The Quality Control Analyst (QCA) is responsible for supporting and coordinating quality control analysis and related processes for activities performed by Navitus Health Solutions. The QCA I is responsible for engaging in preventive and detective quality controls that can be measured quantitatively and qualitatively to validate Navitus processes. The QCA I will work with oversight and moderate independence to ensure quality control validations are completed in a timely manner. This individual requires an intermediate understanding of quality controls and how to apply such controls to department processes. The QCA I shall have the ability to learn critical department processes with operational relevance and gain reasonable understanding for effective monitoring. The QCA I shall assess assigned processes lifecycles, improvements, or enhancements and seek supervisory guidance where appropriate.
This position may include after-hour and/or weekend hours with other eligible team members depending on workload.
Is this you? Find out more below!
ResponsibilitiesHow do I make an impact on my team?
Plans and prepares of all required quality control/check tasksReports and informs on quality control/check outcomesReports gaps or deficiencies in performance of quality control/checkAlerts leaders to systemic issues affecting outcome of quality control/checkMaintains organized documentation to demonstrate performance of quality control/check standardsEvaluates if quality control/check processes are meeting standards and expectationsFollows policies and procedures including departmental and quality policies set by the organizationOther duties as assigned QualificationsWhat our team expects from you?
Associate degree or equivalent work experienceTwo years PBM or health plan experience preferredExperience in quality/performance control or auditing preferredKnowledge of quality principles, standards and processes strongly desiredIntermediate to expert knowledge in MS Office including Word, Excel, Visio and PowerPoint preferredParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesWhat can you expect from Navitus?
Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750!#LI-Remote
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