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Quality Assurance Analyst Pharmacy (Work From Home - Pennsylvania resident)
Job SummaryResponsible for the daily and monthly audits and special projects as assigned by leadership.Job DutiesProcesses the data for the Part D Appeal audits.Conduct daily audits on all Part D Appeals from the day prior and monthly random audits for all lines of business Coverage Determinations.Identifies any trend of errors by employees and works with the Pharmacy Prior Authorization Team Lead to educate and correct the errors.Summarizes and reports audit findings monthly to the Pharmacy Prior Authorization team during the monthly team meeting.Identifies process improvement opportunities and work with Pharmacy Prior Authorization Team Lead and Pharmacy Prior Authorization Manager to implement efficiencies.Organ


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