Quality Supervisor

House Rx, Inc.; San Francisco (CA); Remote; USD 77,000 - 94,000; Full time

Job summary

House Rx, Inc. is seeking a Quality Supervisor to lead our team of Quality Specialists and own the QA function across our specialty pharmacy operations. This is a working supervisor role, where you do the work alongside the team and shape the audit program for scale and excellence.

Reporting to the Sr. Director, Centralized Services, the position is remote with occasional travel to House Rx hubs or customer sites.

Qualifications

• 5+ years of experience in pharmacy operations, including claims processing, prior authorizations, or dispensing.
• 2+ years in a quality assurance, auditing, or compliance role in specialty pharmacy.
• Proven leadership experience or strong mentorship skills in a fast-paced environment.
• Strong data analysis skills and ability to drive improvement through data-driven decisions.
• Excellent communication and cross-functional collaboration abilities.

Responsibilities

• Own the end-to-end quality audit program across order processing, claims, prior authorizations, dispensing, and patient calls.
• Maintain a working audit caseload and model best practices with the team.
• Develop QA scorecards, audit tools, SOPs, and calibration processes.
• Lead root-cause analysis, remediation plans, and corrective actions with partner teams.
• Ensure standards align with payer requirements and clinic expectations.
• Support clinic launches with quality coverage before go-live.
• Provide quality data and SME support during implementations and executive reviews.

Skills

Quality management

Pharmacy operations

Auditing

Data analysis

Leadership

Communication

Startup mindset

Tools

Pharmacy management systems

EMR systems

Data visualization

Job description

House Rx is on a mission to make specialty medications more affordable and accessible for patients suffering from chronic illnesses like cancer and autoimmune disorders. We provide clinics with specialized technology and support from pharmacists and care coordinators to dispense medication directly to their patients, known as medically integrated dispensing (MID).

This role sits at the intersection of quality expertise and operational leadership. It is an opportunity for an experienced House Rx team member to step into leadership, set the standard for quality across our specialty pharmacy services, and directly contribute to the company’s mission of making specialty medications affordable and accessible for patients—keep reading to learn more about the role, our team, and why this is the right next step in your career! This position is open to internal candidates. Applicants must be based in the United States.

About the role

We are seeking a Quality Supervisor to lead our team of Quality Specialists and own the quality assurance function across House Rx’s specialty pharmacy operations. This is not a traditional people manager role—we are looking for a working supervisor who is a recognized subject matter expert in pharmacy operations quality, from order processing and claims to prior authorizations, dispensing, and patient communication. You will set the standard for the team by doing the work alongside them, while also building the audit programs, systems, and talent needed to scale a high-performing quality function.

This role reports to the Sr. Director, Centralized Services and is a remote position, with occasional travel to House Rx hubs or customer sites as needed.

Key Responsibilities:

Quality Assurance Leadership & Program Ownership:

• Audit Program Ownership: Own the end-to-end quality audit program for order processing, claims, prior authorizations, dispensing, and patient/caregiver phone calls, ensuring audit coverage, sampling, and scoring standards are consistent, compliant, and aligned with House Rx standards of excellence.
• Working Supervisor: Maintain a working audit caseload alongside the team to model best practices, demonstrate audit excellence, and stay close to platform workflows, SOPs, and clinic-specific requirements.
• QA Documentation & Tools: Develop, document, and continuously improve QA scorecards, audit tools, SOPs, and calibration procedures to ensure consistency across the team and scalability as House Rx grows.
• Escalation & Remediation: Serve as the escalation point for quality concerns, leading root cause analysis, real-time remediation, and corrective action plans in partnership with the responsible teams.
• Standards Alignment: Stay current on workflow changes, payer requirements, and clinic-specific expectations, and proactively translate them into updated audit criteria and quality standards.

Team Leadership & Development:

• Lead and Coach: Lead, coach, and develop a team of Quality Specialists, fostering a culture of accountability, attention to detail, and continuous improvement.
• Performance Management: Conduct regular 1:1s and structured performance reviews to identify development opportunities, address performance gaps, and retain top talent.
• Workload Management: Manage scheduling, PTO coverage, audit assignments, and workload distribution to ensure consistent audit coverage and team wellbeing.
• Calibration: Lead regular calibration sessions to ensure audit scoring is consistent, objective, and aligned across all Quality Specialists.
• Training Partnership: Collaborate with the training team to design and deliver quality‑focused coaching, onboarding, and ongoing education informed by audit findings and error trends.
• Team Culture: Champion team morale and a collaborative, patient-first culture.

Performance Reporting & Cross-Functional Partnership:

• Metrics and Reporting: Track and report on key quality metrics, including audit scores, error rates, trends by team, clinic, and process, remediation completion, and patient and clinic experience indicators.
• Trend Analysis: Identify patterns in errors and inefficiencies to proactively address root causes and drive measurable improvement.
• Process Improvement: Partner with operations, training, clinical operations, care coordinators, pharmacists, and leadership to design and implement process improvements and remove barriers to quality.
• Clinic Launch Readiness: Support clinic launches by ensuring quality audit coverage and standards are established and operational before go-live.
• Customer and Leadership Support: Provide quality data and subject matter expertise to client‑facing teams during implementation, QBRs, and operational reviews as needed, and deliver regular updates to executive leadership on quality performance, risks, and opportunities.

Qualifications:

• Experience: 5+ years of experience in pharmacy operations, including claims processing, prior authorizations, and/or dispensing, with 2+ years in a quality assurance, auditing, or compliance capacity. Specialty pharmacy experience required; medically integrated dispensing experience preferred.
• Leadership: 2+ years of supervisory, lead, or mentoring experience, or a demonstrated record of informally leading, coaching, and developing peers. You earn credibility through expertise, not just title.
• Quality & Audit Expertise: Strong understanding of specialty pharmacy workflows, SOPs, and the importance of accuracy at every step, with a keen eye for identifying errors, inconsistencies, and inefficiencies and solving them.
• Analytical Abilities: Proficient in analyzing data, synthesizing insights, and driving improvement through data‑driven decision‑making. Proficiency in reporting tools, spreadsheets, and data visualization preferred.
• Communication Skills: Clear, confident communicator able to deliver constructive feedback, align internal stakeholders, and adapt communication style to diverse audiences.
• Technology: Comfortable navigating pharmacy management and EMR systems and learning new technology quickly.
• Startup Mindset: Thrive in a fast‑paced, startup‑style environment and are energized by building and improving quality processes from the ground up.

Expected Starting Salary: $85K

This is an anticipated starting salary. The actual base salary/wage will depend on several factors, including experience, knowledge, and skills. Actual compensation packages may include other elements equity, paid time off and benefits.