Remote Quality Audit Specialist II

Premera Blue Cross; Iowa City (IA); Remote; USD 55,000 - 85,000; Full time

Job summary

Premera Blue Cross seeks a dedicated quality auditor to conduct audits, ensure compliance, and communicate findings across claims, enrollment, and customer service functions. You will analyze data, identify root causes, and help implement improved procedures in a telecommuter role.

Ideal candidates have a high school diploma, several years of relevant experience, and may possess bilingual skills and Quality 101 certification.

Qualifications

• High school diploma or GED (Required).
• Three years of claims, customer service or enrollment work experience, including one year of quality audit/quality assurance (Required).
• Bilingual proficiency in English/Spanish may be preferred.
• Quality 101 certification may be preferred.

Responsibilities

• Conduct audits in a professional, ethical and objective manner using applicable standards.
• Plan, develop, and communicate audits within defined scope and schedule meetings.
• Maintain knowledge of procedural changes and audit techniques across systems.
• Verify, document and communicate audit results and develop reports.
• Identify trends and root causes to recommend improved procedures.

Skills

Auditing

Quality Assurance

Data Analysis

Root Cause Analysis

Education

High School Diploma

Job description

Premera Blue Cross seeks a dedicated quality auditor to conduct audits, ensure compliance, and communicate findings across claims, enrollment, and customer service functions. You will analyze data, identify root causes, and help implement improved procedures in a telecommuter role.

Ideal candidates have a high school diploma, several years of relevant experience, and may possess bilingual skills and Quality 101 certification.