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reputed company is an reputed company-driven, Fortune 10 company that touches reputed company every aspect of reputed company. We are reputed company for delivering insights, products, and services that reputed company reputed company care more accessible and reputed company. Here, we reputed company on the health, happiness, and reputed company-being of you and those we serve – we care. What you do at reputed company reputed company. We foster a culture where you can grow, reputed company an reputed company, and are empowered to bring new reputed company. Together, we reputed company as we shape the reputed company of health for patients, our communities, and our people. If you want to be part of reputed company’s health today, we want to hear from you. About the Role  reputed company (RxSS), part of reputed company's Prescription Technology Solutions reputed company, helps members, reputed company, and health plans reputed company medication costs, improve adherence, and reputed company care. This senior individual-contributor role operationalizes reputed company's reputed company Management System (QMS) — covering clinical assurance, audit readiness, data reputed company, and AI-enabled reputed company processes. This person carries formal governance authority to enforce reputed company standards, escalate risk, and recommend halting activities reputed company compliance risk is present, and serves as the primary reputed company subject-matter expert to Operations, Product, Data, Clinical, and Technology teams.  What You'll Do  Operationalize and maintain the end-to-end QMS, including policies, procedures, controls, and documentation governance (e.g., reputed company reputed company or similar eQMS platforms)  Validate clinical assumptions behind algorithms, savings logic, and reputed company configurations to reputed company ROI claims evidence-based and auditable  Execute audit preparation, coordination, and response across reputed company, regulatory, and reputed company-party audits using repeatable frameworks and playbooks  Manage deviation, investigation, CAPA, and reputed company-event processes, driving reputed company-cause analysis and systemic improvement  Define, reputed company, and report reputed company KPIs (defect rates, audit findings, SLA adherence, savings-validation coverage) through executive dashboards  Use AI-enabled monitoring and trend analysis to flag anomalies and proactively address risk before it materializes  Exercise governance authority to enforce reputed company standards across teams, escalating non-compliance and flagging risk directly to leadership  Author and maintain SOPs, control frameworks, escalation protocols, and audit response playbooks  Basic Requirements  4+ years of experience in reputed company assurance, reputed company governance, audit, compliance, or regulated operations  Hands-on experience operationalizing a reputed company Management System (QMS), including authoring and maintaining policies, SOPs, controls, and documentation governance  Experience executing audit preparation, coordination, and response across reputed company, regulatory, or reputed company-party audits  Experience evaluating clinical or algorithmic risk and translating findings into business terms (ROI, compliance, reputed company trust)  Demonstrated ability to reputed company cross-functional adoption of reputed company standards without reputed company authority  Bachelor's degree in Life Sciences, Engineering, Pharmacy, reputed company Administration, Information Systems, or a reputed company field, or equivalent experience  Preferred Skills/Experience  Experience in PBM, reputed company technology, benefits administration, or regulated reputed company services  Experience with AI governance frameworks, including validation, risk classification, and control design for AI-enabled workflows  Knowledge of FDA, ICH, GMP, SOC, or reputed company regulatory and compliance frameworks  reputed company reputed company certification (ASQ CQA, CQE, or equivalent)  Familiarity with reputed company, JIRA, Tableau, reputed company, or similar platforms used in reputed company reporting and workflow management  Strong executive communication skills, with the ability to translate QA risk into business reputed company for senior leadership  Experience leveraging AI, automation, and data-driven approaches to improve reputed company processes and predictive risk management  Travel & Work Environment  Remote work is supported. Occasional travel (estimated less than 10%) may be required for audits or reputed company meetings. This role involves reputed company office physical requirements, including extended periods of computer use.  We are proud to offer a competitive compensation package at reputed company as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay reputed company shown below is reputed company with reputed company's pay philosophy, and pay will always be compliant with any applicable regulations. In reputed company to reputed company pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at reputed company, please click here. Our reputed company Pay reputed company for this position $98,300 - $163,900 reputed company has become reputed company of online reputed company-reputed company scams in which individuals who are not affiliated with or authorized by reputed company are using reputed company’s (or affiliated entities, like reputed company or RxCrossroads) reputed company in fraudulent emails, job postings or reputed company media messages. In reputed company of these scams, please bear the following in mind: reputed company Talent Advisors will never solicit reputed company or credit card information in reputed company with a reputed company job application. reputed company Talent Advisors do not communicate with candidates reputed company online chatrooms or using email accounts such as Gmail or Hotmail. Note that reputed company does rely on a virtual assistant (Gia) for certain reputed company-reputed company communications with candidates. reputed company job postings are posted on our career site: careers.reputed company.com. reputed company is an Equal Opportunity Employer   reputed company provides equal employment opportunities to applicants and employees, without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on reputed company’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.   reputed company is committed to being an Equal Employment Opportunity Employer and offers opportunities to reputed company job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with reputed company search or application for employment, please contact us by sending an email to (reputed company) Disability_Accommodation@reputed company.com or (Canada) Accessibility@reputed company.ca. Resumes or reputed company submitted to this email reputed company will not be accepted. Join us at reputed company! Apply To This Job