Medicare Quality & Compliance Analyst (Flexible Hours)

Tecsa; Illinois; On-site; USD 80,000 - 110,000; Full time

Job summary

Zing Health seeks a detail-oriented Pharmacy Quality Assurance Analyst to ensure Pharmacy Operations meet CMS and NCQA standards. You will drive audits, process improvements, and training, supporting internal and external reviews.

Responsibilities include evaluating policies, overseeing audits, and coordinating corrective actions to maintain regulatory compliance and quality across the pharmacy function.

Qualifications

• Bachelor’s degree or 5+ years of healthcare experience required.

Responsibilities

• Evaluate CMS/NCQA requirements; identify gaps and improvements.
• Conduct internal and delegated audits; monitor pharmacy operations.
• Lead training on CMS/NCQA changes; administer exams as needed.
• Reconcile vendor invoices and resolve member/provider issues from Salesforce cases.
• Support PDE management and error resolution processes.

Skills

Analytical thinking

SQL queries

Communication skills

Bilingual English/Spanish

Education

Bachelor’s degree or 5+ years healthcare experience

Tools

Salesforce

BI reporting

Job description

Zing Health seeks a detail-oriented Pharmacy Quality Assurance Analyst to ensure Pharmacy Operations meet CMS and NCQA standards. You will drive audits, process improvements, and training, supporting internal and external reviews.

Responsibilities include evaluating policies, overseeing audits, and coordinating corrective actions to maintain regulatory compliance and quality across the pharmacy function.