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Posted: 10/19/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in quality assurance and auditing within specialty pharmacy operations, with a strong focus on data analysis, process improvement, and team leadership. Proven ability to develop and implement quality standards, audit tools, and training programs to enhance operational efficiency.
Highest-signal resume keywords
Quality AssurancePharmacy OperationsData AnalysisTeam LeadershipSpecialty Pharmacy Experience
About the role
Key responsibilities & impact- Own the end-to-end quality audit program for order processing, claims, prior authorizations, dispensing, and patient/caregiver phone calls.
- Maintain a working audit caseload alongside the team.
- Develop and improve QA scorecards, audit tools, SOPs, and calibration procedures.
- Serve as the escalation point for quality concerns, leading root cause analysis, remediation, and corrective action plans.
- Translate workflow changes, payer requirements, and clinic-specific expectations into updated audit criteria and quality standards.
- Lead, coach, and develop a team of Quality Specialists.
- Conduct 1:1s and structured performance reviews.
- Manage scheduling, PTO coverage, audit assignments, and workload distribution.
- Lead audit calibration sessions.
- Collaborate with training to design and deliver quality-focused coaching and education.
- Track and report quality metrics, error rates, trends, remediation completion, and patient and clinic experience indicators.
- Identify error and inefficiency patterns and address root causes.
- Partner cross-functionally on process improvements.
- Support clinic launches by establishing audit coverage and standards before go-live.
- Provide quality expertise during implementation, QBRs, and operational reviews, and update executive leadership on performance, risks, and opportunities.
Requirements
What you’ll need- This position is open to internal candidates.
- Applicants must be based in the United States.
- 5+ years of experience in pharmacy operations, including claims processing, prior authorizations, and/or dispensing.
- 2+ years in a quality assurance, auditing, or compliance capacity.
- Specialty pharmacy experience required.
- Medically integrated dispensing experience preferred.
- 2+ years of supervisory, lead, or mentoring experience, or a demonstrated record of informally leading, coaching, and developing peers.
- Strong understanding of specialty pharmacy workflows and SOPs.
- Proficiency in analyzing data, synthesizing insights, and driving improvement through data-driven decision-making.
- Proficiency in reporting tools, spreadsheets, and data visualization preferred.
- Clear, confident communication skills.
- Comfortable navigating pharmacy management and EMR systems and learning new technology quickly.
- Ability to thrive in a fast-paced, startup-style environment.
Benefits
Comp & perks- Equity
- Paid time off
- Benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingPrior AuthorizationsDispensingAudit Tools DevelopmentSOP DevelopmentRoot Cause AnalysisQuality Metrics TrackingData-Driven Decision-MakingError Rate AnalysisPerformance Review Management
Soft Skills
Clear CommunicationCoachingMentoringCollaborationProblem-Solving
Tools & Technologies
Reporting ToolsSpreadsheetsData VisualizationPharmacy Management SystemsEMR Systems
Industry Keywords
Specialty Pharmacy WorkflowsQuality Audit ProgramPatient Experience IndicatorsOperational ReviewsProcess Improvements