Job Information
Independent Health Supervisor- Quality Assurance in Buffalo, New York
FIND YOUR FUTURE
We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion.
Overview
The Supervisor-Quality Assurance is a professional who displays a passion for accuracy, quality, and production, meeting the needs of both internal and external customers. The Supervisor-Quality Assurance will be responsible for oversight of the day-to-day function of the QA/QC team and the assurance and control audits completed by the QA/QC team to ensure PBD operations are being completed accurately, as well as for the audit reporting and monitoring.
The Supervisor-Quality Assurance will be responsible for the creation and maintenance of necessary documentation and will coordinate with the PBM Programs Trainer to identify and develop needs-based training for all associates. The Supervisor-Quality Assurance will be responsible for the creation and maintenance of policies and procedures and quality performance planning in collaboration with the functional area’s management team members. Overtime and holiday work may be required as a condition of employment.
Qualifications
Associate degree required. An additional two (2) years of experience will be considered in lieu of degree.
Four (4) years of healthcare experience in benefit administration, claims payment and reimbursement to include at least one (1) year of experience with online pharmacy system management and maintenance and two (2) years of experience in a Quality Assurance environment required.
One (1) year progressive leadership and/or specialist/advocate experience required.
Strong analytical, problem solving, time management and organizational skills.
Experience in producing reports and other system output to support decision making and information dissemination.
Advanced PC and Microsoft Office applications required. A working knowledge of core business systems preferred.
Excellent interpersonal, written and verbal communication skills.
Proven examples of displaying PBDs values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.
Essential Accountabilities
Quality Assurance / Quality Control and Auditing: Oversee the daily operations of the QA/QC team, development and implementation of policies, procedures and audit processes. Collaborate with functional area management teams to establish and manage quality guidelines and to develop accuracy methodologies consistent with industry standards.
Monitoring: Review/monitor team members’ performance and accuracy, as well as, any open issues which have exceeded appropriate turnaround times. Identify business process improvement opportunities and escalate the potential improvement appropriately.
Escalations: Employ excellent communications skills to discuss issues with all stakeholders. Apply policies and organizational criteria to make appropriate decisions and work with the organizational resources to gain consensus when necessary. If consensus cannot be reached escalate the issue appropriately.
Training and Documentation: Oversee, create and maintain policies and procedures and other documentation specific to PBD operations. Coordinate and work with the PBM Programs Trainer(s) to identify and develop needs-based training for all associates.
Reporting: Facilitate the creation, maintenance, production, distribution and tracking of audit reporting.
Develop Talent / Leadership: Coach and mentor staff to achieve departmental and organizational goals and objectives. Conduct regular one-on-one meetings with direct reports to build more effective communications, understand associate needs and provide direction, insight and feedback. Provide timely feedback to senior management regarding team performance.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $60,500 - $65,000 annually
Compensation may vary based on factors including but not limited to skills, education, location and experience.
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information) for additional EEO/AAP or Reasonable Accommodation information.
Current Associates must apply internally via the Job Hub app.
The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.
Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.
We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.
We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.
Apply today and join us on the journey to a happier, healthier, and more inclusive community.
We are a drug-free workplace. We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.
Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.