Quality Analyst III

We need to output HTML fragment with sections: headings using

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate: EEO, legal, etc. Must preserve all substantive info. We need to parse the posting. Key parts: - Exemption Status United States of America (Exempt) $71,614 - $95,784 - $119,953 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. So we have Pay info: a range with three numbers? Possibly low-mid-high? We'll include Pay section with that range. - MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! That's about the company/role; could be "About the role" or "About MedImpact". We'll use "About the role". - Summary Job Description: Serves as a recognized Subject Matter Expert (SME) in Quality Management for Fee-for-Service and Medicaid programs. Provides strategic guidance, quality governance, consultation, and oversight to cross-functional teams. Leads complex quality initiatives, drives process improvement, ensures compliance with contractual and regulatory requirements, and influences organizational decisions impacting quality outcomes. Operates with a high degree of autonomy and is relied upon as a key resource for expertise, problem resolution, and quality best practices. That's responsibilities. - Essential Duties and Responsibilities include the following. Other duties may be assigned. Then sub-sections: Quality Strategy & Governance, Consultative, Root Cause Analysis & Continuous Improvement, Program Oversight, Knowledge, Supervisory Responsibilities (None), Client Responsibilities. We can combine into Responsibilities section with ul li items. - Qualifications: Education And/or Experience BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas Computer Skills Intermediate to advanced skills in Microsoft Office with an emphasis on Word, Excel, MS Access and Project. Intermediate to advanced skills in SQL queries. Certificates, Licenses, Registrations None required. Other Skills And Abilities Knowledge of Quality Assurance methodologies and practical application. Ability to research, assess, audit, and apply information to practices and standards. Strong analytical and problem solving ability and in depth understanding of PBM regulations and CMS guidance.Demonstrated ability to work in a fast paced environment, learn quickly, appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment. Demonstrate ability to meet or exceed the competencies as listed.Healthcare, Managed Care, Government Programs, Fee-for-Service, or PBM Quality experience is preferred Reasoning Ability Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills Ability to write reports, business correspondence, and procedure manuals. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands ... Work Environment ... Work Location ... Working Hours ... Travel ... The Perks (Benefits) ... etc. We need to decide which sections to include: About the role, Responsibilities, Qualifications, Skills, Benefits, Pay, Schedule maybe. We have Pay info. We have Benefits (The Perks). We have Schedule (Working Hours). We have Skills (Computer Skills, Other Skills And Abilities, Reasoning Ability, Mathematical Skills, Language Skills, Competencies). Could combine into Skills section. Qualifications includes Education/Experience, Computer Skills, Certificates, Other Skills, etc. Might be overlapping with Skills. But we can separate Qualifications (education/experience) and Skills (technical/competencies). However instructions: Prefer a few substantive sections over many thin ones. So maybe combine Qualifications and Skills into one "Qualifications & Skills" but headings must be from list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can use Qualifications and Skills separate if both have substantive content. We have Requirements? Not explicitly; but Qualifications covers requirements. Could use Requirements heading for education/experience etc. But we have Qualifications heading already. We'll decide: - About the role: company description and summary job description. - Responsibilities: essential duties and responsibilities (including subpoints). - Qualifications: Education/Experience, Computer Skills, Certificates, etc? Actually Computer Skills could be Skills. But we can put Education/Experience and maybe Certificates under Qualifications. - Skills: Other Skills And Abilities, Reasoning Ability, Mathematical Skills, Language Skills, Competencies. - Benefits: The Perks list. - Pay: the salary range. - Schedule: Working Hours (core hours, flexibility, nights/weekends/holidays as required). We should not include sections with filler like "commensurate with experience". We have actual content. We must not include boilerplate like Equal Opportunity Employer, etc. Remove those lines. Also remove "Exemption Status United States of America (Exempt)"? That's part of pay? Might be metadata; we can include in Pay section maybe as note: Exempt status. But we could drop it as minor metadata. The instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it. Exemption status is minor metadata; we could fold into a short

under Pay or maybe drop. I'd include a short note: "Exempt position." within Pay section. Also "This position is not eligible for Sponsorship." could be minor metadata; maybe drop or include in a short p under About the role? Probably drop as not essential. We must preserve ALL substantive information; not invent or summarize away detail. So we need to keep all substantive details from responsibilities, qualifications, skills, benefits, pay, schedule. We must not repeat job title as heading. We must output only HTML fragment. Let's craft. Structure:

About the role

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Serves as a recognized Subject Matter Expert (SME) in Quality Management for Fee-for-Service and Medicaid programs. Provides strategic guidance, quality governance, consultation, and oversight to cross-functional teams. Leads complex quality initiatives, drives process improvement, ensures compliance with contractual and regulatory requirements, and influences organizational decisions impacting quality outcomes. Operates with a high degree of autonomy and is relied upon as a key resource for expertise, problem resolution, and quality best practices.

But note that the summary job description could be part of About the role; we included. Now Responsibilities:

Responsibilities

• Serve as the designated subject matter expert for Quality Management practices across Medicaid and Fee-for-Service programs.
• Establish and maintain enterprise quality standards, methodologies, and governance frameworks.
• Evaluate emerging regulatory requirements and recommend changes to quality programs, processes, and controls.
• Document Quality Management processes, Standard Operating Procedures (SOPs), and workflow documentation to support operational consistency.
• Establish standardized quality processes across multiple state implementations.
• Provide expert consultation and guidance to operational, implementation, technology, and client-facing teams on quality-related matters.
• Act as the escalation point for complex quality issues, compliance findings, and process deficiencies.
• Influence cross-functional stakeholders and leadership in quality-related decision making.
• Lead complex Root Cause Analysis (RCA) investigations involving operational, system, and process failures.
• Identify trends and systemic risks through analysis of quality metrics and recommend enterprise-level corrective actions.
• Champion continuous improvement initiatives to enhance quality outcomes, efficiency, and regulatory compliance.
• Oversee quality management activities across multiple Medicaid implementations and operational programs.
• Review and validate quality deliverables, reports, audits, and corrective action plans developed by other analysts.
• Lead quality readiness assessments for new implementations, major enhancements, and regulatory changes.
• Develop training materials and facilitate quality education sessions for business and operational teams.
• Serve as a recognized internal resource for quality management best practices.
• Manage difficult or emotional client situations; respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients; meet commitments to clients.

Note: Supervisory Responsibilities: No supervisory responsibilities - we could include as a li item: "No supervisory responsibilities." Might be substantive? It's a statement; we could include. Add li: "No supervisory responsibilities." Now Qualifications:

Qualifications

• BS/BA and 5+ years’ experience or equivalent combination of education and experience.
• 2 years' of SME in respective areas.
• Intermediate to advanced skills in Microsoft Office with an emphasis on Word, Excel, MS Access and Project.
• Intermediate to advanced skills in SQL queries.
• No certificates, licenses, or registrations required.

Now Skills:

Skills

• Knowledge of Quality Assurance methodologies and practical application.
• Ability to research, assess, audit, and apply information to practices and standards.
• Strong analytical and problem solving ability and in‑depth understanding of PBM regulations and CMS guidance.
• Demonstrated ability to work in a fast‑paced environment, learn quickly, appear for work on time, follow directions from a supervisor, interact well with co‑workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives,