Quality & Process Improvement Specialist

Benecard Services Inc.•Mechanicsburg, PA

9h•Onsite

About The Position

BenecardPBF is seeking a QPI Specialist with cross-functional responsibilities that include reviewing documents for spelling, grammar, and accuracy. Reviewing member card ID packets, claims, clinical reviews, and other various aspects of the system on a day-to-day basis. This role is 100% on-site, requiring in-office attendance five days per week with no remote or hybrid option.

Requirements

High School Diploma
1+ year of Quality Assurance or Quality Improvement experience is needed to be successful
Strong knowledge of Microsoft Office Suite with a focus on Word and Excel
Exceptional attention to detail with strong organizational skills.
Professional written and verbal communication skills.
Ability to clearly present data analysis results.
Flexibility to work in high-pressure environments with tight deadlines.
Strong interpersonal skills and cross-functional collaboration ability.
Knowledge of Cognos Business Intelligence and JIRA software.

Nice To Haves

Medical and/or pharmaceutical industry background would be preferred

Responsibilities

Complete quality reviews on documents, claims, member card ID packets, and clinical reviews.
Perform detailed analysis and provide clear summary reporting on findings.
Identify trends, gaps, and risks impacting quality and accuracy.
Develop, maintain, and enhance analysis and reporting tools.
Utilize JIRA and COGNOS reporting software to run routine and ad hoc monitoring reports.
Contribute to, monitor, and report on the success of key tactical quality strategies.
Identify and investigate quality issues with a focus on root cause analysis and proposed resolutions.
Develop and maintain policies, desktop procedures, process flows, frameworks, and dashboards.
Coordinate and support improvement efforts across departments.
Interact with all levels of management and staff across multiple departments.
Facilitate regular meetings with business owners and management to review quality concerns.
Provide additional resource support within the QPI department and to other operational areas as needed.
Complete special quality-related projects within short timeframes while maintaining a high level of accuracy.
Perform other duties as assigned.