Client Services Business Quality Assurance Analyst II – Medicaid Fee For Service
Job Description:
• Serve as a subject matter expert in benefit configuration and quality assurance across MedImpact’s PBM programs.
• Lead complex validation efforts, oversee quality and compliance review activities, and ensure that configuration, operational processes, and deliverables meet client requirements and internal quality standards.
• Drive continuous improvement, mentor analysts, and partner cross-functionally to enhance accuracy, efficiency, and compliance across the organization.
• Lead the design, execution, and oversight of complex configuration validation activities for benefit, pharmacy network, and formulary administration in pre‑production environments.
• Validate configuration accuracy for maintenance of business, new client implementations, regulatory updates, and special projects.
• Approve configuration design plans for complex or unique benefit requests and ensure accurate migration of validated changes from Test to Production environments.
• Communicate significant issues, risks, and improvement opportunities to leadership, ensuring visibility and timely resolution.
Requirements:
• BS/BA and 3+ years’ experience or equivalent combination of education and experience
• Previous experience writing SQL queries, Automation Testing, File Transfer Protocol and UNIX is highly desirable.
• Intermediate to advanced skills in Microsoft Office with an emphasis on Word, Excel, MS Access and Project.
• Intermediate to advanced skills in SQL queries.
• Knowledge of Quality Assurance methodologies and practical application.
• Strong analytical and problem solving ability and in-depth understanding of PBM regulations and related CMS guidance
• Healthcare, Managed Care, Government Programs or PBM Quality experience is preferred.
Benefits:
• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus
• Serve as a subject matter expert in benefit configuration and quality assurance across MedImpact’s PBM programs.
• Lead complex validation efforts, oversee quality and compliance review activities, and ensure that configuration, operational processes, and deliverables meet client requirements and internal quality standards.
• Drive continuous improvement, mentor analysts, and partner cross-functionally to enhance accuracy, efficiency, and compliance across the organization.
• Lead the design, execution, and oversight of complex configuration validation activities for benefit, pharmacy network, and formulary administration in pre‑production environments.
• Validate configuration accuracy for maintenance of business, new client implementations, regulatory updates, and special projects.
• Approve configuration design plans for complex or unique benefit requests and ensure accurate migration of validated changes from Test to Production environments.
• Communicate significant issues, risks, and improvement opportunities to leadership, ensuring visibility and timely resolution.
Requirements:
• BS/BA and 3+ years’ experience or equivalent combination of education and experience
• Previous experience writing SQL queries, Automation Testing, File Transfer Protocol and UNIX is highly desirable.
• Intermediate to advanced skills in Microsoft Office with an emphasis on Word, Excel, MS Access and Project.
• Intermediate to advanced skills in SQL queries.
• Knowledge of Quality Assurance methodologies and practical application.
• Strong analytical and problem solving ability and in-depth understanding of PBM regulations and related CMS guidance
• Healthcare, Managed Care, Government Programs or PBM Quality experience is preferred.
Benefits:
• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus