MedOne Pharmacy Benefit Solutions

Helping people conveniently access the most appropriate prescription at the most affordable price.

Plan Administration Quality Coordinator

Full TimeRemoteTeam 51-200Since 1999H1B No SponsorCompany SiteLinkedIn

Location

Iowa + 1 moreAll locations: Iowa, Kansas

Posted

3 days ago

Salary

Not specified

Associate Degree3 yrs expEnglish

Job Description

• Ensures consistent standards across pharmacy networks and software systems by developing and executing thorough test plans, documenting results, and collaborating closely with stakeholders. • Performing inspections and tests at various stages of plan design and pharmacy networks to identify defects or issues. • Creating and implementing quality assurance policies and procedures. • Identifying workflow or production issues and proposing solutions. • Recording processes and documentation to support PLAD and Business Architecture. • Educating team members on quality standards and inspection processes. • Developing comprehensive software test plans outlining strategies, objectives, and resources. • Designing and executing manual and automated tests to identify bugs and ensure software functionality. • Documenting and reporting software defects, collaborating with software provider to resolve issues. • Verifying that new code changes do not negatively impact existing functionality. • Monitoring and tracking quality assurance metrics, such as defect densities and open defect counts. • Working closely with software, product managers, and other stakeholders to ensure software meets user needs.

Job Requirements

  • An associate’s degree in a relevant field
  • 1–3 years of experience in a Pharmacy Benefits Management (PBM) environment, with preferred experience in claims processing systems, plan design system implementation, or pharmacy network system management
  • Strong analytical and problem-solving abilities
  • Attention to detail and a methodical approach to tasks
  • Excellent communication and interpersonal skills
  • Dependable and punctual
  • Understanding of industry-specific regulations and standards is highly preferred.

Benefits

  • Comprehensive health, dental, and vision insurance + additional benefits
  • 401(k) with company match to secure your future.
  • Generous paid time off and holidays.
  • Opportunities for professional growth and development.
  • A vibrant and collaborative work culture.

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