Product and Group Configuration Quality Specialist II

About this role

Workforce Classification:
TelecommuterJoin Our Team: Do Meaningful Work and Improve People’s Lives
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: .
Ready to take the next step in your career and make a meaningful impact on the quality of our customers’ experience? This is an exciting opportunity for an internal candidate to build on their knowledge of our business, systems, and customers while developing valuable expertise in product and group configuration quality. Join a collaborative team where your attention to detail, operational insight, and commitment to continuous improvement will help ensure benefits are configured accurately—and where you can grow from foundational audits into increasingly complex and influential work.
Product & Group Configuration Quality Specialist II will support accurate customer benefit delivery by performing foundational audits of product configuration and group setup across medical, dental, and pharmacy. The role will review configuration outputs against source documentation and established standards to identify discrepancies and ensure corrections are completed prior to downstream processing impacts. The position will contribute to quality and consistency by providing clear, actionable feedback and applying standard audit practices. The role will focus on skill development through foundational audit work with progression to more complex audits as proficiency increases.

What you will do:

• 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 prior to downstream processing.

• Deliver clear documentation of audit findings and required corrections to configuration partners.

• Support quality outcomes by providing timely, respectful, and actionable feedback that enables correction 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 to ensure consistent application 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.

• Other duties as assigned.

What you will bring:

• High school diploma or GED (Required).

• Two (2) 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 (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.

What you will gain:
Analytical judgment — evaluating complex information, spotting subtle inconsistencies, and determining appropriate next steps.
Root-cause thinking — moving beyond individual errors to understand why issues occur and how to prevent them.
Influential communication — delivering feedback that builds trust, encourages learning, and leads to action.
Systems thinking — understanding how configuration decisions affect customers and downstream business processes.
Professional adaptability — building confidence with increasingly complex work, evolving standards, and changing priorities.
Premera total rewards
Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

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

• Voluntary benefit offerings, including pet insurance for paw parents.

• Life and disability insurance.

• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

• Generous paid time off to reenergize.

• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

• Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

• Commuter perks make your trip to work less impactful on the environment and your wallet.

• Free convenient on-site…