Benecard Services, LLC ยท 2 days ago
Quality & Process Improvement Specialist
Benecard Services, LLC is a premier nationwide Prescription Benefit Administrator, and they are seeking a Quality & Process Improvement Specialist. The role involves reviewing documents for accuracy, conducting quality reviews, and collaborating with management to identify and address quality concerns.
Health CareMedical
Responsibilities
Completing quality reviews on documents, claims, and clinical reviews
Contribute, monitor, and report on the success of key tactical strategies
This position will interact with all levels of management and departments
Detailed analysis and summary reporting
Develop and maintain various analysis and reporting tools
Utilize COGNOS reporting software to query routine and ad hoc monitoring reports
Develop and maintain various Policies, Desktop Procedures, Process Flows, Frameworks, and Dashboards
Facilitate regular meetings with Business Owners and Management staff of various departments to identify quality concerns and coordinate improvement efforts
Identify and investigate issues with a focus on root cause analysis and proposed resolutions
Complete special quality-related projects in short timeframes with a high level of accuracy
Provide additional resource support to all areas within the QMIG department and may also provide resource support to other operational areas as needed
Other duties as assigned
Qualification
Required
High School Diploma or equivalent
Microsoft Office Suite knowledge
Proficiency presentation of data analyses (trending data and articulate / breakdown analysis)
Must have exceptional interpersonal and organizational skills
Must be detail-oriented
Must have professional written and verbal communication skills
Must demonstrate flexibility and ability to work in high pressure situations and conform to tight deadlines
Preferred
Knowledge of Cognos Business software
Medical and/or pharmaceutical background
Prior Quality Management background
Benefits
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
Company
Benecard Services, LLC
Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990.
H1B Sponsorship
Benecard Services, LLC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2022 (1)
2020 (1)
Funding
Current Stage
Growth StageCompany data provided by crunchbase