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Quality Programs Engagement Specialist

Title: Quality Programs Engagement Specialist                               Reports to: VP, Client Services

Location: Remote

Employment Status: Full Time 

We at PQS believe that improving patient health outcomes starts with quality measurement. With our flagship technology platform EQUIPP® as the foundation, we connect payers and providers who value measurement and share our mission to contribute to a healthier world.

We are small and nimble company, with the ability to deliver big impact. We connect major healthcare payers with 95% of pharmacies to serve millions of patients in performance-based programs managed by pharmacists.  Managing and analyzing data for nearly 60 million lives, we give providers and payers insights to understand quality improvement opportunities. We care about elevating the role of pharmacy to make a difference in patient quality of life and hope that you do too!

As the Quality Programs Engagement Specialist, you will report to the Vice President of Client Services and work closely with the Client Services, Information Services, and Project Management teams. 

You will be responsible for managing and monitoring all activities necessary to ensure successful completion of the designated quality program objectives and quality-based performance programs with payer clients and maintaining positive outreach with key pharmacy accounts to ensure that customer’s are successfully engaging in program specifications.

The responsibilities for this role include, but are not limited to:

You will…

  • Oversee the overall activities of the assigned programs. This primarily involves coordinating pharmacy engagement in the program and monitoring pharmacy engagement and performance towards program objectives.
  • Build and maintain positive relationships with key program participants and the program sponsor. This will include onsite visits as well as frequent telephonic/email communications.
  • Provide routine analysis of quality measure performance and provide actionable recommendations to program participants and the program sponsor. Provide program participant-specific guidance on adoption of quality improvement processes that are enabled by EQUIPP®.
  • Respond to program participant inquiries about EQUIPP® and triage the inquiries to the appropriate PQS staff for follow up when necessary.
  • Coordinate the allocation of improvement resources to support program participants toward program success.
  • Present oral and written reports to PQS management, program participants, and the program sponsor explaining status, timelines, and accomplishments of assigned program(s).
  • Coordinate EQUIPP® and quality measurement training experiences for corporate and pharmacy store level users.
  • Lead Cross-functional Collaboration
    • Work with internal PQS teams regarding client specific EQUIPP updates and support.
    • Partner with internal PQS teams regarding client engagement and appropriate communication to EQUIPP end users related to payer programs, updates and support. Up to and including podcasts, webinars, and payer program specific contracting calls.
    • Assist in key pharmacy client calls to further bridge the communication between Payers and Pharmacy.
    • Travel is required
      • Approximately 15-20% of time may be spent out of the office
      • At peak times may be several days in a row
    • Attend conferences and trade shows for managed care organizations. Exhibiting at national conferences is expected.

You have…

  • Ability to work under pressure and meet sensitive timelines.
  • Capability to observe high levels of business protocol; maintain confidentiality, motivate, collaborate, multitask and prioritize projects and activities.
  • Bachelor’s Degree (advanced degree preferred).
  • 3+ years’ experience in healthcare including experience with program and account management.
  • Understanding of quality measurement systems (e.g., Medicare Stars, HEDIS) is a plus.
  • Exceptional communications, presentation, and writing skills.
  • Excellent work ethic, including the ability to achieve with minimal supervision.
  • Strong organizational, analytic, research and problem-solving skills.
  • Proficient with the Microsoft Office Suite including high aptitude with Microsoft Excel

Outstanding candidates will have…

  • Masters Degree in a business or healthcare related field
  • Project management experience

You are the right person for PQS if you…

  • Thrive working in a small company environment where you can make a difference.
  • Have an entrepreneurship mindset.
  • Are innovative in your approach to work.
  • Are nimble in techniques to meet the needs of the business.
  • Have commitment to delivering excellent services.
  • Fulfill role and responsibilities at the highest ethical standards and maintain a professional image for PQS.

PQS is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

PQS is a small healthcare technology company with 40-60 employees.

How to Apply: Resume and cover letter should be emailed to: careers@pharmacyquality.com.