[Remote] Pharmacy Benefits QA Analyst

Remote Full-time
Note:The job is a remote job and is open to candidates in USA. SmithRx is a rapidly growing, venture-backed Health-Tech company focused on transforming the Pharmacy Benefit Management sector. The Benefits Quality Assurance Analyst will oversee core operations, processes, and quality standards to ensure the delivery of high-quality products while collaborating with engineers and maintaining data integrity. 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• Develops and deploys daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products. • Ensures the quality and accurate analysis of benefit plan designs throughout their lifecycle, from pre-implementation to post-implementation in pharmacy or medical settings. Skills• Bachelors degree or equivalent work experience in healthcare and/or PBM required• Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required• Robust analytical skills; advanced skills in Microsoft Excel• Strong communication skills via face-to-face meetings, conference calls and written correspondence• Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments• Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven• Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company• 4+ years of experience as a Pharmacy QA Analyst preferredBenefits• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance• Flexible Spending Benefits• 401(k) Retirement Savings Program• Short-term and long-term disability• Discretionary Paid Time Off• 12 Paid Holidays• Wellness Benefits• Commuter Benefits• Paid Parental Leave benefits• Employee Assistance Program (EAP)• Well-stocked kitchen in office locations• Professional development and training opportunitiesCompany Overview• SmithRx is reinventing PBMs with modern technology, client alignment, and 100% transparency.It was founded in 2016, and is headquartered in San Francisco, California, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job
Apply Now →

Similar Jobs

← Back to Home