Product Support/QA Specialist

AssistRx • Orlando, FL

2d • Hybrid

About The Position

AssistRx is seeking a highly detail-oriented and self-motivated individual to join their team as a Product Support/QA Specialist. This role involves using proprietary tools to build, test, and maintain a library of electronic prior authorization (ePA) forms and maintaining the company’s asset library. The position is crucial for ensuring the accuracy and quality of product offerings and supporting the growth of the solutions portfolio. Success requires independent work, in-depth research, and exceptional attention to detail.

Requirements

• Solid understanding of prescription drug reimbursement processes, including insurance plan types, major medical benefits, and prior authorization requirements.
• Basic knowledge of prescription drugs, including administration methods, routes, dosages, dosage forms, and common drug classifications.
• Proficient in the use of computers and software applications, including Microsoft Office Suite, Adobe Acrobat, web-based platforms, and general keyboarding skills.
• Ability to quickly adapt to new systems, workflows, and technologies, and learn company-specific policies and procedures effectively.
• Exceptional attention to detail with the ability to perform repetitive tasks with a high degree of accuracy and consistency.
• Strong written and verbal communication skills to document, explain, and collaborate on technical or process-related information clearly and professionally.
• Excellent interpersonal skills, with the ability to collaborate effectively across diverse teams and work with individuals from various backgrounds.
• Prior experience in Specialty Pharmacy or Managed Care, with a working knowledge of specialty medications and the associated prior authorization process.

Nice To Haves

• Bachelor’s degree in healthcare, life sciences, pharmacy, health information management, or a related field.
• Previous experience working with electronic prior authorization (ePA) systems or pharmacy benefit management (PBM) platforms.
• Familiarity with industry-standard coding systems such as NDC, HCPCS, or ICD-10.
• Understanding of payer policies and utilization management criteria for specialty medications.
• Experience conducting quality assurance reviews and documenting process improvements.
• Proficiency with Adobe Acrobat DC Pro for creating and editing accessible, fillable PDFs.
• Demonstrated ability to manage multiple projects or tasks simultaneously while meeting tight deadlines.
• Experience in a remote or hybrid work environment with minimal supervision.
• Familiarity with HIPAA and other healthcare data privacy regulations.
• Knowledge of clinical terminology and medical benefit coverage criteria.

Responsibilities

• Conduct comprehensive research using electronic sources to identify and validate prior authorization (PA) forms for all relevant products.
• Build and maintain digital assets, including electronic prior authorization (ePA) forms and various correspondence materials, using internal proprietary systems.
• Test system modifications and new functionality to ensure accuracy and readiness for implementation; document and report software defects to developers or relevant departments.
• Participate in product design and development discussions, providing detailed input on functional requirements, usability, and potential risk areas.
• Analyze payer-provided content to create cohesive and compliant question sets, ensuring alignment with clinical and regulatory standards.
• Utilize basic clinical knowledge to correctly associate PA forms with appropriate products, therapeutic areas, and use cases.
• Create, edit, and maintain PDFs using Adobe Acrobat DC Pro to ensure proper formatting, accessibility, and compliance.
• Adhere to all applicable data privacy, security, and compliance standards, including HIPAA and internal data governance policies.
• Work independently to manage assigned tasks, meet deadlines, and maintain a high standard of quality across all deliverables.
• Support continuous improvement initiatives by identifying opportunities for increased efficiency, accuracy, and automation in form development and quality assurance processes.

Benefits

• 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary.
• $1,000 tenure vacation bonus upon 3-year anniversary and $2,500 upon 5-year anniversary.
• Medical, dental, vision, life, & short-term disability insurance
• Teledoc services for those enrolled in medical insurance
• Competitive pay structure
• Matching 401(k) with immediate vesting
• Legal insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level