Remote Quality Auditor II - Process Improvement

Premera Blue Cross; Atlanta (GA); Remoto; USD 60.000 - 85.000; Tempo pieno

Descrizione del lavoro

Premera Blue Cross is seeking a Quality Auditor to conduct audits of claims, enrollment, and customer service processes. You will plan and execute audits, communicate findings, and help drive corrective actions across departments.

The role requires 3 years of related experience including quality audit exposure, with a preference for Quality 101 certification and bilingual capability (English/Spanish). This telecommuter position offers growth in quality assurance and data-driven problem solving.

Competenze

• 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.
• Bilingual proficiency in English/Spanish may be required with clear communication.
• Quality 101 certification is preferred.

Mansioni

• Plan, develop, and communicate an audit within a defined scope, including resource scheduling.
• Conduct meetings in performance of the audit.
• Maintain knowledge of procedural changes, audit techniques, and reference materials for assigned audit functions.
• Verify, document and communicate audit results, develop an audit report, and evaluate corrective action/follow-up.
• Resolve conflicts directly and respectfully to address audit findings.
• Identify trends and root causes of errors and recommend improved procedures.
• Assist in consulting with external departments to resolve high impact quality issues.
• Lead and facilitate team meetings and work groups on Quality Review & Reporting initiatives.
• Explain how quality principles align the audit function with the organization.

Conoscenze

Quality auditing

Data analysis

Root cause analysis

Communication

Formazione

High school diploma or GED

Descrizione del lavoro

Premera Blue Cross is seeking a Quality Auditor to conduct audits of claims, enrollment, and customer service processes. You will plan and execute audits, communicate findings, and help drive corrective actions across departments.

The role requires 3 years of related experience including quality audit exposure, with a preference for Quality 101 certification and bilingual capability (English/Spanish). This telecommuter position offers growth in quality assurance and data-driven problem solving.