Teams at ExactCare Pharmacy

Support PBM regulatory reporting and compliance by preparing and analyzing PDE/FIR/rebate reports, PACE bid materials, billing and pharmacy payment reports, NDPDP encounter files, QA report adjudication, ticket response, and client report generation while ensuring HIPAA compliance and staying current on plan structures and Medicare Part D rules.

Monitor and evaluate inbound/outbound patient calls for quality, compliance, and accuracy using scorecards; identify performance trends and training gaps; provide feedback and reports; develop and refine QA processes, scripts, and scorecards; collaborate with leadership and training to improve call center performance.

Own and optimize lead generation platforms, integrations, and data flows; analyze and improve campaign performance and ROI; build reporting and run tests; collaborate with Marketing, Analytics, and Compliance to ensure quality, routing, and scalable processes.