Product Support/QA Specialist

RXinsider LTD.; Orlando (FL); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

PTO 100 hours

Hybrid work after training

Referral bonus $750

Medical, dental, vision, life, STD

401(k) with matching

Job summary

AssistRx seeks a meticulous Product Support/QA Specialist to build, test, and maintain a library of electronic prior authorization forms and related PDFs. You will ensure accuracy of PA content, support QA with defect reporting, and contribute to product design while maintaining HIPAA compliance.

The role requires independence, strong research skills, and attention to detail across a broad set of duties in a fast-paced environment.

Qualifications

• Solid understanding of prescription drug reimbursement processes and PA requirements.
• Experience with building and validating PA forms and related materials.
• Proficiency with Adobe Acrobat DC Pro for creating accessible PDFs and forms.
• Ability to conduct independent research and maintain accurate, well-documented records.

Responsibilities

• Research PA forms and verify accuracy across products and therapeutic areas.
• Build and maintain digital assets including PA forms and correspondence materials.
• Test system changes and document defects for remediation.
• Contribute to product design by providing input on requirements and usability.
• Ensure compliance with HIPAA and internal data governance policies.

Skills

Prescription reimbursement

Prior authorization forms

Adobe Acrobat DC Pro

HIPAA compliance

Research

Education

Bachelor's degree in healthcare or life sciences

Tools

Microsoft Office Suite

Job description

About Us:

AssistRx has engineered the perfect blend of technology and talent (you) to provide life sciences companies with an efficient solution to improve patient uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. A growing organization, AssistRx views our people as our strongest asset. Join us as we continue to make a difference....

We are seeking a highly detail-oriented and self-motivated individual to join our team as a Product Support/QA Specialist. In this role, you will use proprietary tools to build, test, and maintain a comprehensive library of electronic prior authorization (ePA) forms, as well as maintaining the company's comprehensive asset library encompassing a wide range of correspondence materials. This position plays a critical role in ensuring the accuracy and quality of our product offerings and supports the continued growth of our solutions portfolio. Success in this role requires the ability to work independently, conduct in-depth research, and demonstrate exceptional attention to detail and follow-through.

DUTIES AND RESPONSIBILITIES:

• Conduct comprehensive research using electronic sources, such as databases and online repositories, to identify and validate prior authorization (PA) forms for all relevant products


• Build and maintain digital assets, including electronic prior authorization (ePA) forms and various correspondence materials, using internal proprietary systems


• Test system modifications and new functionality to ensure accuracy and readiness for implementation; document and report software defects to developers or relevant departments


• Participate in product design and development discussions, providing detailed input on functional requirements, usability, and potential risk areas


• Analyze payer-provided content to create cohesive and compliant question sets, ensuring alignment with clinical and regulatory standards


• Utilize basic clinical knowledge to correctly associate PA forms with appropriate products, therapeutic areas, and use cases


• Create, edit, and maintain PDFs using Adobe Acrobat DC Pro to ensure proper formatting, accessibility, and compliance


• Adhere to all applicable data privacy, security, and compliance standards, including HIPAA and internal data governance policies


• Work independently to manage assigned tasks, meet deadlines, and maintain a high standard of quality across all deliverables


• Support continuous improvement initiatives by identifying opportunities for increased efficiency, accuracy, and automation in form development and quality assurance processes

Requirements

Minimum Qualifications: Solid understanding of prescription drug reimbursement processes, including insurance plan types, major medical benefits, and prior authorization requirements Basic knowledge of prescription drugs, including administration methods, routes, dosages, dosage forms, and common drug classifications Proficient in the use of computers and software applications, including Microsoft Office Suite, Adobe Acrobat, web-based platforms, and general keyboarding skills Ability to quickly adapt to new systems, workflows, and technologies, and learn company-specific policies and procedures effectively Exceptional attention to detail with the ability to perform repetitive tasks with a high degree of accuracy and consistency Strong written and verbal communication skills to document, explain, and collaborate on technical or process-related information clearly and professionally Excellent interpersonal skills, with the ability to collaborate effectively across diverse teams and work with individuals from various backgrounds Prior experience in Specialty Pharmacy or Managed Care, with a working knowledge of specialty medications and the associated prior authorization process.

Preferred Qualifications:

• Bachelor's degree in healthcare, life sciences, pharmacy, health information management, or a related field


• Previous experience working with electronic prior authorization (ePA) systems or pharmacy benefit management (PBM) platforms


• Familiarity with industry-standard coding systems such as NDC, HCPCS, or ICD-10


• Understanding of payer policies and utilization management criteria for specialty medications


• Experience conducting quality assurance reviews and documenting process improvements


• Proficiency with Adobe Acrobat DC Pro for creating and editing accessible, fillable PDFs


• Demonstrated ability to manage multiple projects or tasks simultaneously while meeting tight deadlines


• Experience in a remote or hybrid work environment with minimal supervision


• Familiarity with HIPAA and other healthcare data privacy regulations


• Knowledge of clinical terminology and medical benefit coverage criteria

COMPETENCIES:

• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce


• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values


• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events


• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments


• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan


• Design - Generates creative solutions; Translates concepts and information into images; Uses feedback to modify designs; Applies design principles; Demonstrates attention to detail


• Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed


• Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings


• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity


• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans


• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics


• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments


• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality


• Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly


• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed


• Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others


• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information

Benefits

About AssistRx:

Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on to find out how our team members are #TransformingLives.

Why Choose AssistRx:

• Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary


• Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications


• Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives


• Career Growth: We prioritize a \"promote from within mentality\". We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization


• Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry


• Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus!

Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy!

• Medical, dental, vision, life, & short-term disability insurance


• Teledoc services for those enrolled in medical insurance


• Supportive, progressive, fast-paced environment


• Competitive pay structure


• Matching 401(k) with immediate vesting


• Legal insurance

Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year!

• #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis


• Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork


• Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.