Senior Benefits Quality Assurance Analyst

1 month ago

Plano, United States SmithRx Full time
Job DescriptionJob Description

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

  • Integrity: Always operate with honesty and transparency so we earn the trust of our clients.
  • Courage: Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
  • Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought.

Job Summary:

The Senior Benefit Ops Quality Assurance Analyst is responsible for ensuring the quality and accuracy of benefit operations. This role involves conducting detailed audits, analyzing data, and implementing quality improvement initiatives. The Senior Quality Analyst will work closely with cross-functional teams to ensure compliance with regulatory requirements and internal standards.

What you will do:

  • Conduct comprehensive audits of benefit operations processes to ensure accuracy and compliance.
  • Analyze audit results and identify trends, discrepancies, and areas for improvement.
  • Develop and implement quality improvement plans and corrective actions.
  • Collaborate with benefit operations teams to resolve issues and ensure adherence to quality standards.
  • Create and maintain detailed documentation of audit findings and quality assurance activities.
  • Provide training and support to benefit operations staff on quality assurance processes and best practices.
  • Stay up-to-date with industry regulations and standards to ensure compliance.
  • Participate in the development and enhancement of quality assurance policies and procedures.
  • Lead and participate in quality assurance projects and initiatives.
  • Mentor and provide guidance to junior quality assurance analysts.
  • Provide support to team members for escalations and complex configuration QA requests.

What you will bring to SmithRx:

  • Minimum of 6 years of experience in quality assurance or auditing within benefit operations.
  • Strong analytical skills with the ability to interpret complex data sets.
  • Excellent attention to detail and organizational skills.
  • Proficient in Microsoft Office Suite and quality assurance software.
  • Strong communication and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Knowledge of industry regulations and standards.
  • Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
  • Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
  • Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company

What SmithRx Offers You:

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits
  • 401(k) Retirement Savings Program
  • Short-term and long-term disability
  • Discretionary Paid Time Off
  • 12 Paid Holidays
  • Wellness Benefits
  • Commuter Benefits
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

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