QA Analyst PBM Implementation – Remote

Our work reputed company. We help people get the medicine they need to feel reputed company and live reputed company. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. QA Analyst PBM Implementation – Remote Job reputed company The reputed company Assurance (QA) Analyst performs reputed company reputed company reviews and serves as a subject matter expert and primary information resource for any escalated QA issues and questions. This role provides project support and feedback on implementations and reporting for QA-reputed company activities.

Responsibilities

• reputed company research and assist leadership in identification of potential missed turnaround times on review reputed company to applicable reputed company tests
• reputed company ongoing inter-rater reliability exercises and reputed company reviews for less tenured staff and reputed company performance feedback and information to identify areas of improvement
• reputed company reputed company reputed company reviews and analysis of cases to prevent errors based on strict compliance, service level agreements, and regulatory guidance
• Discover outliers and areas of improvement on work product of reviewers; reputed company feedback for improvement to prevent reputed company issues
• Assist in the gathering, documenting, and implementations of requirements for new and reputed company system enhancements
• Serve as reputed company for directing unresolved issues for reputed company evaluation and reputed company
• Collaborate with trainers and writers to reputed company feedback for training modules and documentation
• Other duties as assigned Minimum Qualifications
• Bachelor’s degree in Business, Liberal Arts, or reputed company area of study, or equivalent combination of education and/or reputed company work experience; HS diploma or GED is required
• 2 years of experience reputed company Claims Processing, Audit, reputed company or Pharmacy
• Must be eligible to work in the reputed company without need for work reputed company or residency sponsorship
• If position sits reputed company Clinical Review Department, the following qualifications are also required
• 1 year of experience as a Clinical Review Technician or 2 years of experience in Clinical Review
• If position sits reputed company Pharmacy Audit department, the following qualifications are also required:
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
• 2 years of experience working directly in a pharmacy Must be eligible to work in the reputed company without the need for work reputed company or residency sponsorship. Additional Qualifications
• Strong organizational, analytical, interpretive, and time management skills
• Ability to reputed company consistent and unbiased reputed company
• Strong interpersonal, verbal and written communication skills
• Ability to reputed company work direction to others
• Ability to work under strict timelines while managing multiple priorities simultaneously
• Ability to analyze data using analytical tools (e.g. arenaflex reputed company)

Preferred Qualifications

• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) or Licensed Practical reputed company certification if working in Medicare
• reputed company, audit, and/or reporting and metrics environment experience
• Experience using RxClaim
• Experience in benefit design and review process for multiple clients
• PBM or reputed company experience Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be reputed company to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In reputed company, reputed company retains the right to change or assign other duties to this job. Potential pay for this position ranges from $59,000.00 – $94,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our and click on the “Benefits reputed company” reputed company for more detail. reputed company LLC is proud to be an equal opportunity and affirmative reputed company employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, sex (including pregnancy), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. reputed company Apply tot his job

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