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Position Description: Quality Assurance Manager
Under the direction of the Program Manager, the Quality Assurance Manager is responsible for providing quality assurance for various government programs and utilizing continuous quality improvement as needed. Outcomes are shared with program management and corporate senior leadership. The Quality Assurance Manager also provides day to day direction for Program Manager in support of program goals.
Responsibilities:
- Understand and represent PRITM 's mission, vision, and values to all internal and external customers
- Interact with government and private sector clients, partners, and PRITM staff in a professional and accountable manner, and as a representative of PRITM
- Engage clients in appropriate communication that manages client expectations and builds a collaborative relationship with the client
- Proactively manages and coordinates activities to ensure timeliness of deliverables to exceed contractual obligations
- Interact with project team members in order to successfully fulfill contract obligations with the highest quality and in a timely manner meeting PRITM 's ISO requirements
- Instills integrity throughout the organization via active participation in ISO requirements including but not limited to timely submission of Corrective Action Plans for all matters in which either PRITM standards and/or corporate contract standards have not been met. Communicating outcomes to team members to ensure a positive, open, environment which mitigates risk and achieves a culture of Continuous Quality Improvement.
- Assembles, prepares, and analyzes data for various government programs, including Discount Program Appeals
- Extracts and organizes data from CMS PDE files and assists Program Manager and Pharmacist with analysis of data
- Drafts requests for information to Part D sponsors. Coordinates and assists with responses to communication from manufacturers and Part D sponsors
- Assembles data for standard and ad hoc reports. Researches appeals pursuant to Discount Program protocols and procedures; ensures that data analysis and report conclusions are accurate
- Communicates program goals and deadlines to team members
- Creates a productive work environment for the team using gamification, trust and other appropriate strategies
- Assists with the daily operation of the organization specific to team responsibilities
- Utilize project resources for research and reference verification
- Demonstrates skill and experience in handling a large workload with varying deliverable dates
- Flexible with assignments to meet contract performance metrics
- Demonstrates skill and experience in the submission of timely, accurate deliverables
- Proven skill and experience in excellent oral and written communication spanning executives to the general public
- Maintains a focus of Continuous Quality Improvement in the development of best practices based upon measurable outcomes
- Conducts random and focused QA with expectation of scores of 98% or better; conducts individualized training and/or group training when indicated.
- Perform other duties as requested
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