Product and Group Configuration Quality Specialist II

Premera Blue Cross•WA Western Telecommuter, WA

11d•$48,400 - $82,800•Remote

About The Position

The Product & Group Configuration Quality Specialist II supports accurate customer benefit delivery by auditing product configuration and group setup across medical, dental, and pharmacy. The role reviews configuration outputs against source documentation and established standards, identifies discrepancies, and ensures corrections are completed before downstream processing impacts occur. It contributes to quality and consistency through clear, actionable feedback and the application of standard audit practices. The work begins with foundational audits and progresses to more complex audits as proficiency increases. This is an opportunity for an internal candidate to build on knowledge of Premera’s business, systems, and customers while developing expertise in product and group configuration quality. The role is part of a collaborative team and supports continuous improvement in the quality of the customer experience.

Requirements

High school diploma or GED.
Two years of work experience in one or more of the following areas: claims, customer service, membership and billing, product configuration, quality, or auditing, including experience using relevant systems and processes.
One 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.

Responsibilities

Perform audits and testing of standard medical, dental, and pharmacy configuration work, including shells and entry-level final configurations, to verify alignment with source documentation and established processes.
Analyze configuration outputs to confirm accuracy, completeness, and consistency before downstream processing.
Document audit findings and required corrections clearly for configuration partners.
Provide timely, respectful, and actionable feedback to support corrections and learning.
Analyze recurring issues and error patterns to identify trends that support training and process improvement.
Maintain knowledge of audit procedures, configuration standards, mandates, and reference materials and apply them consistently during audits.
Participate in calibration discussions and quality reviews to promote consistent audit interpretation and outcomes.
Support project work and related efforts aligned to team priorities.
Perform other duties as assigned.

Benefits

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 three years of service.
Wellness incentives and mental well-being resources, including counseling, stress management, and mindfulness programs.
Generous paid time off.
Tuition assistance for undergraduate and graduate degrees.
Employee recognition program.
Commuter perks.
Free on-site parking.
Subsidized on-campus cafes.
On-site activities, including health and wellness events, coffee connects, and disaster preparedness fairs.
Fitness and well-being center with in-person and virtual workouts and nutritional counseling.