Product Quality Specialist II

This is a fully remote position, open to applicants in Alaska, +26 more states.

📋 Description

• Conduct audits and assessments of standard medical, dental, and pharmacy configuration tasks, which include entry-level final configurations and shells.

• Evaluate configuration outputs for precision, completeness, and consistency prior to downstream processing.

• Record audit results and necessary corrections for configuration collaborators.

• Deliver prompt, respectful, and actionable feedback to facilitate corrections and learning opportunities.

• Examine recurring issues and error trends to identify patterns that support training and enhance processes.

• Stay informed about audit procedures, configuration standards, mandates, and reference materials.

• Engage in calibration discussions and quality assessments.

• Assist with project tasks aligned with team priorities.

• Carry out additional duties as assigned.

⛳️ Requirements

• High school diploma or GED (Mandatory).

• A minimum of two (2) years of experience in claims, customer service, membership and billing, product configuration, quality, or auditing, including familiarity with relevant systems and processes (Mandatory).

• At least one (1) year of auditing experience, such as quality review, configuration audit, operational audit, or similar experience.

• Proficiency in SQL.

• Experience in the healthcare sector.

• Ability to provide effective, constructive feedback to colleagues or partners to promote corrections and enhance learning.

• Familiarity with health insurance products and benefit terminology, including Medical, RX, and Dental, in a configuration, operations, or service context.

🏝️ Benefits

• Medical, vision, and dental insurance with low employee premiums.

• Optional benefit offerings, including pet insurance.

• Life and disability insurance.

• Retirement plans, including a 401K employer match and a pension plan that vests after three years of service.

• Wellness incentives, including resources for mental well-being, counseling services, stress management programs, and mindfulness initiatives.

• Generous paid time off.

• Tuition assistance for undergraduate and graduate studies.

• Employee recognition program.

• On-campus resources, networking opportunities, and team engagement for hybrid employees.

• Commuter benefits.

• Free, convenient on-site parking.

• Subsidized on-campus cafes.

• On-site health and wellness activities.

• Fitness and well-being center offering both in-person and virtual workouts, along with nutritional counseling.

• On-campus shuffleboard and ping pong.