Quality Analyst

RxBenefits, Inc.

Quality Analyst ensuring quality assurance for new implementations and benefit changes. Collaborating with teams to identify issues and enhance processes in a remote work environment.

Posted 6/27/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $27 per hourWebsite

About the role

Key responsibilities & impact

Follow QA testing procedures to complete standard testing scenarios and reporting for the following and additional testing as assigned.
New client benefit implementations
Existing client benefit changes
Existing client benefit audits
Complete the following standard testing scenarios:
Documentation comparison
Structure set-up comparison
Review of automated Benefits test case output
Review of Integrated Accumulation sharing
Manual test case entry and review, using critical thinking to determine accuracy of test results
Use critical thinking skills in reviewing test data results, reaching out internally around complex situations (such as multiple inaccuracies, poorly defined criteria or missing details, escalations) to ensure the most accurate test results are provided.
Use Microsoft Excel to complete structure comparisons.
Use Microsoft Access to create test case details to apply for automated testing.
Learn all PBM documentation, software, and reporting systems for our contracted PBMs
Accurately document detailed test results; including location of issues found, screen shots and member examples as necessary.
Determine appropriate test plan based on the type of benefit changes.
Update or review process documentation, as assigned.
Assist with mentoring new or contract staff, as assigned.
Effective internal communication, including cross-department collaboration to explain and resolve testing failures
Identify and escalate process deficiencies and delays to supervision.
Identify and support process improvement opportunities.
Support new process and technology solutions, including associated user design development and user acceptance testing, as assigned.
Supports off-hours priority work as needed, including some holidays.
Effectively navigate Salesforce and/or proprietary software.
Manage day-to-day work in Clarizen project management software.
Positively accepts and promotes change.
Assumes additional responsibilities as prescribed or directed.

Requirements

What you’ll need

2+ years of experience handling pharmacy claims
Proficient in MS Office (Including Word, Excel, Outlook)
Ability to handle multiple and competing priorities with little direction from leadership
Prior work experience leveraging professional written and oral communication skills; organization skills; and relationship management skills
Possess analytical and critical thinking skills
Pharmacy Tech strongly preferred
Prior data validation or implementation support experience preferred
Pharmacy Benefit Manager (PBM) or Retail Pharmacy experience preferred
Intermediate Excel skills and familiarity with Microsoft Access is a plus
Salesforce or Clarizen experience is a plus

Benefits

Comp & perks

Website LinkedIn All Job Openings 1001 - 5000 employees Founded 1995 ⚕️ Healthcare Insurance 💳 Fintech 🤝 B2B 💰 Private Equity Round on 2020-12 Healthcare Insurance
Fintech
B2B RxBenefits, Inc. is a company that specializes in providing innovative pharmacy benefits solutions to employers and their employees. They focus on optimizing the management of prescription drug plans to reduce costs and improve health outcomes. Through advanced analytics and personalized member support, RxBenefits aims to transform the pharmacy benefits experience for their clients.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

QA testing proceduresdocumentation comparisonstructure set-up comparisonautomated testingmanual test case entrydata validationtest plan developmentprocess documentationuser acceptance testingpharmacy claims handling

Soft Skills

critical thinkingeffective communicationorganization skillsrelationship managementmentoringprocess improvementadaptabilitycollaborationproblem-solvingtime management

Certifications

Pharmacy Technician certification