At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.

CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission.

Summary 

The Quality Operations Coordinator provides direct administrative and operational support to the Quality Control Director and the broader Quality team. This role helps manage day-to-day quality activities, documentation, audits, training records, and process improvement initiatives to ensure compliance with internal procedures, regulatory standards, and accreditation requirements. 

The ideal candidate is highly organized, detail-oriented, and comfortable coordinating between departments to maintain workflow efficiency and quality standards. 

Salary Range: $44,000 - $50,000/yr (DOE)

Schedule: (On-Site) Monday - Friday, 8:30am - 5:00pm

Location: Nash, TX

Essential Duties and Responsibilities  

include the following. Other duties may be assigned, as necessary. 

Reviews insurance operational areas: 

• Insurance Verification and entry into Care Tend 

• Prior Authorization completion in CT  

• Preparation for Claim Submission 

• Intake Workflow 

• Copay Assistance / billing 

• Insurance software 

• ​​​Answers and transfers phone calls, screening when necessary.  

• ​Retrieves information as requested from records, email, minutes, and other related documents; prepares written summaries of data when needed.  

• ​Coordinates and schedules travel, meetings, and appointments for managers or supervisors.  

• ​Prepares agendas and schedules for meetings.  

• Helps and maintains updates on special projects assigned to management. 

• Assist with the coordination and scheduling of quality audits 

• Help Maintain organized and up-to-date training records, SOPs, and controlled documents in accordance with company policies. 

• Assist with compiling, proofreading, and distributing quality reports and metrics. 

• Monitor task completion and follow-ups across departments for quality-related action items. 

• Ensure timely communication between Quality, Operations, and other departments to maintain workflow alignment. 

• Participate in internal audits and document preparation as requested 

• Performs a variety of office functions, such as filing, typing, copying, data entry, research, etc., to support various Billing files in proper order billing and financial operations. 

• Nursing Software/Nursing Note Submission & Nurse tracking as needed. 

• Adheres to confidentiality, safety, compliance, and legal requirements. 

• Ongoing Communication with Referral Management, Billing, Insurance Verification, and Data Entry. 

• Assists by understanding all payers, reimbursement, and formularies. 

• Comply with company deadlines and inventory to meet both the company and its compliance standards. 

• Consistently represents the company in a professional manner.  

• Maintains effective working relationship and cooperates with all personnel in the Company. 

• Participate in administrative staff meetings and attend other meetings and seminars. 

• Performs other related duties as assigned or requested. 

Qualification Requirements 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

• Provides the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible. 

• Possesses the ability to multi-task and frequently change direction as required. 

Education and/or Experience 

• A High School Diploma or equivalent GED is required, at minimum. College or technical college preferred 

• 3 - 5 years medical experience. 

• Ability to work independently and within a multidisciplinary team.  

• Minimum two years in healthcare environment/industry 

Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

While performing the duties of this job, the employee is regularly required to talk or listen. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.  

The employee frequently lifts and/or moves up to ​20​ pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. 

Work Environment 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

​​This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.​ While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions. 

Comments 

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.