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

This is a fully remote position, open to applicants in California.

📋 Description

• Act as a subject matter expert in benefit configuration and quality assurance within MedImpact’s PBM programs.

• Lead intricate validation initiatives, supervise quality and compliance review processes, and ensure that configurations, operational workflows, and deliverables align with client expectations and internal quality benchmarks.

• Foster continuous improvement, mentor analysts, and collaborate across functions to boost accuracy, efficiency, and compliance throughout the organization.

• Direct the design, implementation, and oversight of complex configuration validation tasks for benefit, pharmacy network, and formulary management in pre-production settings.

• Validate the accuracy of configurations for business maintenance, new client onboarding, regulatory updates, and special projects.

• Approve configuration design strategies for complex or unique benefit requests and ensure the precise migration of validated changes from Test to Production environments.

• Communicate critical issues, risks, and opportunities for improvement to leadership, ensuring visibility and prompt resolution.

⛳️ Requirements

• BS/BA degree and 3+ years of experience or a comparable combination of education and experience.

• Prior experience in writing SQL queries, Automation Testing, File Transfer Protocol, and UNIX is highly preferred.

• Intermediate to advanced proficiency in Microsoft Office, particularly Word, Excel, MS Access, and Project.

• Intermediate to advanced skills in SQL queries.

• Familiarity with Quality Assurance methodologies and their practical application.

• Strong analytical and problem-solving skills, along with a deep understanding of PBM regulations and associated CMS guidance.

• Experience in Healthcare, Managed Care, Government Programs, or PBM Quality is preferred.

🏝️ Benefits

• Medical / Dental / Vision / Wellness Programs

• Paid Time Off / Company Paid Holidays

• Incentive Compensation

• 401K with Company match

• Life and Disability Insurance

• Tuition Reimbursement

• Employee Referral Bonus