Pharmacy Quality Analyst

Job not on LinkedIn

🔥 6 minutes ago

🏈 Alabama, Arizona, +25 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $22 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Collaborate with area business leaders to support teams and operations • Develop, implement, and monitor processes to obtain and audit key performance metrics • Monitor team abilities, competencies, and service quality • Provide reports to leadership on associate key performance indicators • Monitor and audit inbound service calls for demeanor, technical accuracy, performance, and policy adherence • Document audit outcomes, training plans, development needs, and performance materials • Conduct evaluations of inbound and outbound interactions using established scorecards • Identify trends, recurring issues, and systemic barriers affecting patient experience, associate performance, or workflow efficiency • Facilitate recurring calibration sessions to ensure scoring consistency and inter-rater reliability • Recommend updates to scorecards, evaluation rubrics, workflows, SOPs, and coaching tools • Partner with Training & Development on curriculum, job aids, coaching tools, and targeted skill development • Identify resource and technology improvements and contribute to solutions • Support compliance objectives, regulatory alignment, and risk escalation • Contribute quality insights to root-cause analysis and cross-functional improvement initiatives • Travel to other campuses and training events as needed • Perform other duties as assigned

🎯 Requirements

• High School diploma or equivalent required • Bachelor’s degree or equivalent experience strongly preferred • Experience in call-center quality assurance, performance evaluation, training, pharmacy operations, or a related field strongly preferred • Experience with Calabrio or similar quality management tools preferred • Proficiency in Microsoft Outlook, Word, Excel, and PowerPoint required • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Remote work available only to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin • Able to travel to other campuses and training events • M-F 8am to 5pm schedule

🏖️ Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750!