Remote Quality Assurance Specialist II

Premera Blue Cross; Phoenix (AZ); Remote; USD 55,000 - 75,000; Full time

Job summary

Premera Blue Cross is seeking a quality auditor to work remotely, supporting audits across claims, customer service and enrollment processes. The role emphasizes objective analysis, reporting, and proactive improvements to quality controls.

Requirements include a high school diploma or GED, 3 years in relevant work with at least 1 year in quality functions, and preferred bilingual English/Spanish and a Quality 101 certification.

Qualifications

• High school diploma or GED required.
• Three years in claims, customer service or enrollment with at least one year in quality audit.
• Bilingual proficiency in English/Spanish preferred.
• Quality 101 certification preferred.

Responsibilities

• Conduct audits in a professional, ethical and objective manner.
• Plan, develop, and communicate an audit within a defined scope.
• Maintain knowledge of procedural changes and audit techniques.
• Verify, document and communicate audit results and corrective actions.
• Identify trends and root causes; recommend improvements.
• Consult with external departments to resolve high impact issues.

Skills

Quality auditing

Quality control

Quality assurance

Data analysis

Bilingual English/Spanish

Education

High School Diploma or GED

Quality 101 Certification

Job description

Premera Blue Cross is seeking a quality auditor to work remotely, supporting audits across claims, customer service and enrollment processes. The role emphasizes objective analysis, reporting, and proactive improvements to quality controls.

Requirements include a high school diploma or GED, 3 years in relevant work with at least 1 year in quality functions, and preferred bilingual English/Spanish and a Quality 101 certification.