A company is looking for a QA Analyst PBM Implementation - Remote.
Key Responsibilities
Perform complex quality reviews and analysis to prevent errors based on compliance and regulatory guidance
Conduct ongoing inter-rater reliability exercises and provide performance feedback to staff
Assist in gathering and documenting requirements for system enhancements and serve as a liaison for unresolved issues
Required Qualifications
Bachelor's degree in Business, Liberal Arts, or a related area of study, or equivalent experience; HS diploma or GED required
2 years of experience in Claims Processing, Audit, Quality, or Pharmacy
1 year of experience as a Clinical Review Technician or 2 years in Clinical Review if in the Clinical Review Department
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) and 2 years of pharmacy experience if in the Pharmacy Audit department
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Qa Analyst β’ Saint Petersburg, Florida, United States