Enrollment Oversight & Quality Specialist

Workforce Classification:

Join 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.

To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the list. Newsweek honored Premera as one of , , and , Forbes ranked Premera among for the fourth time.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: .

Are you ready to make a real difference in the world of enrollment and quality assurance? Step into the pivotal role of Enrollment Oversight and Quality Specialist, where your expertise will drive accuracy, compliance, and customer satisfaction at every turn! In this fast-paced position, you’ll tackle complex enrollment scenarios, collaborate with strategic partners, and champion process improvements that shape the future of our organization. If you thrive on solving challenges, delivering exceptional service, and being a trusted resource for both internal teams and external customers, this is your opportunity to shine. Join us and become the backbone of our enrollment operations—where every detail matters and your contributions truly counts!

The Enrollment Oversight and Quality Specialist position will perform moderate to complex enrollment, eligibility, billing changes and reconciliation, and account research using a variety of methods, systems and platforms. This role is expected to have exceptional customer service skills and interact with internal and external customers in a timely and professional manner via phone, email or written correspondence within established department turnaround times. Must be able to thoroughly explain administrative and regulatory guidelines, their impact and offer alternatives to our members/agents. This position will provide support and coordination to assist in the management and improvement of assigned audit processes. This role will include the development, maintenance and tracking of related audits, procedures, and efficiency work in team and as it relates to our strategic implementation partners.

What you will do:

What you will bring:

What you will gain:

Regulatory and Compliance Expertise

Technical Troubleshooting and Systems Analysis

Audit and Process Improvement

Customer Service and Communication

Cross-functional Collaboration and Training

Physical Requirements
The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation:

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:

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.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Salary Range:

National Plus Salary Range:

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.