Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Enrollment Quality & Compliance Specialist

Premera Blue Cross

Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to manage enrollment, eligibility, billing changes, and audit processes across internal and external customers. You will apply state and federal guidelines and support strategic partners with issue resolution.

The role requires strong customer service and knowledge of enrollment procedures, with opportunities to contribute to process improvements and training within Enrollment & Billing teams.

#J-18808-Ljbffr
Vacancy posted 22 hours ago
Similar jobs that could be interesting for youBased on the Remote Enrollment Quality & Compliance Specialist in Clifton, TX vacancy
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist in a telecommuter role. You'll perform enrollment, eligibility, billing...  ...changes, and audits across plans, ensuring regulatory compliance and high-quality member service. You'll support internal... 
    Remote work

    Premera Blue Cross

    Montana
    22 hours ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform enrollment, eligibility, and billing changes with strong customer...  .../telecommuter setting, with a focus on regulatory compliance and cross-functional collaboration. #J-18808-Ljbffr
    Remote work

    Premera Blue Cross

    South Carolina
    22 hours ago
  •  ...Premera Blue Cross in Missouri is seeking an Enrollment Oversight and Quality Specialist to perform moderate to complex enrollment, eligibility, billing changes and reconciliation, and audit support using a variety of systems. The role requires exceptional customer... 
    Remote work

    Premera Blue Cross

    Missouri
    22 hours ago
  •  ...Premera Blue Cross in United States is seeking an Enrollment Oversight and Quality Specialist. The role handles enrollment, eligibility, billing changes, and audits while delivering exceptional customer service to members and agents via phone, email, or written communication... 
    Remote work
    Afternoon shift

    Premera Blue Cross

    Clayton, NM
    22 hours ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform moderate to complex enrollment, eligibility, billing changes and reconciliation, and account research. This remote role supports 7:00 AM–5:00 PM PT with one late shift per week, involving... 
    Remote work
    Afternoon shift

    Premera Blue Cross

    New Mexico
    22 hours ago
  • Premera Blue Cross in the United States is seeking an Enrollment Oversight and Quality Specialist to manage complex enrollment, eligibility, billing...  ...internal teams and strategic partners, ensuring regulatory compliance and timely communication with members and agents.... 
    Remote job

    Premera Blue Cross

    Brooklyn, NY
    1 day ago
  • Premera Blue Cross is hiring for an Enrollment Oversight and Quality Specialist. The role requires handling moderate to complex enrollment, eligibility, billing changes, reconciliations, and audit processes with a focus on regulatory guidelines and quality outcomes. You... 
    Remote job
    Afternoon shift

    Premera Blue Cross

    Sacramento, CA
    3 days ago
  • Premera Blue Cross is seeking an Enrollment Oversight Specialist to support enrollment, eligibility, billing changes, and audits from a telecommuter...  ...by phone, email, or written correspondence, ensuring compliance with federal and state guidelines while contributing to... 
    Remote job

    Premera Blue Cross

    Austin, TX
    2 days ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to manage complex enrollment, eligibility, billing changes and audits, using multiple systems. The role requires strong customer service and the ability to explain regulatory guidelines to members... 
    Afternoon shift

    Premera Blue Cross

    Idaho
    22 hours ago
  •  ...Aston Carter is seeking a Quality Specialist to review and evaluate customer service calls for quality, compliance, and performance within U.S. healthcare operations. The...  ...performance and customer experience in a fully remote environment. Responsibilities include... 
    Remote work

    Aston Carter

    United States
    1 day ago
  •  ...advancing your career with Renovo. Summary: The Quality and Compliance Specialist does the compliance work on the Enterprise Laboratory Instrument...  ...on time. Physical Requirements: Predominantly remote, office-based work. When on assigned client sites,... 
    Remote work
    Contract work
    Work at office
    Local area
    Immediate start

    Renovo Solutions

    United States
    3 days ago
  •  ...The Quality Compliance Specialist is responsible for the management and maintenance of the document control system, ensuring documents are compliant...  ...this job. Ability to work well with others, one on one, remote, via video and phone. Ability to work independently. Equal... 
    Remote work
    Work at office
    Local area

    Westfall Technik Inc

    Ansonia, CT
    2 days ago
  •  ...Quality Compliance SpecialistGF Health Products, Inc., headquartered in Atlanta, GA, is a leading manufacturer and distributor of capital goods...  ..., casual working environmentCombination on-site and remote work experienceOn premises gymCollaborative work environmentComprehensive... 
    Remote work
    Temporary work
    Casual work
    Local area

    Graham-Field (GF Health Products, Inc)

    Hazelwood, MO
    2 days ago
  • $22 per hour

     ...weeks off in your first year to high quality, affordable health coverage and opportunities...  ...Services is hiring a Quality and Compliance Specialist for Justice Related Services...  ....  This role qualifies for hybrid remote work, subject to the Access Services Hybrid... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Monday to Friday

    Access Services

    Plymouth Meeting, PA
    11 days ago
  • Arizona Department of Environmental Quality (ADEQ) is seeking Environmental Science Specialists 1-2 for the Air Quality Division in...  .... The role supports inspections and compliance with air quality permits across Arizona, with remote work options within the state. Salary... 
    Remote job

    Arizona Department of Environmental Quality ADEQ

    Phoenix, AZ
    2 days ago
  • CASES is seeking a Senior Clinical Quality Specialist in Brooklyn, NY to support continuous quality...  ...CASES programs. You will ensure compliance with NYS regulations, HIPAA, and 42 CFR...  ...accuracy, and strong analytical skills; remote work with occasional in-person... 
    Remote job

    Center-For-Alternative-Sentencing-

    New York, NY
    2 days ago
  •  ...The role requires strong due diligence, lien perfection, and ability to manage complex file routing. Responsibilities include SLA compliance, client service excellence, accurate data entry, and processing amendments or rewrite documents for accounting submission. #J-18... 
    Remote job

    First Commonwealth Bank

    Berwyn, PA
    1 day ago
  • $32 - $37 per hour

     ...Onsite Tuesday, Wednesday & Thursday, Remote Monday & Friday \n NORTH...  ...environments \n ⭐ Familiarity with quality assurance documentation and compliance processes \n ⭐ Scientific degree...  ...Quality Assurance (QA) Compliance Specialist II to support an R&D Scientific Compliance... 
    Remote work
    Work at office
    Monday to Friday

    The Fountain Group

    North Chicago, IL
    2 days ago
  •  ...Paint Automotive Americas Inc. Quality Assurance SpecialistNippon...  ...year, earn paid time off, can enroll in comprehensive health and welfare...  ...audit on each site, and lead compliance and quality improvement...  ...relationships within NPAA. The Specialist also provides QA training for... 
    Hourly pay
    Work at office

    Nippon Paint Holdings Co., Ltd.

    Cleveland, OH
    3 days ago
  • $50.4k - $72k

     ...Gainwell Technologies. As a Quality Verification Specialist , you’ll conduct...  ...authority. You’ll partner with compliance and account teams to resolve...  ...services, provider enrollment, healthcare operations, verification...  ...this role ~ Fully remote options from most US... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    16 days ago
  • $63k - $90k

     ...independent, second-level quality reviews using an “...  ...Senior Verification Specialist, you’ll reassess completed...  ...quality and compliance reviews of member and...  ...verification, provider enrollment, healthcare operations...  ...this role ~ Fully remote options from most US locations... 
    Remote work
    Full time
    Work at office
    Immediate start
    Flexible hours

    Gainwell Technologies LLC

    Remote
    11 days ago
  • Alcon in the United States seeks an Associate, Quality Assurance Compliance focused on implementing and maintaining quality control practices to...  ...adherence to cGMP and ISO requirements across functions. This remote role requires a Bachelor's degree or equivalent with 4-8... 
    Remote job

    Alcon

    New York, NY
    4 days ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to review plan provisions, apply enrollment rules, and perform audits to...  ...with internal teams and strategic partners to ensure compliance and timely processing. This telecommuter role requires... 
    Remote work

    Premera Blue Cross

    Lorida, FL
    22 hours ago
  •  ...Premera Blue Cross in Idaho is seeking an Enrollment Oversight and Quality Specialist. This telecommuter role focuses on enrollment, eligibility, billing changes, and audits while delivering exceptional member and agent service via phone, email or written correspondence... 
    Remote work

    Premera Blue Cross

    Eagle, ID
    22 hours ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist for a telecommuter role based in Kentucky. You will handle complex enrollment...  .... The position emphasizes accuracy, regulatory compliance and process improvement. Responsibilities include... 
    Remote work

    Premera Blue Cross

    Kentucky
    22 hours ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to handle complex enrollment, eligibility, billing changes, and audits. You will support internal teams and partners, researching issues and providing guidance on administrative and regulatory... 
    Remote work

    Premera Blue Cross

    Sioux Center, IA
    22 hours ago
  •  ...Premera Blue Cross in Portland, ME, seeks a Quality Specialist II to support the Provider Contact...  ...across offshore operations, ensuring compliance with BCBS, FEP, and LDLA requirements....  ...transactions such as claims and enrollments, spotting trends, and partnering with... 
    Remote work

    Premera Blue Cross

    Portland, ME
    22 hours ago
  •  ...Premera Blue Cross is seeking an Enrollment Oversight and Quality Specialist to perform complex enrollment, eligibility, billing changes and reconciliation...  ...late shift per week, and is offered as a telecommuter/remote role with potential on-site resources as needed. #J-... 
    Remote work
    Afternoon shift

    Premera Blue Cross

    Oklahoma City, OK
    22 hours ago
  •  ...Job Description Job Description Position Summary: The Quality Compliance Specialist position holds the responsibility and authority to oversee the development, implementation, review and maintenance of the SQF System. This position includes food safety fundamentals... 
    Contract work
    Temporary work
    Seasonal work
    Work at office
    All shifts

    Prime Personnel Resources

    Mebane, NC
    9 days ago
  • $31.68 per hour

     ...Job Description Behavioral Health Quality Management Specialist \n Location: Phoenix, AZ \n Position Type: Remote \n Pay: $31.68 \n Position Overview \n...  ...health service delivery, quality management, compliance, and service authorization activities.... 
    Remote work
    Work at office

    Iannarino Fullen Group

    Phoenix, AZ
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Enrollment Quality & Compliance Specialist. Be the first to apply!