Pharmacy QA Specialist

Job description

Job Summary The Pharmacy QA Specialist plays a critical role in the pharmacy review process, supporting PBM clients by ensuring the accuracy, completeness, and quality of pharmacy-related determinations and documentation. This role is responsible for coordinating with clients, pharmacists, and internal teams to ensure that all reviews are completed in accordance with client requirements, regulatory standards, and turnaround time expectations. In addition to standard QA responsibilities, the Pharmacy QA Specialist provides subject matter expertise related to pharmacy benefits, medication reviews, and PBM processes, and serves as a resource for non-pharmacy QA staff on medication-related questions. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other, and Dane Street. All employees are expected to maintain a positive working environment that promotes client satisfaction and high-quality outcomes. Major Duties & Responsibilities: Client Interaction: - Provide regular status updates to PBM clients regarding case progress and completion timelines - Evaluate the quality and completeness of pharmacy reviews to ensure alignment...