Specialty Pharmacy - Quality Assurance Specialist

The Specialty Pharmacy Quality Assurance Specialist audits workflows, reviews documentation, and evaluates recorded calls to assess performance and competencies across job roles. This position produces and validates monthly, quarterly, and yearly quality measures, analyzes reports to support digital applications, and performs quality checks on websites and technology tools. Perform other quality monitoring duties, as assigned. This role requires a consistent commitment to VytlOne’s Core Values and the ability to act with integrity, collaboration, and purpose in support of patients, partners, and compliance obligations.

Who We Are

VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner. With an innovative model of customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA or PBM solutions, VytlOne is leading the way in unlocking revenue, growth and better outcomes for mission-driven hospitals, health systems, health centers, and employer partners.

Core Values

At VytlOne, our success is guided by our Core Values: Authenticity, Excellence for Partners, Integrity, One Team, and Purpose. The Quality Assurance Specialist is expected to model these values through fair and respectful communication, thoughtful judgment, and consistent follow-through. This includes approaching feedback with candor and professionalism (Authenticity), holding a high bar for reliability and service (Excellence for Partners), protecting sensitive information and doing what is right even when difficult (Integrity), collaborating constructively with peers and leaders to strengthen shared outcomes (One Team), and keeping members, patients, and partners at the center of decisions (Purpose).

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ESSENTIAL FUNCTIONS: (These duties must be performed with or without reasonable accommodation. This document in no way states or implies that these are the only duties to be performed by the employee occupying this position):

Quality Monitoring & Evaluation
• Audit and review workflows, processes, assessments, and related documentation.
• Evaluate calls using voice and screen recordings.
• Assess competencies across job roles.

Quality Measures & Reporting
• Collect and review quality measures on a monthly, quarterly, and annual basis.
• Review reports and statistics to support digital applications.

Technology & Digital Quality Checks
• Perform quality checks on websites and other technology links.

Team & Program Support
• Support the Rare and Orphan Care Team, as assigned.
• Complete additional quality-related monitoring, as needed.

Compliance & Ethics
• Ensure compliance with the VytlOne Business Code of Conduct and all company policies and procedures.
• Report allegations of impropriety promptly to the Compliance Department.
• Comply with VytlOne’s Ethical Business Conduct Policy and Compliance Program.
• Remain free from exclusion under the OIG and SAM Medicare/Medicaid lists.

Training & Work Requirements
• Complete required training within established timeframes.
• Ability to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with policy.
• Perform other job-related duties, as assigned.

Education:

• High School Diploma or equivalent required

Experience

• 1-2 years of relevant experience, specialty pharmacy experience highly preferred

Knowledge, Skills, and Abilities:
1. Working knowledge of computer software, specifically Microsoft Office and Outlook.
2. Ability to accurately enter data into a computer system.
3. Ability to prioritize work to meet deadlines.
4. Ability to multi task and work accurately under pressure.
5. Ability to work through and solve problems independently.
7. Excellent organizational and communication skills, both written and verbal.

What We Offer:

VytlOne offers a progressive culture that promotes teamwork and where employees are valued as the Company’s best asset. We work hard, but we make sure to have fun along the way, too. Competitive salary, plus a great benefits package are available including:

• $850 individual, annual medical deductible
• $25 office visit copays
• Low biweekly premiums
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA
• Employer-matched 401k Plan
• Industry leading PTO plan

 Why Choose a Career at VytlOne?

At VytlOne, purpose drives everything we do — and our people feel it. In fact, 92% of our team members report their work here is meaningful and important. With 9 in 10 recommending us as a great place to work, you’ll find more than just a job — you’ll find a supportive culture, inspiring mission, and opportunities to learn and grow. We are 1,600+ talented and passionate professionals, working with operations and employees in nearly every US state. We’re paving the way to better health outcomes with a new pharmacy experience. Our innovative spirit is at the heart of our new approach, and we invite you to be a part of it.r will assi

To Apply: please go online at https://careers-maxor.icims.com/

VytlOne is an EOE, including disability/vets