WI3637167

1

$19.84 + hourly

Unspecified

40

JOB REQUIREMENTS: Putting People First in Pharmacy- Navitus was founded
as an alternative to traditional pharmacy benefit manager (PBM) models.
We are committed to removing cost from the drug supply chain to make
medications more affordable for the people who need them. At Navitus,
our team members work in an environment that celebrates diversity,
fosters creativity and encourages growth. We welcome new ideas and share
a passion for excellent service to our customers and each other. Due to
growth, we are adding this Analyst, Quality Control to our Claims
Adjudication Operations, Support Department. We are unable to offer
remote work to residents of Alaska, Hawaii, Maine, Mississippi, New
Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South
Dakota, West Virginia, and Wyoming. The Quality Control Analyst (QCA) is
responsible for supporting and coordinating quality control analysis and
related processes for activities performed by Navitus Health Solutions.
The QCA is responsible for engaging in preventive and detective quality
controls that can be measured quantitatively and qualitatively to
validate Navitus processes. The QCA will work with oversight and
moderate independence to ensure quality control validations are
completed in a timely manner. This individual requires an intermediate
understanding of quality controls and how to apply such controls to
department processes. The QCA shall have the ability to learn critical
department processes with operational relevance and gain reasonable
understanding for effective monitoring. The QCA shall assess assigned
processes lifecycles, improvements, or enhancements and seek supervisory
guidance where appropriate. Is this you? Find out more below! How do I
make an impact on my team? Performs quality control/check tasks timely
Reports gaps or deficiency in performance of quality control/check
Follows policies and procedures including departmental and quality
policies set by the organization Reports and informs on quality
control/check outcomes Alerts leaders to systemic issues affecting
outcome of quality control/check Assist with preparation of all required
quality control/check tasks Maintain organized documentation to
demonstrate performance of quality control/check standards. Make process
improvement recommendations Evaluate if quality control/check processes
are meeting standards and expectations Assist in planning quality
controls and/or checks What our team expects from you? College or 2-year
Technical Degree or is preferred but not required. Equivalent experience
will be considered in lieu of degree. Two years experience in a PBM or
health plan preferred Experience in quality control, performance or
audit preferred Knowledge of quality principles, standards and processes
strongly desired Intermediate to\... For full info follow application
link. Navitus Health Solutions is an Equal Opportunity Employer:
Disabled/Veterans/Male/Female/Minority/Other \*\*\*\*\* APPLICATION
INSTRUCTIONS: Apply Online: ipc.us/t/F3C5265E978B427B