About the Role Join our Operations team as a Quality Assurance Specialist focused on testing health benefit plans for accuracy before they go live. You'll partner closely with our AIS (plan build) team , working across several internal systems to validate that each plan matches the client's specifications. When issues are found—commonly around deductibles, out-of-pocket maximums, or mail pricing rules —you'll document them clearly and collaborate with AIS to correct and retest. There is no phone work with members or clients; communication is primarily within the internal team and AIS counterparts. After training, you'll work from a scorecard and are expected to process about 25 plans per week . This is a non‑IT role within Operations—ideal for detail-oriented professionals who enjoy heads-down analysis, structured workflows, and measurable output. What You'll Do Review newly built benefit plans against client specifications and internal standards. Validate plan logic across multiple systems; identify discrepancies in deductibles, OOP max, copays/coinsurance, and pricing . Document defects with clear reproduction steps and partner with AIS to remediate issues. Retest corrected plans to confirm accuracy and approve for next workflow stage. Track personal productivity/quality against a scorecard ; target ~ 25 plans/week post‑training. Follow established SOPs for testing, documentation, version control, and handoffs. Collaborate professionally via chat/email with internal QA and AIS peers (no external or member calls). Minimum Qualifications Two to four‑year degree required (preference for majors with strong research/analysis: Math, Biology, Business, Healthcare Administration, History ). 1+ year of Excel experience (basic functions; no VLOOKUPs/Pivots required) and ability to pass a short Excel assessment. Exceptional attention to detail , organization, and time management. Comfortable working to production targets in a structured, deadline-driven environment. Training & Schedule Training: ~ 2 weeks + 2 days classroom style (8:00 AM–4:30 PM CST), followed by 2–3 weeks in a practice inbox before moving to live production. Hours: 40 hours/week; choose a schedule that covers 9:00 AM–3:00 PM CST and communicate your preference to your supervisor. Peak Season Mandatory OT (weekends): Nov 22‑23 Dec 6‑7 Dec 13‑14 Dec 27‑28 (complete 8 hours across each two‑day window, e.g., 8+0, 4+4, or 3+5). Work Environment & Equipment Fully remote—quiet home office required. Company‑provided equipment: laptop, dual monitors, headset, mouse, keyboard. Why This Role Great entry point into the PBM industry with a clear view of how benefit plans are built and validated. Team is a feeder into other areas of the organization; many contractors receive extensions through the following year, and FTE openings may consider high performers (conversion not guaranteed). Direct operational impact: accurate plan QA reduces claim holds and helps downstream teams meet service levels. Job Type & Location Contract position based out of Delavan, WI . Pay and Benefits The pay range for this position is $24.00–$24.00 per hour . Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short- and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, vacation or sick leave) Workplace Type This position is fully remote. Application Deadline This position is anticipated to close on March 20, 2026 . Equal Employment Opportunity The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law. #J-18808-Ljbffr