Remote Quality Assurance Specialist II

Premera Blue Cross; Saint Paul (MN); Remote; USD 60,000 - 85,000; Full time

Job summary

Premera Blue Cross in Minnesota is seeking a dedicated Quality Auditor to perform audits across claims, enrollment, and customer service domains. The role emphasizes ethical auditing, documentation of findings, and collaboration with cross-functional teams to ensure compliance with regulatory and internal standards.

The position requires at least three years of relevant experience, including one year in quality assurance, with a preference for bilingual English/Spanish skills and a Quality 101

Qualifications

• Three years of claims, customer service or enrollment work experience, including one year of quality audit/quality assurance.
• Bilingual proficiency in English/Spanish may be required.
• Quality 101 certification is preferred.

Responsibilities

• Conduct audits in a professional, ethical and objective manner using applicable standards/requirements.
• Plan, develop, and communicate an audit scope, including resource scheduling.
• Maintain knowledge of procedural changes and audit techniques for assigned functions.
• Verify, document and communicate audit results, develop an audit report, and evaluate corrective actions.
• Identify trends and root causes of errors and recommend improved procedures.

Skills

Quality auditing

Customer service

Enrollment experience

Bilingual English/Spanish

Education

High school diploma or GED

Job description

Premera Blue Cross in Minnesota is seeking a dedicated Quality Auditor to perform audits across claims, enrollment, and customer service domains. The role emphasizes ethical auditing, documentation of findings, and collaboration with cross-functional teams to ensure compliance with regulatory and internal standards.

The position requires at least three years of relevant experience, including one year in quality assurance, with a preference for bilingual English/Spanish skills and a Quality 101