{"id":3423377,"url":"https://alion.io/job/premera-quality-specialist-ii","title":"Quality Specialist II","company":{"id":18095,"name":"Premera","domain":"premera.com","url":"https://alion.io/company/premera","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":94,"open_postings":4,"ghost_share":0,"stale_share":0.25,"repost_share":0,"time_to_fill_p50_days":54,"computed_at":"2026-11-01T06:10:25Z"}},"role":"HR","role_family":"HR","seniority":"middle","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":48400,"max":72600,"currency":"USD","period":"year","gross":null,"usd_annual":72600},"salary_estimate":null,"experience_years_min":1,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-28T21:36:16Z","employer_posted_date":"2026-10-28","last_verified_at":"2026-11-01T18:02:29Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":3},"description":"Workforce Classification:\nTelecommuterJoin Our Team: Do Meaningful Work and Improve People’s Lives\nOur purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.\nPremera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.\nLearn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.\nJoin the Provider Contact Center Quality Program as a Quality Specialist II and help shape quality across our offshore operations. You’ll partner with teams to identify opportunities, strengthen quality practices, and drive improvements that make a measurable difference. The Quality Specialist II is responsible for overseeing Premera's compliance with corporate audit programs such as the Blue Cross Blue Shield Association (BCBSA) Member Touchpoint Measures (MTM) and Licensee Desk Level Audit (LDLA) and the Federal Employee Program (FEP) audit, along with ensuring compliance with state and federal laws, contracts and the achievement of corporate objectives. The Quality Specialist II performs daily examination and verification of Premera transactions, such as claims processing, customer inquiries, group and member enrollment and electronic data exchange. The Quality Specialist II monitors all quality standards for selected claims, inquiries, enrollments and/or electronic transactions for accuracy, completeness and timeliness to judge the degree of adherence to the criteria set forth by the BCBSA, FEP and corporate policy requirements. The Quality Specialist II will work in conjunction with stakeholders to identify opportunities for quality improvement throughout the company.\nWhat you will do:\n· Conduct audits in a professional, ethical and objective manner using and interpreting applicable standards/requirements.\n· Effectively plan, develop, and communicate an audit within a defined scope, including resource scheduling. Conduct necessary meetings in performance of the audit.\n· Maintain in-depth working knowledge of procedural changes, audit techniques, and plan automated systems, subsystems, and reference materials for assigned audit functions.\n· 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.\n· Resolve conflict directly and respectfully, engaging in challenging and important conversations to resolve audit findings.\n· Identify trends and the root cause of errors and recommend improved procedures/guidelines to Operations proactively.\n· Assist in consulting with external departments to help resolve high impact key business issues surrounding quality assurance.\n· Help individuals and the team become stronger by actively participating, leading and facilitating team meetings and work groups regarding Quality Review & Reporting initiatives and incentives.\n· Understand quality principles as they relate to business processes and explain the importance of aligning the audit function to the organization.\n· Other duties as assigned.\nWhat you will bring:\n· High school diploma or GED. (Required)\n· 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)\n· May require bilingual proficiency in a particular language (English/Spanish) with the ability to articulate messages and information clearly and accurately. (Preferred)\n· Quality 101 certification. (Preferred)\nWhat you will gain:\n· Build expertise in quality auditing and compliance standards.\n· Strengthen data analysis and root-cause problem-solving skills.\n· Partner across teams to drive quality improvements.\n· Gain experience communicating audit findings and recommendations.\nPhysical Requirements:\nThe following have been identified as essential physical requirements of this job and must be performed with or without an accommodation: This is primarily a sedentary role, which requires the ability to exert up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. This role requires the ability to keyboard and to communicate clearly and understandably in person, and over the telephone.\nPremera total rewards\nOur comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:\nMedical, vision, and dental coverage with low employee premiums.\n\nVoluntary benefit offerings, including pet insurance for paw parents.\n\nLife and disability insurance.\n\nRetirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.\n\nWellness 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.\n\nGenerous paid time off to reenergize.\n\nLooking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.\n\nEmployee recognition program to celebrate anniversaries, team accomplishments, and more.\n\nFor 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.\nCommuter perks make your trip to work less impactful on the environment and your wallet.\n\nFree convenient on-site parking.\n\nSubsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.\n\nParticipate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.\n\nOur complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.\n\nNeed a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.\n\nEqual employment opportunity/affirmativeaction:\nPremera is an equal opportunity/affirmativeaction employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.\nIf you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at  or via phone at 425-918-4785.\nPremera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.\nThe pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.\nThe salary range for this role is posted below; we generally target up to and around the midpoint of the range.\nNational Salary Range:\n$48,400.00 - $72,600.00 National Plus Salary Range:\n$55,200.00 - $82,800.00*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.\nWe’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.","description_format":"text","description_chars":8476,"description_truncated":false,"requirements":{"experience_years_min":1,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":false}]},"benefits":["401k plan"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-28T21:36:16Z"}],"visa":[],"liveness":{"score":90,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.903,"p_room":1,"age_days":3,"expected_fill_days":54,"reasons":["conf:10","velocity","win:early"],"computed_at":"2026-11-01T06:10:25Z"},"pay":{"stated_usd_annual":72600,"is_top_pay":false},"html_url":"https://alion.io/job/premera-quality-specialist-ii","json_url":"https://alion.io/job/premera-quality-specialist-ii.json","meta":{"generated_at":"2026-11-01T19:52:53Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":30577,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-02T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":18095},"rest":"https://alion.io/mcp/rest/get_company?id=18095"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fpremera-quality-specialist-ii"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fpremera-quality-specialist-ii"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fpremera-quality-specialist-ii"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/premera-quality-specialist-ii\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fpremera-quality-specialist-ii"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3423377}},{"tool":"search_jobs","arguments":{"company":"premera.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3423377},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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