Quality Specialist II

Job overview

Quality Specialist II is listed as a telecommuter role, with remote eligibility described in the posting; the listing does not identify a specific work city or state. The national salary range is $48,400–$72,600 per year; a higher-cost-market range of $55,200–$82,800 is also provided. The role supports Premera’s Provider Contact Center Quality Program and its goal of improving healthcare for customers. The role exists to assess transaction quality and compliance, identify errors and root causes, and help improve procedures across the company. Through audits, reporting, and collaboration with stakeholders, it supports accurate, complete, and timely claims, inquiries, enrollments, and electronic transactions.

What you'll do

• Conduct objective audits using applicable standards
• plan and communicate audits, including resource scheduling and meetings
• maintain knowledge of procedural changes, audit techniques, systems, and reference materials
• verify and document results, prepare reports, and evaluate corrective actions
• communicate audit findings
• identify trends and root causes and recommend improved procedures
• consult with departments on quality issues
• participate in and facilitate quality review and reporting meetings and work groups.

What we're looking for

Skills & competencies

quality specialist

quality auditing

compliance

claims processing

customer inquiries

enrollment

electronic transactions

root cause analysis

audit reporting

premera blue cross

telecommuter

high school diploma or ged

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, vision, and dental coverage
• voluntary benefits including pet insurance
• life and disability insurance
• 401(k) employer match and pension
• wellness resources
• paid time off
• tuition assistance
• employee recognition program.

Why this role

Provider Contact Center Quality Program role covering corporate audit programs and transaction quality.

About the employer

Premera Blue Cross is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.