Product Quality Specialist II

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Job Description:

  • Perform audits and testing of standard medical, dental, and pharmacy configuration work, including shells and entry-level final configurations
  • Analyze configuration outputs for accuracy, completeness, and consistency before downstream processing
  • Document audit findings and required corrections for configuration partners
  • Provide timely, respectful, and actionable feedback to support corrections and learning
  • Analyze recurring issues and error patterns to identify trends supporting training and process improvement
  • Maintain knowledge of audit procedures, configuration standards, mandates, and reference materials
  • Participate in calibration discussions and quality reviews
  • Support project work aligned to team priorities
  • Perform other duties as assigned

Requirements:

  • High school diploma or GED (Required)
  • Two (2) years of work experience in claims, customer service, membership and billing, product configuration, quality, or auditing, including experience using relevant systems and processes (Required)
  • One (1) 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

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 3 years of service
  • Wellness incentives, including mental well-being resources, counseling services, stress management programs, and mindfulness programs
  • Generous paid time off
  • Tuition assistance for undergraduate and graduate degrees
  • Employee recognition program
  • On-campus resources, networking opportunities, and team engagement for hybrid employees
  • Commuter perks
  • Free convenient on-site parking
  • Subsidized on-campus cafes
  • On-site health and wellness activities
  • Fitness and well-being center with in-person and virtual workouts and nutritional counseling
  • On-campus shuffleboard and ping pong
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