Product Quality Specialist II

Premera Blue Cross

. Perform audits and testing of standard medical, dental, and pharmacy configuration work, including shells and entry-level final configurations .

Posted 10/30/2026full-timeRemote • United StatesJuniorMid-Level💰 $48,400 - $72,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in auditing and configuration analysis within the healthcare sector, with a strong focus on accuracy, completeness, and consistency. Proficient in providing constructive feedback and identifying trends for process improvement.

Highest-signal resume keywords

Auditing ExperienceSQL ExperienceHealthcare ExperienceConfiguration Standards KnowledgeEffective Feedback Provision

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AuditingConfiguration AnalysisQuality ReviewOperational AuditData Analysis

Soft Skills

Constructive FeedbackCommunicationProblem-Solving

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HealthcareHealth Insurance ProductsBenefit TerminologyClaimsCustomer Service

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Perform audits and testing of standard medical, dental, and pharmacy configuration work, including shells and entry-level final configurations
Analyze configuration outputs for accuracy, completeness, and consistency before downstream processing
Document audit findings and required corrections for configuration partners
Provide timely, respectful, and actionable feedback to support corrections and learning
Analyze recurring issues and error patterns to identify trends supporting training and process improvement
Maintain knowledge of audit procedures, configuration standards, mandates, and reference materials
Participate in calibration discussions and quality reviews
Support project work aligned to team priorities
Perform other duties as assigned

Requirements

What you’ll need

High school diploma or GED (Required)
Two (2) years of work experience in claims, customer service, membership and billing, product configuration, quality, or auditing, including experience using relevant systems and processes (Required)
One (1) year of auditing experience, such as quality review, configuration audit, operational audit, or comparable experience
SQL experience
Healthcare experience
Experience providing effective, constructive feedback to peers or partners to drive corrections and learning
Exposure to health insurance products and benefit terminology, including Medical, RX, and Dental, in a configuration, operations, or service environment

Benefits

Comp & perks

Medical, vision, and dental coverage with low employee premiums
Voluntary benefit offerings, including pet insurance
Life and disability insurance
Retirement programs, including a 401K employer match and a pension plan vested after 3 years of service
Wellness incentives, including mental well-being resources, counseling services, stress management programs, and mindfulness programs
Generous paid time off
Tuition assistance for undergraduate and graduate degrees
Employee recognition program
On-campus resources, networking opportunities, and team engagement for hybrid employees
Commuter perks
Free convenient on-site parking
Subsidized on-campus cafes
On-site health and wellness activities
Fitness and well-being center with in-person and virtual workouts and nutritional counseling
On-campus shuffleboard and ping pong