ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:
- Provide day-to-day leadership and direction to the QAB team.
- Monitor team workload and distribute assignments to ensure timely completion of priorities.
- Coach, mentor, and develop team members through regular feedback and performance discussions.
- Conduct one-on-one meetings and support annual performance evaluations.
- Assist with onboarding and training of new employees.
- Foster a collaborative, accountable, and client-focused team culture.
- Oversee quality assurance processes related to benefit setup and maintenance.
- Ensure accuracy, completeness, and compliance with internal standards and client requirements.
- Monitor departmental productivity, turnaround times, and service level expectations.
- Identify workflow bottlenecks and implement process improvements to increase efficiency and quality.
- Develop and maintain departmental documentation, standard operating procedures, and best practices.
- Partner with Account Managers to ensure successful execution of client requests.
- Support system enhancements, process changes, and organizational initiatives.
- Participate in project planning and operational improvement efforts.
- Monitor quality metrics and perform audits to ensure adherence to company standards.
- Identify trends, recurring issues, and opportunities for process improvement.
- Ensure departmental compliance with company policies, client requirements, and applicable regulatory standards.
- Recommend corrective actions and monitor implementation.
- Track departmental metrics including productivity, turnaround time, quality scores, and workload.
- Prepare reports and dashboards for leadership.
- Utilize performance data to identify opportunities for improvement and resource planning.
- Other duties as assigned
QUALIFICTIONS AND REQUIREMENTS
- Bachelor’s degree or equivalent combination of education and experience.
- Account management or client services experience preferred.
- Supervisory of people experience
- Knowledge of PBM industry and healthcare experience.
- Highly proficient in Microsoft Office suite and specialized industry software solutions.
- Ability to apply data analytics, logic, and critical thinking to resolve complex problems.
- Project management skills
- Excellent organizational and time management skills
- Excellent verbal and written communication skills
- Ability to analyze, interpret and develop solutions effectively
- Ability to work both independently and in a team setting, with limited supervision
- Ability to work in a fast-paced environment
PHYSICAL DEMANDS:
- Ability to sit for a minimum of (7) hours
- Ability to lift and/or move up to 20lbs
- Ability to multitask
The Perks of Joining Our Team:
We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:
- Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
- Time to Recharge: Paid vacation and holiday pay.
- Focus on Your Wellness: We offer a robust Employee Wellness Program.
- Invest in Your Future: 401(k) with a company match.
- Support System: Employee Assistance Program provides confidential support and counseling.
- Get Rewarded for Referring Great People: Employee referral program.
Ready to start your rewarding journey with us? APPLY TODAY!
ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our recruitment team at HumanResources@procarerx.com.
ProCare Rx is an Equal Opportunity Employer.