About us:
SmithRx is a fast-growing, venture-backed health tech company. Our mission is to transform the expensive and inefficient Pharmacy Benefits Management (PBM) sector by building a next-generation medication acquisition platform that leverages cutting-edge technology, innovative cost-saving tools, and best-in-class customer service. With hundreds of thousands of members on board since 2016, SmithRx delivers solutions that resonate with clients across the country.
We pride ourselves on our collaborative, mission-driven culture that inspires our employees to do their best work. We believe change is needed in America’s health care system, and we work every day to make that change a reality. Our company is founded on these company values:
- Honesty: We will always carry out our work with honesty and transparency to earn the trust of our customers.
- courage: Demonstrate the courage required to stand up to a broken industry and continually improve what you offer to optimize health outcomes.
- together: We foster a supportive, inclusive environment that values teamwork, respect and open communication, and encourages creativity and diversity of thought.
Job Summary:
The Senior Benefits Operations Quality Assurance Analyst is responsible for ensuring the quality and accuracy of benefits operations. This role includes conducting detailed audits, analyzing data and implementing quality improvement initiatives. The Senior Quality Analyst will work closely with a cross-functional team to ensure compliance with regulatory requirements and internal standards.
things to do:
- Conduct a comprehensive audit of your benefits operations processes to ensure accuracy and compliance.
- Analyze audit results to identify trends, inconsistencies and areas for improvement.
- Develops and implements quality improvement plans and corrective actions.
- Work with benefits operations team to resolve issues and ensure adherence to quality standards.
- Prepare and maintain detailed documentation of audit findings and quality assurance activities.
- Provide training and support to operations staff on quality assurance processes and best practices.
- Stay up to date with industry regulations and standards to ensure compliance.
- Participates in the development and enhancement of quality assurance policies and procedures.
- Leads and participates in quality assurance projects and initiatives.
- Mentor and mentor Junior Quality Assurance Analysts.
- Provide support to team members on escalations and complex configuration QA requests.
What it brings to SmithRx:
- Six or more years of quality assurance or audit experience in employee benefits operations.
- Strong analytical skills to interpret complex data sets.
- Excellent attention to detail and organizational skills.
- Proficient with Microsoft Office Suite and Quality Assurance software.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Knowledge of industry regulations and standards.
- Self-motivation: Ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
- Action-oriented – You are a solution-oriented problem solver and value efficiency
- Flexible, reliable and adaptable to meet the pressures of a fast-changing technology enterprise
SmithRx offers:
- Competitive health benefits including medical, pharmacy, dental, vision, life insurance and AD&D insurance
- The benefits of flexible spending
- 401(k) Retirement Savings Program
- Short-term and long-term disabilities
- Discretionary paid leave
- 12 days of paid vacation
- Health Benefits
- Commuting allowance
- Paid parental leave benefits
- Employee Assistance Program (EAP)
- Fully equipped kitchen in the office
- Professional Development and Training Opportunities
