ProCare Rx

QAB Specialist

ProCare Rx  •  Gainesville, GA (Onsite)  •  2 hours ago
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Job Description

Summary

The Quality Assurance Business Specialist (QAB) is responsible for auditing new plan/group implementation setups to ensure all plan parameters are accurately in the system. This person is also responsible for testing any modifications to existing plans/groups.

Essential Duties and Responsibilities Included but not limited to the following:

  • Execute QAB-related tasks and processes in the QAB department.
  • Run weekly reports to validate plan flags are set appropriately.
  • Run billing reports to validate that all test claims have been reversed before the billing cycle commences.
  • Write reports that will produce accurate information needed to validate that plan setups are accurate.
  • Review all material at hand to determine if plan changes match requests from the client.
  • Work with various departments as needed to have plans updated to satisfy requested changes.
  • Document with test claims and reports the items that were tested and approved.
  • Write up testing procedures for new functionality.
  • Make presentations to your peers as a department learning tool.
  • Miscellaneous duties as requested

Qualifications and Requirements

  • Certified Pharmacy Technician with at least one year experience desired.
  • Quality Control experience a plus.
  • Experience in testing system applications and reading results highly desired
  • Exceptional analytic skills desired.
  • Excellent proofreading skills.
  • Clear concise written and verbal communication skills a plus.
  • Ability to change gears mid steam and adapt to changes as items are reprioritized.
  • Excel, Word, Google Sheets, Google Calender skills a plus.
  • Knowledge of R&R Reports Works a plus.

Physical Demands

  • Requires sitting, standing, and occasional light lifting.

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401(k) with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People: Employee referral program.

Ready to start your rewarding journey with us? Apply today!

ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer

ProCare Rx

About ProCare Rx

ProCare Rx, a privately held leader in pharmacy claims processing, pharmacy benefit management (PBM), and clinical program design, has been empowering healthcare organizations since 1988. With offices in the U.S. and Puerto Rico, we provide customizable, cost-effective solutions tailored to the unique needs of self-insured employer groups, TPAs, pharmacies, health plans/systems, unions, and other industry leaders. Our commitment to ethical, transparent operations and long-lasting partnerships has made us a trusted partner in optimizing pharmacy benefits and clinical performance. To learn more about how ProCare Rx is bridging the gap between cost savings and clinical innovation, visit http://www.ProCareRX.com

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Unknown
Year Founded
Unknown
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