Quality Reviewer

Job Summary

A company is looking for a Quality Reviewer to join their Specialty pharmacy team remotely.

Key Responsibilities

• Conduct quality reviews of daily reports and verify reportable events
• Manage documentation and communication regarding reports and issues with data
• Participate in training and assist with manufacturer audits as needed

Required Qualifications

• High School Diploma/GED required; some college work preferred
• Minimum of one-year experience with patient accounts in a pharmacy or healthcare setting
• Understanding of insurance, prior authorization, and patient benefits preferred
• Computer experience is mandatory
• Must be eligible for participation in applicable State and Federal reimbursement programs