Operations QA Lead at Neko Health managing quality operations and driving improvements in preventive healthcare technology. Responsible for CAPA processes and enhancing quality systems.
About the role
- Business Change Advisor supporting pharmacy benefit management at Elevance Health. Bridging the gap between current and desired business performance levels in the health sector.
Responsibilities
- Helps build and support the company's change network.
- Communicates information from a variety of sources through newsletters, dashboards and presentations.
- Promotes benefits of function within region as well as throughout the company.
- Understand the Pharmacy benefit setup & validate the configuration to ensure the accurate setup using Claims/Query testing.
- Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.
Requirements
- Requires a BA/BS and minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.
- 4+ years of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy including claims processing and benefit administration strongly preferred.
- Significant experience working in the Medicaid line of business is highly desired, with additional experience in Commercial or Medicare being a plus.
- Proficiency in Data Analysis preferred.
- Experience with Jira, Blueprint, Confluence, Expertise in MS Excel strongly preferred.
- Automation skills (VB Macro/C#) preferred.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- paid holidays
- Paid Time Off
- medical
- dental
- vision
- short and long term disability benefits
- wellness programs
- financial education resources
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