Quality Review and Audit Associate Representative - Express Scripts

Cigna Healthcare; St. Louis (MO); On-site; USD 38,000 - 52,000; Full time

Job summary

Cigna Healthcare’s Express Scripts division seeks a Quality Assurance Inspector to monitor quality in Fulfillment Pharmacy operations. You will open and inspect packages, verify paperwork and product, and count pills for accuracy.

You will test Kirby Lester counting tools quarterly and support new automation and client implementations with data for trend analysis. Responsibilities include reporting results to Pharmacy Operations and Quality Managers, conducting audits, and ensuring timely

Qualifications

• High School Diploma or GED is required.
• 0-1 years of experience.
• Knowledge of PBM industry and pharmacy operations preferred.
• Detail oriented with excellent organizational skills and ability to meet deadlines.
• Flexibility to adapt in a changing environment.
• Ability to work independently and in a team; may require weekend or alternate shifts.

Responsibilities

• Inspect packages post-ship to verify accurate paperwork and product per client and QM/AR requirements.
• Quarterly inspection of Kirby Lester counting tools to ensure accurate counts; clean machines as needed and notify Ops if issues arise.
• Ensure adherence to client contracting through internal audits and quality improvements with timely quarterly inspections.
• Inspect products from Unit of Use machinery post-ship for accuracy of product and paperwork.

Skills

PBM knowledge

Detail oriented

Organizational skills

Deadline oriented

Team player

Flexibility

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.

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.

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.

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.

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