QA Analyst PBM Implementation - Remote

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Title

QA Analyst PBM Implementation - Remote

Job Description

The Quality Assurance (QA) Analyst performs complex quality reviews and serves as a subject matter expert and primary information resource for escalated QA issues and questions. This role provides project support and feedback on implementations and reporting for QA-related activities.

Responsibilities

• Perform research and assist leadership in identifying potential missed turnaround times on reviews related to applicable quality tests.
• Maintain ongoing inter-rater reliability exercises and quality reviews for less tenured staff; provide performance feedback to identify areas of improvement.
• Conduct complex quality reviews and analysis of cases to prevent errors based on strict compliance, service level agreements, and regulatory guidance.
• Identify outliers and areas for improvement in reviewers' work product and provide feedback to prevent quality issues.
• Assist in gathering, documenting, and implementing requirements for new and future system enhancements.
• Serve as liaison for directing unresolved issues for further evaluation and resolution.
• Collaborate with trainers and writers to provide feedback for training modules and documentation.
• Other duties as assigned.

Minimum Qualifications

1 year of experience as a Clinical Review Technician or 2 years of experience in Clinical Review.

National Pharmacy Technician Certification through PTCB or ExCPT (CPhT).

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

Preferred Qualifications

Compliance and Workplace Information

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. Prime retains the right to change or assign other duties to this job.

Compensation and Benefits

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 Benefits Page.

EEO Statement

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, 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 qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.

Note : The job postings also include other positions listed nearby in the posting, but this description focuses on the QA Analyst PBM Implementation role.

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