Provider Customer Service Quality Specialist Ii

Premerajobs

National salary range: $48,400.00 - $72,600.00; na...
Hybrid
Provider customer service quality
Bcbsa member touchpoint measures
Licensee desk level audit
Premera is seeking a Provider Customer Service Quality Specialist II to enhance healthcare quality through auditing and compliance. The role emphasizes collaboration, critical thinking, and continuous improvement, ideal for candidates with experience in customer service, claims processing, and quality assurance

Job Summary

  • Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary.
  • As a Quality Specialist II, you’ll build on your experience by applying critical thinking, audit expertise, and collaboration skills to strengthen processes, identify trends, and support both onshore and offshore teams.
  • Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow.

Matching Summary

Match Score: 85

Premera is seeking a Provider Customer Service Quality Specialist II to enhance healthcare quality through auditing and compliance. The role emphasizes collaboration, critical thinking, and continuous improvement, ideal for candidates with experience in customer service, claims processing, and quality assurance.

Salary

National Salary Range: $48,400.00 - $72,600.00; National Plus Salary Range: $55,200.00 - $82,800.00; Not specified

Skills & Requirements

Must-have

  • Provider Customer Service Quality
  • BCBSA Member Touchpoint Measures
  • Licensee Desk Level Audit
  • Federal Employee Program audit
  • claims processing
  • customer inquiries
  • group member enrollment
  • electronic data exchange transactions

Nice-to-have

  • drive meaningful improvements
  • partner with teams
  • continuous development
  • fostering a culture of collaboration
  • empowered to grow innovate lead

Key Requirements

  • High school diploma or GED
  • Three (3) years of claims, customer service or enrollment work experience
  • one (1) year of quality audit, quality control, or quality assurance experience
  • Experience in operating computer in a Windows environment

Work Rights

Not specified

Tailored Resume

Cover Letter