QAB Specialist

ProCare Rx; Gainesville (GA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Paid vacation/Holiday pay

401(k) with company match

Employee Assistance Program (EAP)

Job summary

ProCare Rx is seeking a Quality Assurance Business Specialist to audit new plan and group implementations and ensure accuracy in the system. The role also tests modifications to existing plans and generates reports to validate setups.

Ideal candidates are CPT certified with experience in testing applications, strong analytic and proofreading abilities, and proficient with Excel/Google tools. In-office engagement in Gainesville, GA with comprehensive benefits.

Qualifications

• Certified Pharmacy Technician with at least one year of experience.
• Experience testing system applications and reading results is highly desired.
• Strong analytic and proofreading skills are essential.

Responsibilities

• Audit new plan/group implementation setups for accuracy.
• Test modifications to existing plans/groups and document results.
• Run weekly and billing reports to validate plan flags and test claims reversal.
• Prepare and present testing procedures and reports to peers.

Skills

Analytical skills

Excellent proofreading

Communication skills

Excel

Word

Google Sheets

Google Calendar

Attention to detail

Education

Certified Pharmacy Technician (CPT)

Tools

R&R Reports Works

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.

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 [e-mail].

ProCare Rx is an Equal Opportunity Employer