Join us on our mission to elevate customer experiences for people around the world. As a member of the Everise family, you will be part of a global experience company that believes in being people-first, celebrating diversity and incubating innovation. Our dedication to our purpose and people is being recognized by our employees and the industry. Our 4.6/5 rating on Glassdoor and our shiny, growing wall of Best Place to Work awards is a testament to our investment in our culture. Through the power of diversity, we celebrate all cultures for their uniqueness and strengths. With 13 centers around the world and a robust work at home program, we believe great things happen when we work with people who think differently from us. Find a job you’ll love today!
Essential Functions
• Perform routine quality audits using approved scorecards.
• Evaluate documentation accuracy and policy adherence.
• Prepare weekly and monthly quality reports.
• Provide objective audit feedback to leaders.
• Identify root causes and recurring defect trends.
• Support coaching effectiveness through post-audit validation.
• Monitor daily operational performance against SLA, productivity, quality, and
schedule adherence goals.
• Ensure compliance with HIPAA, CMS, state board of pharmacy requirements,
and internal policies.
• Use reporting to identify trends and recommend corrective actions.
• Partner with Workforce Management, Training, Operations, and Leadership.
• Support continuous improvement initiatives and standardization efforts.
• Maintain documentation and confidentiality standards.
• Participate in calibration sessions and business meetings.
• Lead or support special projects as assigned.
• Support non-clinical prescription processing and participant service
workflows.
Knowledge, Skills, and Abilities
• Strong written and verbal communication.
• Leadership and relationship-building skills.
• Critical thinking and analytical ability.
• Ability to prioritize competing demands.
• Experience working across multiple pharmacy systems.
• Proficiency with Microsoft Office, particularly Excel.
• Ability to maintain confidentiality.
Minimum Qualifications
• High School Diploma or GED.
• Three or more years of relevant PBM, specialty pharmacy, participant services,
or healthcare operations experience.
• Previous leadership or quality experience appropriate to the role.
Preferred Qualifications
• Active Arizona or Texas Pharmacy Technician License.
• National Pharmacy Technician Certification (CPhT).
• PBM or specialty pharmacy experience.
• Call center healthcare operations experience.
• Lean/Six Sigma or process improvement exposure.
• Experience presenting operational metrics.
Performance Measures
• Quality audit performance
• Productivity and throughput
• Service Level (SLA) attainment
• Attendance and schedule adherence
• Compliance and documentation accuracy
• Customer experience
• Coaching effectiveness and continuous improvement
Work Environment & Physical Requirements
Fast-paced, computer-based participant services environment requiring
prolonged sitting, frequent computer use, telephone communication, and the
ability to manage multiple priorities while maintaining accuracy and
professionalism.
If you’ve got the skills to succeed and the motivation to make it happen, we look forward to hearing from you.
Skills Required
- High School Diploma or GED
- Three or more years of relevant PBM, specialty pharmacy, participant services, or healthcare operations experience
- Previous leadership or quality experience appropriate to the role
- Experience working across multiple pharmacy systems
- Proficiency with Microsoft Office, particularly Excel
- Ability to maintain confidentiality
- Active Arizona or Texas Pharmacy Technician License
- National Pharmacy Technician Certification (CPhT)
- Call center healthcare operations experience
- Lean/Six Sigma or process improvement exposure
- Experience presenting operational metrics
Everise Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Everise and has not been reviewed or approved by Everise.
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Fair & Transparent Compensation — Pay is often described as acceptable to good in aggregate, with compensation appearing more favorable in higher-level corporate or technical roles. Typical frontline pay bands are described as aligned with broader BPO norms, which can make offers feel straightforward to benchmark.
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Flexible Benefits — A broad, big-company benefits menu is presented, including multiple insurance lines, FSAs, and optional supplemental coverages. The availability of add-on options like legal services, pet insurance, and discounts supports a pick-and-choose approach for different needs.
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Wellbeing & Lifestyle Benefits — Services like an Employee Assistance Program and lifestyle-oriented add-ons (e.g., gym discounts, legal plan, pet insurance) are part of the rewards mix. Tuition reimbursement is also positioned as a supportive benefit that can extend value beyond cash compensation.
Everise Insights
What We Do
Everise delivers happiness to millions of customers around the world. We excel at solving customer problems on behalf of some of the world’s biggest brands. Our specialty sectors are healthcare, travel, technology, and financial services. As the leading customer experience firm, companies rely on Everise to drive their business forward by transforming customer care into something extraordinary and consistently delivering positive interactions across the globe in 32 languages. At our core, we are a diverse and inclusive group of champions who learn from each other. We welcome people of different backgrounds, experiences, abilities and perspectives. We are an equal opportunity employer and a pleasant and supportive place to work. Join us and become a champion of customer happiness
