Quality Auditor II - Healthcare Compliance (Remote)
premera blue crossNew York, NY
Quality Auditor II - Healthcare Compliance (Remote)
L5
premera blue crossNew York, NYyesterday
Industries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Insurance Related ActivitiesDirect Health and Medical Insurance CarriersPremera Blue Cross is seeking a Quality Specialist II to oversee audits across claims processing, inquiries, enrollments, and electronic exchanges. You will partner with teams to improve quality and ensure compliance with BCBS Association and FEP audits in a remote setting.
You will review transactions, verify data accuracy, and communicate findings. The role emphasizes root-cause analysis, process improvements, and collaboration with internal stakeholders.
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Level
SeniorL5
Location
New York, NY
Occupation
Quality Control Systems Managers
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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