification.

Qualifications

• High school diploma or GED. (Required)
• Three (3) years of claims, customer service or enrollment work experience, which includes one (1) year of quality audit, quality control, or quality assurance experience. (Required)
• May require bilingual proficiency in a particular language (English/Spanish) with the ability to articulate messages and information clearly and accurately. (Preferred)
• Quality 101 certification. (Preferred)

Responsibilities

• Audits professionally and ethically using applicable standards.
• Plan, develop, and communicate audits within defined scope.
• Maintain current knowledge of procedural changes, audit techniques, and tools.
• Verify, document and communicate audit results, and evaluate corrective action.
• Resolve conflicts directly and respectfully, engaging in important conversations to resolve findings.
• Identify trends and root causes and recommend improvements.
• Assist in consulting with external departments to help resolve high impact issues.
• Lead and facilitate team meetings regarding Quality Review & Reporting initiatives.
• Explain quality principles as they relate to business processes and alignment with the organization.

Skills

Quality auditing

Data analysis

Root cause analysis

Auditing

Education

High school diploma

Job description

Premera Blue Cross is seeking a Quality Auditor to conduct audits, analyze data, and communicate findings across departments. This telecommuter role emphasizes adherence to standards, root-cause analysis, and ongoing improvement of quality processes from a remote setting.

The position requires a high school diploma, at least three years in related fields including one year in quality audit, and preferred bilingual ability English/Spanish with Quality 101 certification.