Pharmacy QA Analyst

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