Analyst, Pharmacy Quality
$750 per monthLumicera
Overview Lumicera Health Services is seeking a Analyst, Pharmacy Quality to join our team! The Analyst, Pharmacy Quality (aka Quality Analyst) collaborates with area business leaders to directly support teams and operations. This role is responsible for developing, implementing, and monitoring processes to obtain and audit key performance metrics. Through these efforts, the Quality Analyst will continually monitor the abilities, competencies, and service quality delivered by members of the team and provide reports to leadership on associate key performance indicators. The Quality Analyst monitors and audits inbound service calls to assess associate demeanor, technical accuracy, performance, and adherence to company policies and procedures. This role will document audit outcomes, training plans, development needs, and other relevant materials that clearly outline performance. Partnering with teams, the Quality Analyst fosters a collaborative and positive environment that supports associate success and growth, while supporting Leadership in the development of action plans at both the team and individual contributor levels. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Demonstrate passion for helping teams succeed based on their individual needs, learning styles, and feedback preferences Help foster a department culture of trust, respect, honesty, and desire to make excellent patient care at the forefront of all we do Participate in a robust Quality Management Program to include conducting evaluations of inbound/outbound interactions using established scorecards to assess empathy, communication, accuracy, compliance, and process adherence Identify trends, recurring issues, and systemic barriers affecting patient experience, associate performance, or workflow efficiency Facilitate recurring calibration sessions with individual contributors and area leaders to ensure scoring consistency, maintain inter-rater reliability, and update scoring guidance as needed Recommend updates to scorecards, evaluation rubrics, workflows, SOPs, and coaching tools based on findings and calibration outcomes Maintain strong working knowledge of quality standards, systems, processes, and policies relevant to the evaluation program Partner with Training & Development to align QA findings with curriculum design, job aids, coaching tools, and targeted skill development Ensure resources and technology are utilized efficiently by teams; identify improvements and propose and contribute toward solutions Support compliance program objectives, ensuring evaluations, documentation, and audit processes align with regulatory requirements - escalating risks within interactions through appropriate channels Support root-cause analysis efforts by contributing quality insights to cross-functional working sessions or improvement initiatives Able to travel to other campuses and training events Other duties as assigned Qualifications What our team expects from you? 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 The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Lumicera? 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! #LI-Remote Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law. Equal employment opportunity, including veterans and individuals with disabilities.
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#J-18808-Ljbffr Lumicera- Lumicera Health Services seeks an Analyst, Pharmacy Quality to join our team. This role partners with area leaders to develop, implement, and monitor processes to obtain and audit key performance metrics, ensuring high quality patient care and adherence to policies. The...Quality
$750 per month
Overview Due to growth, we are adding a Analyst, Pharmacy Contract Audit to our team! The Analyst, Pharmacy Contract Audit is responsible for... ...will be analyzed in support of network development, quality control, and compliance with contractual terms, including effective...QualityContract workRemote workFlexible hours$46.99k - $122.4k
...purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger -... ...one person, one family and one community at a time. The Senior Analyst, PBM Contract Manager role applies complex financial, contractual...QualityHourly payFull timeContract workTemporary workWork experience placementWork at officeLocal area- ...get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million...QualityFull time
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...Key Provisioning and internal distribution of Employee Laptops. Customer Service analysts deliver service and support that represents the highest level of customer service and quality. To do this, the analyst will: Provide world class customer service for Oracle's...QualityHourly payTemporary workWork experience placementInternshipWorldwideFlexible hours- ...Job Summary We are seeking an experienced Quality Analyst to perform application testing, validate results, identify defects, and ensure software quality. The role requires strong experience testing Java programs, working with DB2 and PostgreSQL databases, and supporting...Quality
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...: Database Administrator- Career-path Classification: Database Analyst Class Code: IDM02P Pay Grade: IST07 Salary Range: $73,104 – $11... ...troubleshooting and assist with resolving issues related to data quality, integrity, and performance. Perform database testing and...QualityWork at office- Advocate Health is seeking a Clinical Coding Quality professional to support accurate and compliant professional and hospital coding practices. The role involves developing coding guidance, coordinating audits, and collaborating with clinicians to improve documentation...QualityRemote job
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Department: 13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Desired Experience:Facility/Hospital Based Inpatient Coding experienceWill...QualityDaily paidFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hoursShift workDay shift- ...create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer data needs, and ensure quality delivery. Also responsible for identification, documentation, and resolution of risks, defects and issues. Responsible for...QualityFor contractorsWork at officeLocal areaRemote work
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...JOB SUMMARY The Revenue Integrity Analyst is responsible for proactively identifying revenue leakage, charge capture opportunities... ...leading healthcare system—recognized nationally for exceptional quality, safety, and patient experience.Today, Saint Francis serves more...QualityFull timeLocal areaImmediate startMonday to FridayFlexible hoursDay shift- NexRep LLC is seeking a Quality Specialist to analyze calls, emails, social media posts, and SMS contacts from independent marketplace contractors. You will identify trends and work with certification and operations teams to ensure contractor work meets client standards...QualityRemote jobFor contractorsAfternoon shift
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...Series: Administrative Support Classification: Administrative Analyst - Career Path Class Code: PAS01P Pay Grade: SGS05 Salary Range... ...of administrative and data management, ensuring accuracy and quality in all deliverables. Minimum Qualifications A high school diploma...QualityWork at office- ...compliance. Adhere to format, content, and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality. Additional duties as assigned. Knowledge, Skills, And Abilities Advanced skill level with MS Office Suite (Word, Excel,...QualityContract work
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Overview Navitus Health Solutions is seeking a Proposal Analyst to join our team! The Proposal Analyst role is critical to the client... ...project in accordance with defined project management processes and quality standards. The Proposal Analyst reports to the Manager or Sr....QualityWork at officeRemote workFlexible hours$46.99k - $112.2k
...be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one...QualityHourly payFull timeTemporary workLocal area$35.72 - $39.69 per hour
...considering opportunities with us! Job Title API IT Solutions Analyst II - Remote Requisition Number R8058 API IT Solutions Analyst II... ...Other business partners, Project Managers (PM), Developers and Quality Assurance (QA) and other IT partners as needed: Work closely with...QualityRemote jobHourly payH1bWork from homeFlexible hours- ...Since its founding in 1994, NRP has been dedicated to building quality homes for our residents, regardless of income. The NRP Group is... ...range of markets nationwide. Position Summary The Senior Benefits Analyst is a strategic and hands on member of the Human Resources team...QualityTemporary workFor contractorsLocal area
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Department: 12827 Enterprise Corporate - Quality Abstraction Status: Full time Benefits Eligible: Yes Hou rs Per Week:40 Schedule Details/Additional Information: Full-time, Dayshift Monday - Friday from 9:00am-5:00pm an this role will be fully remote. Fully Remote...QualityDaily paidFull timeTemporary workPart timeWork at officeRemote workRelocationMonday to FridayFlexible hoursShift workDay shift$40.9k - $58.4k
Provider Enrollment Quality Assurance Analyst - AR (Remote) Location: Any city, AR, US, 99999 Work Mode: Virtual (Exception only) Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and...QualityRemote jobFull timeWork at officeMonday to FridayFlexible hours- ...FocusKPI is looking for a Marketing Operations Analyst to join one of our clients, a high-tech SaaS company. As a Marketing Operations... ...and Management: Gain a comprehensive understanding of our data quality and flow processes, while identifying and developing solutions...QualityFull time
$77.2k - $96.5k
...independently with minimal supervision ~ Strong collaboration and stakeholder management skills ~ Self-motivated, professional, and quality-focused ~ Skilled in incident resolution, root-cause analysis, and SLA-driven support Certain states and localities require...QualityFull timeShift work$750 per month
Overview Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our team! The Analyst supports and evaluates agreements with providers and the Maximum Allowable Cost (MAC) program through financial price modeling, analysis, and reporting....Contract workRemote workFlexible hours- Navitus Health Solutions seeks a Reimbursement Analyst, Pharmacy Network to join our team. This role supports the MAC program through financial price modeling, analysis, and reporting, and collaborates with internal teams on generic trends and discount changes. The Analyst...Remote job
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