• Manage a portfolio of governance and control activities for moderately complex or high-risk business or functional area • Implement policies / processes and/or initiatives to meet governance and control guidelines • Act as a technical lead on key control initiatives • Support execution of the Centralized Governance & Controls (CG&C) AML testing and Quality Assurance (QA) program • Execute sample testing of quality assurance reviews to ensure operational risk and compliance requirements

• Review and analyze system specifications • Collaborate with QA Engineers to develop effective strategies and test plans • Execute test cases (manual or automated) and analyze results • Evaluate product code according to specifications • Create logs to document testing phases and defects • Report bugs and errors to development teams • Conduct post-release/ post-implementation testing • Work with cross-functional teams to ensure quality throughout the software development lifecycle

• Ensure day-to-day quality oversight across pharmacy operations with a focus on internal auditing, supplier quality, on-the-floor QA support, and product returns coordination. • Partner with Operations, Supply Chain and Warehouse/Logistics to maintain a robust QMS, drive compliance with quality assurance expectations, and enable safe, right-first-time dispensing. • Plan, execute, and report risk-based internal audits of receiving, storage, dispensing, packaging, cold chain, controlled substance handling, shipping, and returns. • Track observations, grade findings, and drive CAPA effectiveness through to verified closure. • Perform supplier qualification and re-qualification (manufacturers, wholesalers, 3PLs, reverse distributors, packaging, couriers). • Provide line/area QA oversight in real time (lot/expiry verification, label checks, line clearance, pack verification, temperature excursion assessments). • Own the returns and reverse logistics quality process: intake, segregation/quarantine, evaluation, disposition, and documentation.

Role Description Our Values: - Put Patients First - Empower Entrepreneurial Provider and Care Teams - Operate with Integrity & Excellence - Be Innovative - Work As One Team What You'll Do: - Make outreach calls to members to address care gap issues. - Identify root causes for medication adherence issues and provide education to help resolve the problems. - Help members be set up for mail order prescriptions and handle follow-up mailings. - Confirm members’ current medications and identify discrepancies. - Provide administrative support for Performance Programs and other pertinent departments for collaboration on Star, HEDIS and P4P initiatives. - Maintain the internal tracker with dates and activities summarized and provide regular reporting on patients who are /are not at target goals based on CMS Star metrics. - Communicate with physician offices to clarify prescription orders, follow up on pharmacist recommendations on medications or fax communications. - Be proficient in Excel with ability to sort and filter cases based on priority. - Maintain reference documents related to the assigned role. - Follow up with appropriate personnel (both internally and externally) when problems arise. - Conduct ad-hoc projects, batch mailings/faxing and follow-up to close gaps. - Create reports to track progress and intervention outcomes. - Participate in pharmacy orientation programs, pharmacy staff meetings, in-service educational programs and other functions as required by the pharmacy department. - Complete required training, as assigned, within the established timeframes. - Maintain regular attendance according to established policies. - Perform other job-related duties as assigned. Qualifications - High School Diploma or GED - Working knowledge of MS Word, Excel - Excellent verbal and written communication skills - Strong organization skills and ability to prioritize daily tasks. - Ability to maintain member confidentiality and protect operations by keeping confidential information in compliance with HIPAA requirements. Requirements - The national target pay range for this role is $45,000 - $58,000. - Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. - This is a remote position. Company Description Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.