Job Summary: Under the direction of the QMIG Director and Manager, the Lead Quality Assurance Coordinator will support QMIG and other operational departments by developing key quality metrics, analysis tools, reporting tools and dashboards as well as continued analysis of key organizational areas to identify quality issues and potential improvements. The Lead Quality Assurance Coordinator will have cross-functional responsibilities and will support various departments. The Lead Quality Assurance Coordinator will be responsible for completing secondary and initial quality reviews on documents, claims, clinical reviews, etc. This position will contribute, monitor and report on the success of key tactical strategies as well as identify opportunities for the department and the organization as a whole. This position will interact with all levels of management, external clients, external members and various state and federal regulatory auditors. Detailed analysis and summary reporting will be an essential function of this position. The Lead Quality Assurance Coordinator will also be responsible for developing and maintaining internal department training and metrics.

Duties and Responsibilities:

1. Develop and maintain various analysis and reporting tools with extensive use of Word, Excel, Access, Visio and SharePoint.

2. Utilize COGNOS reporting software to develop and query routine and adhoc monitoring reports.

3. Develop and maintain various Frameworks, Policies, Desktop Procedures, Process Flows, Dashboards, reports and work documents on a regular basis.

4. Facilitate regular meetings with Business Owners and Management staff of various departments to identify quality concerns and coordinate improvement efforts.

5. Identify and investigate issues and develop a clear summary with a focus on root cause analysis and proposed resolutions.

6. Complete Quality Assessment projects in short timeframe requirements with a high level of accuracy.

7. Will provide additional resource support to all areas within the QMIG department and may also provide resource support to other operational areas as needed.

8. Other duties as assigned.

Qualifications:

• Strong Microsoft Office Suite experience and skills.
• Working knowledge of Microsoft Visio and SharePoint.
• Proficiency with database management tools and presentation of data analysis.
• COGNOS Business Software knowledge is preferred.
• Medical and/or pharmaceutical background highly desired.
• Prior Quality Assurance background highly desired.
• Must have exceptional interpersonal and organizational skills.
• Must be detail oriented and have the ability to produce work at the highest level of quality.
• Must be dependable and motivated.
• Professional written and verbal communication skills necessary.
• Willingness to cross-train in several disciplines.
• Flexibility and ability to work in high pressure situations and conform to tight deadlines is required.
• High School Diploma required.

Featured Benefits

• Competitive salary
  • Potential to earn $1,000 sign-on bonus
• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- & Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition
• Tuition Reimbursement
• Professional Development Training

About Benecard Services our affiliated companies:

Benecard Services, LLC

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

Website: http://www.benecard.com

BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.

Website: http://benecardpbf.com

National Vision Administrators

For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.

Website: http://www.e-nva.com

We are an Equal Opportunity employer.