Client Services Business Quality Assurance Analyst II – Medicaid Fee For Service

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $29.3k - $48.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

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MedImpact Healthcare Systems, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1988

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

💰 $1.4M Seed Round on 2013-09

Healthcare Insurance • Pharmaceuticals • SaaS

MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that works with health plans to make pharmacy benefits more accessible and affordable for members. The company serves over 20 million members and handles more than $40 billion annually in pharmacy transactions. MedImpact provides a variety of services including medication reminders, home delivery, and more to empower individuals to manage their prescriptions effectively. By leveraging technology and resources, MedImpact aims to offer a better choice within the pharmacy benefits market and supports health solutions in ensuring convenient and reliable access to medications for its members.

📋 Description

• Serve as a subject matter expert in benefit configuration and quality assurance across MedImpact’s PBM programs. • Lead complex validation efforts, oversee quality and compliance review activities, and ensure that configuration, operational processes, and deliverables meet client requirements and internal quality standards. • Drive continuous improvement, mentor analysts, and partner cross-functionally to enhance accuracy, efficiency, and compliance across the organization. • Lead the design, execution, and oversight of complex configuration validation activities for benefit, pharmacy network, and formulary administration in pre‑production environments. • Validate configuration accuracy for maintenance of business, new client implementations, regulatory updates, and special projects. • Approve configuration design plans for complex or unique benefit requests and ensure accurate migration of validated changes from Test to Production environments. • Communicate significant issues, risks, and improvement opportunities to leadership, ensuring visibility and timely resolution.

🎯 Requirements

• BS/BA and 3+ years’ experience or equivalent combination of education and experience • Previous experience writing SQL queries, Automation Testing, File Transfer Protocol and UNIX is highly desirable. • Intermediate to advanced skills in Microsoft Office with an emphasis on Word, Excel, MS Access and Project. • Intermediate to advanced skills in SQL queries. • Knowledge of Quality Assurance methodologies and practical application. • Strong analytical and problem solving ability and in-depth understanding of PBM regulations and related CMS guidance • Healthcare, Managed Care, Government Programs or PBM Quality experience is preferred.

🏖️ Benefits

• Medical / Dental / Vision / Wellness Programs • Paid Time Off / Company Paid Holidays • Incentive Compensation • 401K with Company match • Life and Disability Insurance • Tuition Reimbursement • Employee Referral Bonus