Quality Assurance Specialist

TEKsystems; Raleigh (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking company as a Quality Tester for Pharmacy Solutions, where your attention to detail will ensure the accuracy of benefit plans. This fully remote role offers a dynamic work environment, focusing on quality assurance and collaboration with internal teams. You'll have the opportunity to utilize your analytical skills and healthcare knowledge while contributing to the success of a large organization. With a competitive hourly rate and potential benefits, this position is perfect for those looking to make a meaningful impact in the healthcare sector.

Benefits

Medical, Dental & Vision Insurance

401(k) with Pre-tax and Roth Options

Life Insurance

Short & Long-term Disability

HSA

Transportation Benefits

Employee Assistance Program

PTO, Vacation, Sick Leave

Qualifications

• Degree in relevant fields preferred.
• 1 year of Excel experience required.

Responsibilities

• Quality testing of benefit plans for accuracy.
• Collaboration with the AIS team to resolve discrepancies.

Skills

Excel

Healthcare Insurance Knowledge

Attention to Detail

Communication Skills

Education

Two or four-year degree in Math, Biology, Business, Healthcare Admin, or History

Job description

*Join a large Pharmacy Solutions company based in Minnesota!*

Job Description

This role involves quality testing all benefit plans. The person will collaborate with the AIS team during plan development and verify the accuracy of the plans across various systems to meet client specifications. If discrepancies such as incorrect deductibles, out-of-pocket limits, or mail pricing are identified, they will coordinate with the AIS team to resolve these issues. The role requires high attention to detail and involves no phone work. Communication is primarily internal via email or messaging. The person will be assessed with a scorecard after training and is expected to process 25 plans weekly. This is a non-IT, operations role.

Position Details

• Start Date: 6/09
• Pay: $24.00/hr
• Training: Monday - Friday, 8:00am - 4:30pm CST
• Schedule: Monday - Friday, 7:00am - 6:00pm CST (8-hour shifts)
• Mandatory Overtime during peak season: Nov 22-23, Dec 6-7, Dec 13-14, Dec 27-28
• Location: 100% Remote
• Duration: Contract through end of year

Qualifications

• Two or four-year degree required, preferably in Math, Biology, Business, Healthcare Admin, or History with research background
• At least 1 year of Excel experience (excluding VLOOKUPs or PivotTables)
• 3+ years healthcare insurance experience preferred
• Knowledge of medical terminology, deductibles, copays, provider language beneficial
• Experience in a production environment is a plus
• Must pass Excel test with 1-year experience

Pay and Benefits

The pay range is $24.00 per hour. Benefits, if eligible, may include:

• Medical, dental & vision
• Critical Illness, Accident, Hospital coverage
• 401(k) with pre-tax and Roth options
• Life Insurance (Voluntary Life & AD&D)
• Short & long-term disability
• HSA
• Transportation benefits
• Employee Assistance Program
• PTO, Vacation, Sick Leave

Workplace Type

This is a fully remote position.

Application Deadline

May 15, 2025

About TEKsystems

We are a leading provider of business and technology services, supporting over 6,000 customers globally. We focus on strategy, design, execution, and operations to deliver business value. TEKsystems is part of Allegis Group.

We are an equal opportunity employer, considering all applications regardless of race, sex, age, or other protected characteristics.