TL;DR

Lead Benefits Testing (QA Testing): Managing and developing a team responsible for benefits operations quality assurance including audits, testing, and documentation with an accent on healthcare and pharmacy benefits. Focus on leading quality improvement initiatives, performance management, and collaboration with engineering and operations teams to enhance workflow automation and accuracy.

Location: Remote (US)

Company

%hirify_global% is a rapidly growing, venture-backed Health-Tech company focused on transforming the Pharmacy Benefit Management sector with innovative technology and cost-saving tools.

What you will do

Manage and coach a team delivering benefits operations quality assurance, testing, and documentation.
Oversee employee performance using scorecards and metrics, providing feedback and support.
Develop and deploy audits to assess quality and accuracy of benefit configuration work.
Analyze audit results to identify trends and implement quality improvement plans.
Support escalations and complex configuration requests, communicating status to leadership.
Collaborate with engineers and operations teams to improve workflows and system capabilities.

Requirements

Must have 2+ years leadership experience managing remote or hybrid teams.
5+ years experience in claims processing, medical billing, healthcare or pharmacy benefits in PBM or payer environment.
Strong analytical skills to interpret complex data and benefit plan designs.
Excellent communication and organizational skills.
Knowledge of industry regulations and quality improvement methodologies (Six Sigma preferred).
Self-starter with problem-solving and efficiency-driven mindset.

Culture & Benefits

Comprehensive wellness benefits including medical, pharmacy, dental, vision, and life insurance.
401(k) retirement savings program and paid parental leave.
Flexible spending benefits and commuter benefits.
Discretionary paid time off and 12 paid holidays.
Employee assistance program and professional development opportunities.