Remote Quality Auditor II — Process Improvement

Premera Blue Cross; Columbia (SC); Remoto; USD 55.000 - 75.000; Tempo integral

Resumo da vaga

Premera Blue Cross is seeking a Telecommuter Quality Auditor to conduct professional audits, interpret standards, and communicate results. You will plan audits, maintain up-to-date practices, and work with cross-functional teams to improve processes and ensure quality across operations.

The role emphasizes data analysis, root-cause investigation, and collaborative problem-solving, with bilingual proficiency preferred and a Quality 101 mindset to drive continuous improvement.

Qualificações

• High school diploma or GED.
• 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.
• May require bilingual proficiency in a particular language (English/Spanish) with the ability to articulate messages and information clearly and accurately.
• Quality 101 certification (preferred).

Responsabilidades

• Conduct audits in a professional, ethical and objective manner using and interpreting applicable standards/requirements.
• Plan, develop, and communicate an audit within a defined scope, including resource scheduling.
• Maintain knowledge of procedural changes, audit techniques, and reference materials for assigned functions.
• Verify, document and communicate audit results, develop an audit report, and evaluate corrective action/follow-up.
• Resolve conflicts directly and respectfully, engaging in conversations to resolve audit findings.
• Identify trends and root causes of errors and recommend improved procedures.
• Assist in consulting with external departments to help resolve high impact issues surrounding quality assurance.
• Help the team by participating, leading and facilitating meetings regarding Quality Review & Reporting initiatives.
• Explain how quality principles relate to business processes and align the audit function to the organization.
• Other duties as assigned.

Conhecimentos

Auditing

Quality assurance

Data analysis

Root-cause analysis

Formação

High school diploma or GED

Descrição da vaga

Premera Blue Cross is seeking a Telecommuter Quality Auditor to conduct professional audits, interpret standards, and communicate results. You will plan audits, maintain up-to-date practices, and work with cross-functional teams to improve processes and ensure quality across operations.

The role emphasizes data analysis, root-cause investigation, and collaborative problem-solving, with bilingual proficiency preferred and a Quality 101 mindset to drive continuous improvement.