Pharmacy Benefits QA Analyst
New
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SmithRxHealth-Tech
AR, AZ, CA, CO, CT, FL, GA, IL, IN, KS, KE, MD, MA, MN, MO, NV, NJ, NY, NC, OH, OK, OR, PA, RI, TN, TX, UT, VA, WA, WIFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 4+ years
- Required Skills
- Microsoft ExcelQuality Assurance
Requirements
- Bachelors degree or equivalent work experience in healthcare and/or PBM
- 4+ years of experience as a Pharmacy QA Analyst
- Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols
- Robust analytical skills
- Advanced skills in Microsoft Excel
- Strong communication skills via face-to-face meetings, conference calls and written correspondence
- Self-starter mentality
- Execution-focused ethos
- Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company
Responsibilities
- Communicate project status and escalate issues for improved workflow efficiency
- Collaborate with engineers on system enhancements to create workflow automation
- Become subject matter expert on department standards and processes
- Enhance test plans to ensure application functionality meets original requirements
- Support business application systems and maintain plan data integrity
- Maintain and capture department metrics, identify areas of opportunity for process improvement, and develop quality acceptance standards
- Identify quality improvement opportunities and present to Manager/Team Leaders for consideration and approval
- Develop and deploy daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products
- Ensure the quality and accurate analysis of benefit plan designs throughout their lifecycle
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