ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:
Provide day-to-day leadership and direction to the QAB team.
Monitor team workload and distribute assignments to ensure timely completion of priorities.
Coach, mentor, and develop team members through regular feedback and performance discussions.
Conduct one-on-one meetings and support annual performance evaluations.
Assist with onboarding and training of new employees.
Foster a collaborative, accountable, and client-focused team culture.
Oversee quality assurance processes related to benefit setup and maintenance.
Ensure accuracy, completeness, and compliance with internal standards and client requirements.
Monitor departmental productivity, turnaround times, and service level expectations.
Identify workflow bottlenecks and implement process improvements to increase efficiency and quality.
Develop and maintain departmental documentation, standard operating procedures, and best practices.
Partner with Account Managers to ensure successful execution of client requests.
Support system enhancements, process changes, and organizational initiatives.
Participate in project planning and operational improvement efforts.
Monitor quality metrics and perform audits to ensure adherence to company standards.
Identify trends, recurring issues, and opportunities for process improvement.
Ensure departmental compliance with company policies, client requirements, and applicable regulatory standards.
Recommend corrective actions and monitor implementation.
Track departmental metrics including productivity, turnaround time, quality scores, and workload.
Prepare reports and dashboards for leadership.
Utilize performance data to identify opportunities for improvement and resource planning.
Other duties as assigned
QUALIFICTIONS AND REQUIREMENTS
Bachelor’s degree or equivalent combination of education and experience.
Account management or client services experience preferred.
Supervisory of people experience
Knowledge of PBM industry and healthcare experience.
Highly proficient in Microsoft Office suite and specialized industry software solutions.
Ability to apply data analytics, logic, and critical thinking to resolve complex problems.
Project management skills
Excellent organizational and time management skills
Excellent verbal and written communication skills
Ability to analyze, interpret and develop solutions effectively
Ability to work both independently and in a team setting, with limited supervision
Ability to work in a fast-paced environment
PHYSICAL DEMANDS:
Ability to sit for a minimum of (7) hours
Ability to lift and/or move up to 20lbs
Ability to multitask
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:Â 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 recruitment team at HumanResources@procarerx.com.Â
ProCare Rx is an Equal Opportunity Employer.
Numbers & Facts
Location
Gainesville, GA
Job Type
Part-time
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Skills
Analysis Skillsunmatched
Auditingunmatched
Best Practicesunmatched
Coachingunmatched
Communication Skillsunmatched
Corporate Policiesunmatched
Corrective Actionunmatched
Customer Relationsunmatched
Customer Support/Serviceunmatched
Data Analysisunmatched
Documentation Standardsunmatched
Employee Assistance Planunmatched
Healthcareunmatched
Leadershipunmatched
Lift/Move 20 Poundsunmatched
Maintain Complianceunmatched
Mentoringunmatched
Metricsunmatched
Microsoft Officeunmatched
Multitaskingunmatched
Onboardingunmatched
Operational Improvementunmatched
Organizational Skillsunmatched
People Managementunmatched
Performance Analysisunmatched
Performance Reviewsunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Process Improvementunmatched
Project Planningunmatched
Project/Program Managementunmatched
Quality Assuranceunmatched
Quality Assurance Methodologyunmatched
Quality Managementunmatched
Quality Metricsunmatched
Quality Monitoringunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Reporting Dashboardsunmatched
Reporting Skillsunmatched
Sales Managementunmatched
Staff Trainingunmatched
Standard Operating Procedures (SOP)unmatched
Team Playerunmatched
Time Managementunmatched
Trend Analysisunmatched
Workflow Analysisunmatched
Writing Skillsunmatched
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