Remote Quality Auditor II: Elevate Healthcare Quality

Premera Blue Cross; Salem (OR); Ibrido; USD 48.000 - 83.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, vision, and dental coverage

401K employer match

Pension plan

Tuition assistance

Commuter perks

On-site parking

Wellness resources

Descrizione del lavoro

Premera Blue Cross is seeking a quality auditor to perform audits across claims, enrollment, and customer service. You will develop audit plans, interpret standards, and report findings with actionable improvements.

The role emphasizes collaboration with multiple teams to strengthen quality controls. Ideal candidates bring a solid auditing background, troubleshooting skills, and the ability to communicate findings clearly.

Competenze

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

Mansioni

• Conduct audits professionally and objectively using applicable standards.
• Plan, develop, and communicate audits within defined scope and resources.
• Maintain knowledge of audit techniques and reference materials.
• Verify, document, communicate audit results and evaluate corrective actions.
• Identify trends and root causes to recommend improvements.
• Collaborate with external departments to resolve high-impact issues.
• Lead and facilitate meetings related to quality review and reporting.

Conoscenze

Auditing

Quality control

Communication

Bilingual English/Spanish

Formazione

High school diploma or GED

Descrizione del lavoro

Premera Blue Cross is seeking a quality auditor to perform audits across claims, enrollment, and customer service. You will develop audit plans, interpret standards, and report findings with actionable improvements.

The role emphasizes collaboration with multiple teams to strengthen quality controls. Ideal candidates bring a solid auditing background, troubleshooting skills, and the ability to communicate findings clearly.