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Remote candidate

Decliffia Coleman

Quality Assurance | Pharmacy Operations | Healthcare Support

Georgia, United States Mid level
Contact candidate
Target rolesQuality Assurance Analyst, Quality Specialist
TimezoneAmerica/New_York
Work eligibilityAvailable on request
Profile updatedSep 27, 2026
Profile summary

What this candidate is looking for

Quality Assurance | Pharmacy Operations | Healthcare Support

Target roles
Quality Assurance AnalystQuality SpecialistPharmacy OperationsTraining/Performance SupportPharmacy Services Tier II RepresentativePharmacy Benefits Support SpecialistClaims SpecialistHealthcare Customer Support SpecialistMember Support Specialist
Skills
Pharmacy benefits and eligibilityClaims research and issue resolutionDenied claims and overridesMedication pricingRoot-cause troubleshootingProcedure and call-flow adherenceEscalation supportMember and provider communicationPeer supportCase documentationCustomer serviceAccount researchEligibility screeningCase managementService planningCommunity resource coordinationMicrosoft OfficeExcelTime managementPharmacy benefits and claimsTier II escalation supportClaims research and resolutionEligibility and overridesAccount and case documentationCross-team coordinationProcedure interpretationHealth benefits supportReferral screeningAssessments and service plans
Remote preferences
LocationGeorgia, United States
SeniorityMid level
Salary targetNot shared
Employment typeFlexible