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J

Josseline B.

Quality Assurance Reviewer / Pharmacy Technician I (Elvance Health)

USA flagLas Vegas, Usa

Key Skills

Software

No software listed

Top Subject Matter

Pharmacy authorization
member eligibility
healthcare compliance QA

Top Data Types

TextText
DocumentDocument

Top Task Types

No task types listed

Freelancer Overview

Quality Assurance Reviewer / Pharmacy Technician I (Elvance Health). Brings 13+ years of professional experience across complex professional workflows, research, and quality-focused execution. Core strengths include Internal and Proprietary Tooling. Education includes Associate of Science, University of the People (2024) and High School Diploma, Desert Pines High School (2014). AI-training focus includes data types such as Medical and DICOM and labeling workflows including Evaluation and Rating.

Labeling Experience

Quality Assurance Reviewer / Pharmacy Technician I (Elvance Health)

Audit and review complex pharmacy authorization requests using multi-point compliance rubrics to catch errors, inconsistencies, and missing documentation before outcomes proceed. Perform eligibility and benefit evaluations requiring recognition of edge cases across layered rules and strict criteria. Maintain detailed audit trails and outcome logs that satisfy compliance and internal QA standards. • Conduct 100+ daily reviews against rubric checkpoints • Flag inaccuracies and documentation gaps with zero tolerance • Provide structured feedback to clinical/operational teams to close authorization gaps • Maintain comprehensive outcome logging and audit trails

2021 - Present

Senior Pharmacy Technician & Team Lead (Walgreens)

Lead QA oversight for a team by reviewing work for accuracy and coaching using structured, rubric-based feedback. Design and enforce operational checklists and compliance workflows that require logical consistency, thorough documentation, and large-scale error detection prior to downstream release. Train new hires on regulatory protocols by translating dense compliance rules into actionable, consistent behavior. • QA review and coaching for a 10+ person team • Enforce compliance workflows for 200+ daily prescriptions and 1,000+ SKU inventory • Identify and resolve process failures and workflow gaps before patients are impacted • Coordinate end-to-end compliance checks for large vaccination events

2016 - 2021

Education

U

University of the People

Associate of Science, Computer Science

Associate of Science
2024
D

Desert Pines High School

High School Diploma, General Education

High School Diploma
2014

Work History

E

Elevance Health

Quality Assurance Reviewer / Pharmacy Technician

Las Vegas
2021 - Present
W

Walgreens

Senior Pharmacy Technician and Team Lead

Las Vegas
2016 - 2021