QA Operations Supervisor - Benefits & Formulary

Procare-Rx; Gainesville (FL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Wellness program

401(k) matching

Employee assistance

Referral program

Job summary

ProCare Rx is seeking a Quality Assurance Business Supervisor to oversee the QAB team, coordinate benefit configuration and QA activities, and drive continuous improvement. You will lead daily operations, coach staff, manage workloads, and collaborate with Client Success and Operations.

This on-site role in Gainesville involves monitoring quality metrics, conducting audits, ensuring compliance with standards, and supporting system enhancements.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• Experience in account management or client services preferred.
• Supervisory experience.
• Knowledge of PBM industry and healthcare.
• Strong Microsoft Office and industry software proficiency.
• Analytical thinking and problem-solving.
• Excellent organizational and written/verbal communication skills.
• Ability to work independently and in a team.
• Ability to work in a fast-paced environment.

Responsibilities

• 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

Skills

Leadership

Supervisory experience

Data analysis

Microsoft Office

PBM industry knowledge

Healthcare experience

Communication skills

Team collaboration

Education

Bachelor’s degree

Tools

Microsoft Excel

PBM software

Job description

ProCare Rx is seeking a Quality Assurance Business Supervisor to oversee the QAB team, coordinate benefit configuration and QA activities, and drive continuous improvement. You will lead daily operations, coach staff, manage workloads, and collaborate with Client Success and Operations.

This on-site role in Gainesville involves monitoring quality metrics, conducting audits, ensuring compliance with standards, and supporting system enhancements.