Customer Service Quality Specialist II
Premera Blue Cross
full-time
Posted on:
Location Type: Remote
Location: Alaska • Arizona • United States
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Salary
💰 $48,400 - $72,600 per year
About the role
- 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.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
quality auditquality controlquality assuranceaudit techniquesresource schedulingtrend analysisroot cause analysiscorrective action evaluationprocedural improvement
Soft Skills
communicationconflict resolutionteam leadershipfacilitationactive participation
Certifications
high school diplomaGED