QAB Specialist

EHIM
  • Gainesville, GA
    30+ days ago

    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

    Numbers & Facts

    LocationGainesville, GA

    Skills

    • Analysis Skillsunmatched
    • Auditingunmatched
    • Billingunmatched
    • Certified Pharmacy Technician (CPhT)unmatched
    • Communication Skillsunmatched
    • Employee Assistance Planunmatched
    • Microsoft Excelunmatched
    • Microsoft Wordunmatched
    • Physical Demandsunmatched
    • Presentation/Verbal Skillsunmatched
    • Procedure Developmentunmatched
    • Proofreadingunmatched
    • Quality Assuranceunmatched
    • Quality Controlunmatched
    • Reporting Skillsunmatched
    • Testingunmatched
    • Writing Skillsunmatched

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