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Supervisor, Benefits Quality Assurance

2 months ago

Plano, United States SmithRx Full time

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 Lead, Benefit Ops Quality Assurance is responsible for overseeing the quality assurance activities within benefit operations. This role involves leading a team of quality assurance analysts, ensuring compliance with regulatory requirements, and driving continuous improvement initiatives. The Lead will play a crucial role in maintaining high standards of accuracy and quality in benefit operations. You are responsible for managing, coaching and developing a team of quality analysts that support cross-functional teams during client implementations.

What you will do:

Lead and manage a team of quality assurance analysts, providing direction, support, and mentorship.

Oversee the execution of quality assurance audits and ensure the accuracy and completeness of audit findings.

Develop and implement comprehensive quality assurance programs and processes.

Collaborate with senior management and cross-functional teams to address quality issues and implement corrective actions.

Monitor and analyze quality metrics to identify trends and areas for improvement.

Ensure compliance with regulatory requirements and internal quality standards.

Develop and deliver training programs to benefit operations staff on quality assurance best practices.

Create and maintain detailed documentation of quality assurance activities, findings, and corrective actions.

Drive continuous improvement initiatives to enhance the efficiency and effectiveness of benefit operations.

Prepare and present quality assurance reports to senior management.

Manage employee performance through defined employee scorecards and performance metrics.

Provide ongoing feedback and coaching to ensure performance targets are met, provide appropriate levels of direction and support to your team members as needed.

Schedule employees, track productivity, maintain work schedules, coordinate different activities, and approve time off and overtime.

Participate in initiatives to support process/workflow improvements, leverage new system capabilities within work processes, and consistently institute best practices within the function.

Communicate to leadership on project status, escalating issues when appropriate, and drive changes to improve workflow efficiency.

What you will bring to SmithRx:

Bachelor’s degree of equivalent work experience required.

Minimum of 5 years of experience in quality assurance within benefit operations, with at least 2 years in a leadership role.

Strong leadership and team management skills.

Excellent analytical skills with the ability to interpret complex data and identify trends.

Exceptional attention to detail and organizational skills.

Proficient in Microsoft Office Suite and quality assurance software.

Strong communication and interpersonal skills.

Ability to manage multiple projects and priorities simultaneously.

In-depth knowledge of industry regulations and standards.

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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