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

Work from home Full-time role Hiring

Job 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:

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