Pharmacy Benefits QA Analyst
Core
Oversee core operations, processes, and quality standards of benefits plan build and maintenance to ensure high-quality delivery of a pharmacy benefit management product.
Role type
Benefits Quality Assurance Analyst
Builds
Pharmacy benefit plan configurations and maintenance
Domain
Health-tech / Pharmacy Benefit Management (PBM)
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Benefits administration, benefits configuration, eligibility requirements, benefit provisions, enrollment protocols, Microsoft Excel, data integrity, audit development
Preferred skills
Pharmacy QA Analyst experience, process improvement, workflow automation collaboration
Technologies
Microsoft Excel
Responsibilities
Develop and deploy daily audits to assess quality of benefit configuration work; Enhance test plans to ensure application functionality meets requirements; Collaborate with engineers on system enhancements for workflow automation; Maintain and capture department metrics to identify process improvement opportunities; Ensure accurate analysis of benefit plan designs throughout their lifecycle.
Seniority
Mid-level, hands-on IC