Decliffia Coleman - Remote Candidate

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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