Premera Blue Cross

Improve customers' lives by making healthcare work better.

Customer Service Quality Specialist II

Customer SupportCustomer SupportFull TimeRemoteTeam 1,001-5,000Since 1945H1B SponsorCompany SiteLinkedIn

Location

Alaska + 26 moreAll locations: Alaska, Arizona, California, Colorado, Florida, Idaho, Iowa, Kansas, Kentucky, Maine, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Michigan, Minnesota, Missouri, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin

Posted

5 days ago

Salary

$48.4K - $72.6K / year

High School3 yrs expEnglish

Job Description

• Effectively plan, develop, and communicate an audit within a defined scope, including resource scheduling. • Conduct necessary meetings in performance of the audit. • Maintain in-depth working knowledge of procedural changes, audit techniques, and plan automated systems, subsystems, and reference materials for assigned audit functions. • Responsible for a wide variety of quality auditing tools and techniques. • Verify, document and communicate audit results, develop an audit report, and evaluate the effectiveness of corrective action/follow-up. • Resolve conflict directly and respectfully, engaging in challenging and important conversations to resolve audit findings. • Identify trends and the root cause of errors and recommend improved procedures/guidelines to Operations proactively. • Assist in consulting with external departments to help resolve high impact key business issues surrounding quality assurance. • Help individuals and the team become stronger by actively participating, leading and facilitating team meetings and workgroups regarding Quality Review & Reporting initiatives and incentives. • Understand quality principles as they relate to business processes and explain the importance of aligning the audit function to the organization. • Other duties as assigned.

Job Requirements

  • High school diploma or GED (Required).
  • 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 (Required).
  • Experience in operating computer in a Windows environment, including Visio, Access and Power point and Internet (DSHS, OIC regulations, HCFA, Public use files, etc.).

Benefits

  • Medical, vision, and dental coverage with low employee premiums.
  • Voluntary benefit offerings, including pet insurance for paw parents.
  • Life and disability insurance.
  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
  • Generous paid time off to reenergize.
  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.
  • For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
  • Commuter perks make your trip to work less impactful on the environment and your wallet.
  • Free convenient on-site parking.
  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
  • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

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