Plan Administration Quality Coordinator - Remote

Overview

The Quality Coordinator ensures consistent standards across pharmacy networks and software systems by developing and executing thorough test plans, documenting results, and collaborating closely with stakeholders.

In Short

• Inspecting and Testing: Performing inspections and tests at various stages of plan design and pharmacy networks to identify defects or issues.
• Developing Standards: Creating and implementing quality assurance policies and procedures.
• Problem Solving: Identifying workflow or production issues and proposing solutions.
• Documentation: Recording processes and documentation to support PLAD and Business Architecture.
• Training: Educating team members on quality standards and inspection processes.
• Test Planning: Develop comprehensive software test plans outlining strategies, objectives, and resources.
• Test Execution: Design and execute manual and automated tests to identify bugs and ensure software functionality.
• Defect Reporting: Document and report software defects, collaborating with software provider to resolve issues.
• Regression Testing: Verify that new code changes do not negatively impact existing functionality.
• Quality Metrics: Monitor and track quality assurance metrics, such as defect densities and open defect counts.
• Collaboration: Work closely with software, product managers, and other stakeholders to ensure software meets user needs.

Requirements

• An associate’s degree in a relevant field.
• 1–3 years of experience in a Pharmacy Benefits Management (PBM) environment, with preferred experience in claims processing systems, plan design system implementation, or pharmacy network system management.
• Strong analytical and problem-solving abilities.
• Attention to detail and a methodical approach to tasks.
• Excellent communication and interpersonal skills.
• Dependable and punctual.
• Understanding of industry-specific regulations and standards is highly preferred.

Benefits

• Competitive salary and bonuses that reward your performance.
• Comprehensive health, dental, and vision insurance + additional benefits.
• 401(k) with company match to secure your future.
• Generous paid time off and holidays.
• Opportunities for professional growth and development.
• A vibrant and collaborative work culture.