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30 Quartz Health Solutions Jobs Hiring Near You

Quartz

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Quartz is looking for an organized, adaptable individual to work as a Pharmacy Specialist. We will be hiring two pharmacy specialist that will support our government program operations and formulary ...

Quartz

Medical Coding Systems Analyst

Madison, WI · Remote

$72K - $90K/yr

If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight and maintenance of the code edit systems used by Quartz. This ...

Quartz

RN Complex Care Specialist

Madison, WI · On-site

$72K - $90K/yr

Join our team at Quartz, where you'll play a crucial role in enhancing the health outcomes of our members through specialized care. As an RN Complex Care Specialist , you will lead the management and ...

Quartz

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Quartz is looking for an organized, adaptable individual to work as a Pharmacy Specialist. We will be hiring two pharmacy specialist that will support our government program operations and formulary ...

Quartz

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Quartz is looking for an organized, adaptable individual to work as a Pharmacy Specialist. We will be hiring two pharmacy specialists that will support our government program operations and formulary ...

Quartz

RN Complex Care Specialist

Madison, WI · On-site

$72K - $90K/yr

Join our team at Quartz, where you'll play a crucial role in enhancing the health outcomes of our members through specialized care. As an RN Complex Care Specialist, you will lead the management and ...

Quartz

Medical Coding Systems Analyst

Madison, WI · On-site

$72K - $90K/yr

If so, come join Quartz as a Coding Systems Analyst. The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit systems used by Quartz. This position will research ...

Quartz

RN Complex Care Specialist

Madison, WI · Remote

$72K - $90K/yr

Join our team at Quartz, where you'll play a crucial role in enhancing the health outcomes of our members through specialized care. As an RN Complex Care Specialist , you will lead the management and ...

Quartz

Account Executive-Large Group

Waukesha, WI · On-site

Quartz is seeking an Account Executive - Large Group to join our team. This position will be responsible for the sale of new fully insured and self-funded commercial business along with providing ...

Quartz

Manager, Technology Operations

Madison, WI · On-site

$116K - $146K/yr

Quartz Health Solutions is seeking a Manager, Technology Operations (Tech Ops) to lead a team responsible for the reliability, performance, and continuous improvement of core infrastructure services.

Quartz

Manager, Technology Operations

Madison, WI · On-site

$116K - $146K/yr

Quartz Health Solutions is seeking a Manager, Technology Operations (Tech Ops) to lead a team responsible for the reliability, performance, and continuous improvement of core infrastructure services.

Quartz Health Solutions

Pharmacy Specialist

Madison, WI

$20.72 - $25.91/hr

Quartz is looking for an organized, adaptable individual to work as a Pharmacy Specialist. We will be hiring two pharmacy specialist that will support our government program operations and formulary ...

Quartz

Senior Desktop Support Engineer

Madison, WI · On-site

$66K - $83K/yr

Join Quartz as a Senior Desktop Support Engineer and play a key role in shaping the future of workplace technology. In this role, you'll lead endpoint management initiatives, drive automation and ...

Quartz

Senior Desktop Support Engineer

Madison, WI · On-site

$66K - $83K/yr

Overview Join Quartz as a Senior Desktop Support Engineer and play a key role in shaping the future of workplace technology. In this role, you'll lead endpoint management initiatives, drive ...

Quartz

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

At Quartz, quality is more than a checkpoint, it's a commitment to delivering exceptional experiences for our members, providers, employers, and internal partners. As a Senior Quality Analyst , you ...

Quartz

Senior Quality Analyst

Madison, WI · On-site

$66K - $83K/yr

Overview At Quartz, quality is more than a checkpoint, it's a commitment to delivering exceptional experiences for our members, providers, employers, and internal partners. As a Senior Quality ...

Quartz

Manager, EDI & Platform Engineering

Madison, WI · On-site

$107K - $134K/yr

Overview Quartz Health Solutions is seeking a dynamic Manager, EDI & Platform Engineering to lead a high-performing team responsible for enterprise healthcare data exchange and platform operations.

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Pharmacy Specialist

Quartz

Madison, WI • On-site

$20.72 - $25.91/hr

Full-time

Re-posted 12 days ago

Job description

Overview
Do you have a passion for providing exceptional customer experience? Do you have an interest in improving the health of others by collaborating with team members to solve problems that support the needs of our customers?
If so, please consider applying to one of the Pharmacy Specialist positions! Quartz is looking for an organized, adaptable individual to work as a Pharmacy Specialist. We will be hiring two pharmacy specialist that will support our government program operations and formulary support teams within our pharmacy management department.
Pharmacy Specialist, Government Program Operations will support the day-to-day operational management of Quartz's pharmacy benefits by administering pharmacy programs, implementing operational policies and procedures, and collaborating with internal teams to ensure accurate benefit administration and regulatory compliance.
Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing maintenance of Quartz's pharmacy formularies by coordinating formulary updates, assisting with coverage determinations, and ensuring accurate benefit configuration while also promoting a safe and effective pharmacy benefit management while supporting quality patient care and an exceptional member experience.
Benefits:
  • No WEEKENDS - Varying shifts between the hours of operation of 7:30am - 5pm, Monday - Friday
  • Opportunities for learning new skills and advancement
  • Starting pay range: $20.72-$25.91 /hr. based on skills and experience + robust total rewards package.

Responsibilities
Pharmacy Specialist, Government Program Operations Role:
  • Oversee the administration and implementation of pharmacy benefit programs, P&T Committee decisions, and benefit changes, including maintenance and updating of the formulary database, ensuring that medication lists are current and reflect the latest clinical guidelines and policy changes, and review/approval of testing by PBM and other vendors.
  • Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams
  • Resolve claim discrepancies and issues by collaborating with pharmacy benefit managers (PBMs), healthcare providers and internal teams.
  • Support development and maintenance of policies and procedures (P&Ps) and standard operating procedures (SOPs) that govern the Quartz pharmacy team and their activities.
  • Coordinate with external vendors and partners to streamline pharmacy services and resolve operational challenges, ensuring high-quality service delivery.
  • Respond to inquiries from Quartz staff, healthcare providers and members regarding formulary details, medication coverage, and benefit-related questions.

Pharmacy Specialist, Formulary Support Role:
  • Draft, format, and maintain prior authorization, step-therapy, and quantity-limit criteria under pharmacist direction, ensuring they are clear, implementable, and aligned with regulatory/contract requirements for all lines of business
    • Includes: Commercial, Medicare, Medicaid, Exchange.
  • Translate approved policies into system-ready rules and decision trees for prior authorization and claims platforms, partnering with IT/Benefit Configuration/PBM resources to test and validate configurations.
  • Support formulary and medical benefit drug coverage management by preparing formulary change grids, updating drug dictionaries and coverage notes, and tracking non formulary and exception trends for pharmacist reviews.
  • Perform regulatory plan document reviews as a pharmacy benefit Subject Matter Expert (SME) for formulary and Pharmacy & Therapeutics related activities.
  • Assist in change-notification processes and ongoing file maintenance to uphold accuracy and operational efficiency.

Qualifications
  • High School Diploma or equivalency is required.
  • 2+ years previous experience in a health care setting, managed care, PBM, or pharmacy setting is required.
  • Knowledge of contracts, applications, products, and regulations (Medicare, ACA, Commercial).
  • Knowledge of benefit systems and claims processing systems.
  • Strong interest in clinical and operational pharmacy services excellence.
  • Familiar with clinical program components, formulary designs, and prescription drug benefit trends.
  • Able to demonstrate skills in prioritization, problem solving & critical thinking, team building, decision making, time management and strategic planning.
  • Knowledge of external pharmacy related quality and performance metrics.
  • Excellent organizational and interpersonal skills.
  • Certified Pharmacy Technician (CPHT) or obtain CPHT within 12 months of hire.
  • Pharmacy Technician license in state of residence.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. All employment offers are contingent upon successful completion of a pre-employment criminal background check.
Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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