[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 preferred Benefits • 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 opportunities Company 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

Physician Advisory Services QA Specialist

Remote Full-time

Quality Assurance Specialist: Must have LMSW, PMHNP or MD

Remote Full-time

Public Health Consultant - Monitoring, Evaluation & Quality Improvement

Remote Full-time

Senior Stars Clinical Consultant RN

Remote Full-time

FDA Regulatory Consultant Needed for Class II Medical Device (Preliminary Advisory Engagement)

Remote Full-time

VBC Performance Specialist- Remote

Remote Full-time

Regulatory Affairs Consultant (part time)-Medical Devices

Remote Full-time

Director of Quality and Regulatory Affairs (Remote)

Remote Full-time

Regulatory Affairs Consultant - Medical Devices IVD/CDx (home or office based)

Remote Full-time

Healthcare Technology Consulting – Regulatory Reporting Lead

Remote Full-time

**Experienced Data Entry Associate – Content Management and Quality Assurance at blithequark**

Remote Full-time

Health Plan Partnerships Director

Remote Full-time

AVP, Underwriting Director - Energy, Oil, Gas & Chemicals

Remote Full-time

Advisor, Customer Resolution US – REMOTE

Remote Full-time

Experienced Full Stack Customer Service Specialist – Client Solutions and Support at Blithequark, Starting at $19/hr, Gray, TN - Hiring for December!

Remote Full-time

UnitedHealth Group Senior Project Manager I – Remote in Minnetonka, Minnesota

Remote Full-time

Oracle Cloud HCM Functional Consultant - Benefits

Remote Full-time

Consultative Partner HEDIS Nurse

Remote Full-time

**Experienced Customer Service Agent – Delivering Exceptional Experiences for blithequark Customers**

Remote Full-time

**Experienced Remote Data Entry Specialist – Flexible Work Arrangement for Administrative Professionals**

Remote Full-time
← Back to Home