Quality Assurance - Benefits Specialist

Full Time
Pittsburgh, PA
Posted
Job description

Quality Assurance Associate - Benefits Specialist

Address: Pittsburgh, PA : onsite
Pay: $19.00 /hour
Hours: M-F 8:30am-5pm

NEED:
- Some time of quality review experience (looking at benefits summary and ensure accuracy)
- Healthcare insurance is a plus
- NO calls in this role

The QA Associate, Operations serves as a liaison between customer service and quality to ensure that company and client quality control plans, standards, and expectations are being adhered to in the function of the customer service and related teams. The incumbent will be required document all of his or her work according to established SOPs, Work Instructions and written/verbal instruction of superiors. The QA Associate will perform work under the direction and supervision of the Director of Program Quality or their designate.

What you will do:

  • Serves as an internal expert in understanding and supporting both company and client quality objectives
  • Collects data on accuracy of individual transactions by reviewing audio files from call recordings, inspecting written results sent to clients, etc.
  • Performs and documents results of all quality control checks on all operational products and services, including but not limited to, benefit verification cases, patient assistance cases, software support calls/emails, data entry, drug safety and pharmacovigilance monitoring and reporting, etc.
  • Aggregates quality data and analyzes trends via Excel spreadsheets or customized software tools to identify and recommend opportunities for improvement.
  • Submits daily, weekly, monthly, and quarterly reports to internal and external clients as requested.
  • Assists with tracking and trending of non-conformances, corrective and preventive action, etc.
  • Participates in internal, vendor or client calibration meetings as required to address quality initiatives. Makes recommendations for changes to Training, Standard Operating Procedures, Work Instructions, Forms, Policies, Product/Service Specifications, and workflows for the improvement of the program(s).
  • Review and update controlled documents and ensure records are complete according to quality processes.
  • Identifies and escalates critical quality issues appropriately to senior management
  • Assists with other QC related functions and responsibilities as needed to meet

department and company goals.

#INDGG

Job Type: Full-time

Pay: $19.00 per hour

Schedule:

  • 8 hour shift

Ability to commute/relocate:

  • Pittsburgh, PA: Reliably commute or planning to relocate before starting work (Required)

Education:

  • Associate (Preferred)

Experience:

  • Quality assurance: 1 year (Preferred)
  • benefits specialization: 1 year (Preferred)
  • health insurance: 1 year (Preferred)

Work Location: One location

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