Remote Quality Specialist II - Healthcare Compliance
premera blue crossPortland (ME)
Remote Quality Specialist II - Healthcare Compliance
Posted 2 days ago
premera blue crossPortland (ME)
SENIORITY
Mid
About the role
Premera Blue Cross in Portland, ME, seeks a Quality Specialist II to support the Provider Contact Center Quality Program and oversee audits across offshore operations, ensuring compliance with BCBS, FEP, and LDLA requirements.
The role involves examining transactions such as claims and enrollments, spotting trends, and partnering with stakeholders to drive quality improvements. A high school diploma and 3 years of related experience are required; bilingual ability is a plus.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.