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Associate, Pharmacy Operations

Remote, USA Full-time Posted 2025-11-03
Description: • Review/Analyze reports for supporting improvements in member experience outcomes. • Monitor key metrics to measure the business and improve operating processes. • Complete assigned audits – calls or PGs for Specialty Pharmacy and records in the appropriate database. • Collects and analyzes data related to healthcare quality measures, patient outcomes, and key performance indicators. • Contributes to the implementation and maintenance of quality assurance programs in compliance with regulatory requirements and industry standards. • Assists in the development and review of quality protocols, policies, and procedures. • Compiles and maintains records of quality metrics, performance indicators, and improvement initiatives. • Conducts basic audits and assessments to evaluate adherence to quality standards and identify areas for improvement. • Communicates quality goals, strategies, and progress internally through meetings, presentations, and regular updates. • Coordinates with cross-functional teams to develop and implement comprehensive quality improvement projects and programs. • Carries out quality improvement initiatives aimed at enhancing healthcare processes, patient safety, and clinical outcomes. • Assists in providing education and guidance to staff members on quality standards, regulatory requirements, and performance improvement methodologies. Requirements: • 1+ years of SPRx • 2+ years of Data interpretation and analysis experience • Adept at problem solving and decision-making skills • Basic awareness of problem solving and decision-making skills • Microsoft Excel, Word, PowerPoint • Program application such as Mattersight and ProNet • Quality Improvement Associate Certification (CQIA) preferred Benefits: • Affordable medical plan options, • a 401(k) plan (including matching company contributions), • and an employee stock purchase plan. • No-cost programs for all colleagues including wellness screenings, • tobacco cessation and weight management programs, • confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, • flexible work schedules, • family leave, • dependent care resources, • colleague assistance programs, • tuition assistance, • retiree medical access and many other benefits depending on eligibility. Apply Job!  

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