[Remote] Pharmacy Benefits QA Analyst
Note: The job is a remote job and is open to candidates in USA. SmithRx is a rapidly growing, venture-backed Health-Tech company dedicated to transforming the Pharmacy Benefit Management sector. The Benefits Quality Assurance Analyst will oversee core operations and quality standards to ensure the delivery of high-quality products, collaborating with engineers and enhancing test plans to meet application functionality requirements.
Responsibilities
ā¢ Communicate project status and escalate issues for improved workflow efficiency
ā¢ Collaborate with engineers on system enhancements to create workflow automation
ā¢ Become subject matter expert on department standards and processes
ā¢ Enhance test plans to ensure application functionality meets original requirements
ā¢ Support business application systems and maintain plan data integrity
ā¢ Maintain and capture department metrics, identify areas of opportunity for process improvement, and develop quality acceptance standards
ā¢ Identify quality improvement opportunities and present to Manager/Team Leaders for consideration and approval
ā¢ Develops and deploys daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products
ā¢ 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
ā¢ Bachelors degree or equivalent work experience in healthcare and/or PBM required
ā¢ Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required
ā¢ Robust analytical skills; advanced skills in Microsoft Excel
ā¢ Strong communication skills via face-to-face meetings, conference calls and written correspondence
ā¢ Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
ā¢ Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
ā¢ Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company
ā¢ 4+ years of experience as a Pharmacy QA Analyst preferred
Benefits
ā¢ Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
ā¢ Flexible Spending Benefits
ā¢ 401(k) Retirement Savings Program
ā¢ Short-term and long-term disability
ā¢ Discretionary Paid Time Off
ā¢ Paid Company Holidays
ā¢ Wellness Benefits
ā¢ Commuter Benefits
ā¢ Paid Parental Leave benefits
ā¢ Employee Assistance Program (EAP)
ā¢ Well-stocked kitchen in office locations
ā¢ Professional development and training opportunities
Company Overview
ā¢ 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 http://www.smithrx.com.
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Responsibilities
ā¢ Communicate project status and escalate issues for improved workflow efficiency
ā¢ Collaborate with engineers on system enhancements to create workflow automation
ā¢ Become subject matter expert on department standards and processes
ā¢ Enhance test plans to ensure application functionality meets original requirements
ā¢ Support business application systems and maintain plan data integrity
ā¢ Maintain and capture department metrics, identify areas of opportunity for process improvement, and develop quality acceptance standards
ā¢ Identify quality improvement opportunities and present to Manager/Team Leaders for consideration and approval
ā¢ Develops and deploys daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products
ā¢ 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
ā¢ Bachelors degree or equivalent work experience in healthcare and/or PBM required
ā¢ Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required
ā¢ Robust analytical skills; advanced skills in Microsoft Excel
ā¢ Strong communication skills via face-to-face meetings, conference calls and written correspondence
ā¢ Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
ā¢ Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
ā¢ Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company
ā¢ 4+ years of experience as a Pharmacy QA Analyst preferred
Benefits
ā¢ Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
ā¢ Flexible Spending Benefits
ā¢ 401(k) Retirement Savings Program
ā¢ Short-term and long-term disability
ā¢ Discretionary Paid Time Off
ā¢ Paid Company Holidays
ā¢ Wellness Benefits
ā¢ Commuter Benefits
ā¢ Paid Parental Leave benefits
ā¢ Employee Assistance Program (EAP)
ā¢ Well-stocked kitchen in office locations
ā¢ Professional development and training opportunities
Company Overview
ā¢ 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 http://www.smithrx.com.
Apply tot his job
Apply To this Job