[Remote] Pharmacy Benefits QA Analyst

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

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
  • 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
  • Paid Company 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 http://www.smithrx.com.

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