Birmingham, Alabama
Quality Analyst Job Opening in Birmingham, Alabama - RxBenefits is hiring! We are adding a Quality Analyst to the Operations team in our Birmingham, AL office.
Purpose:
The Quality Analyst is responsible for quality assurance of new installations and existing client benefit changes. The Quality Analyst does this by ensuring that every phase and feature of the client solution is audited and tested, and that any potential issue is identified and fixed before the product goes live or as soon thereafter as allowed by external systems. This role requires expert knowledge of PBM and internal systems, excellent communication skills, independent work management and the ability to analytically identify and resolve complex issues. This role also includes, but is not limited to, department communications; general operations workflow coordination; communication with internal and external resources, and policy and procedure development and implementation. The activities of this individual must facilitate continuous improvement and a dedication to excellence in a climate of fast growth and demanding responsibilities.
Job Responsibilities Include:
Identify test requirements from specifications, map test case requirements and design test coverage plans.
Execute and evaluate manual or automated test cases and report test results.
Hold and facilitate test plan/case reviews with cross-functional team members.
Identify any potential quality issues per defined process and escalate potential quality issues immediately to management.
Project monthly reporting on quality issues and resolutions.
Oversee the successful installation of all functional requirements related to the implementation of assigned new and existing clients with the applicable PBM?s.
Serve as project manager and consultant through the implementation process to assist in identifying creative solutions to meet both the client and company requirements.
Handle implementations from start to end for new clients when necessary.
Assume the leadership role for client needs to ensure all deliverables are accurately completed according to the timelines established.
Liaison to the organization on behalf of the client during the implementation process
Ability to coordinate with multiple functional areas including sales, account management, eligibility, customer service, management, etc.
Analyze complex problems and interpret client materials appropriately.
Train on PBM reporting systems and stay educated on all forms and processes each PBM has for implementing new groups and making changes to existing groups
Maintain reporting standards including the implementation project plan
Come prepared for all status meetings with current status for assigned clients and critical risks impacting the implementation
Identify and implement process improvements that will improve the overall implementation and quality process.
Communicate effectively with Director of Pharmacy Operations for escalated issues
Provide status and management reporting when applicable
Work collaboratively with internal and external business partners to provide solutions by taking responsibility for following through and bringing outstanding issues to closure
Ensure materials and communications are disseminated to internal staff for new implementations and changes
Produce ad hoc reporting as necessary to meet company needs
Be a great team player with internal colleagues
Assumes additional responsibilities as prescribed or directed
Required Skills / Experience Include:
5 years of related pharmacy work experience
Prior quality assurance, implementation, project management and management reporting experience
Must have strong organizational, leadership abilities and multi-tasking skills
Ability to make both routine and difficult decisions in a fast-paced, high stress environment
Customer Service knowledge with a concentration in pharmacy experience required
Healthcare related experience preferred
PBM experience preferred
Ability to identify process improvements
Be a strong team player
Windows, Email, Internet, Access, Word, Microsoft Project and Excel skills required
Excellent interpersonal skills for frequent interaction with members, managers, brokers, and vendors.
Excellent written and oral communication skills required
High school diploma or its equivalent
Bachelor?s Degree Preferred. An equivalent combination of education and experience may substitute.
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
pharmacy: 5 years
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