Quality Review and Audit Associate Representative - Express Scripts

Cigna Health and Life Insurance Company; Missouri; On-site; USD 38,000 - 52,000; Full time

Job summary

Express Scripts, part of Cigna, seeks a QA Inspector to monitor quality in Fulfillment Pharmacy operations. You will open and inspect packages for paperwork and product, count pills for accuracy, and test Kirby Lester tools quarterly. You will log data for QM/AR teams and support quality initiatives.

The role requires a High School Diploma or GED, 0–1 year experience, and ability to work independently or in a team. Some weekend or alternate shifts may be required.

Qualifications

• High School Diploma or GED required.
• 1 year of experience or less is acceptable.
• Knowledge of PBM industry and pharmacy operations preferred.
• Detail oriented with strong organizational skills.
• Ability to meet deadlines in a changing environment.
• Flexible to adapt to shifting schedules and team settings.
• Ability to work both independently and in a team.

Responsibilities

• Inspect packages post ship for accurate paperwork and product.
• Report results to Pharmacy Operations and Quality Manager.
• Inspect Kirby Lester counting tools quarterly for accuracy.
• Clean machines as needed to ensure proper operation.
• Adhere to client contracting and complete quarterly inspections on time.
• Inspect product from Unit of Use machinery after shipment.

Skills

0-1 years experience

PBM industry knowledge

Detail oriented

Deadline driven

Adaptable

Team player

Weekend/alternate shift (possible)

Education

High School Diploma or GED

Job description

POSITION SUMMARY

Quality Assurance Inspector is responsible for quality monitoring within Fulfillment Pharmacy operations. , which will include opening and inspecting packages for accurate paperwork, and product, as well as counting pills to ensure accuracy of HVF. In addition the Inspector will be responsible for validating the accuracy of Kirby Counting tools by conducting tests on each tool to validate accuracy of counts. Additional inspections will be required as needed as new automation is launched, or as new clients implement with in ESI to ensure accuracy and quality of product dispensed from our fulfillment pharmacies. Information will be entered into a database for trending and service improvement initiatives managed by the QM&AR teams.

ESSENTIAL FUNCTIONS

QA Inspector will be expected to inspect packages post ship to ensure accurate paperwork and product to ensure compliance to Client and ESI requirements. Reporting results to Pharmacy Operations and the Quality Manager.

Conduct an inspection of each Kirby Lester counting tool to ensure each tool is counting properly on a quarterly basis, Clean machines as necessary to ensure accurate operation. Notify Operations Management when an issue is identified.

QA Inspector will be responsible for ensuring adherence to client contracting as it relates to performing internal auditing and quality improvement by ensuring that the proper number of inspections get completed each quarter on time as required.

QA Inspector will be responsible for inspections of product from the Unit of Use machinery, post ship by opening and inspecting the packages to accuracy of product and paperwork.

QUALIFICATIONS

• High School Diploma or GED required
• 0-1 years of experience
• Knowledge of PBM industry and pharmacy operations preferred.
• Detail oriented with excellent organizational skills.
• Ability to work and finish within dead line requirements.
• Flexibility to adapt in a changing environment
• Ability to work individually and within a team dynamic.
• May be required to work a weekend or alternate shift.

Work Location

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

ABOUT THE DEPARTMENT

Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients’ lives.

ABOUT EXPRESS SCRIPTS

At Express Scripts, we dare to imagine a better health care system, and we’re driven to make it happen. Where some see obstacles, we see possibilities. We’re challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all. We have always acted first to take on the toughest challenges. We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care and deliver better outcomes – like no one else can. We believe health care can do more. We are Champions For BetterSM. Express Scripts, part of Cigna Corporation, unlocks new value in pharmacy, medical and beyond to further total health for all.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance.

Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco‑free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.

These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.