Benefits Configuration Analyst

1 hour, 19 minutes ago
Full-time
Mid Level
Operations
SmithRx

SmithRx

SmithRx revolutionizes pharmacy benefits with transparent technology, connecting stakeholders for efficient drug delivery and cost savings.

Pharmaceuticals
1K-5K
Founded 2016
$38M raised

Description

  • Work with clients to identify and understand benefit plan requirements and build and maintain pharmacy benefit plans for client groups.
  • Organize benefit configuration and structure for assigned accounts by monitoring plan data integrity.
  • Assist with process improvement efforts to improve workflow efficiency.
  • Maintain prior authorizations and step therapy rules.
  • Transition new clients and update formularies based on direction from the clinical team.
  • Communicate project status, escalate issues when appropriate, and provide updates to stakeholders.
  • Collaborate with member support and customer success teams to resolve benefits-related inquiries quickly and improve member experience.
  • Provide troubleshooting support for the claims adjudication process.
  • Support new client implementations, including go-live testing, post-go-live auditing, and configuration validation to ensure plan accuracy.

Requirements

  • 4+ years of experience in payer/claims and benefit configuration.
  • Strong analytical skills and proficiency with Microsoft Excel.
  • Strong communication skills for face-to-face meetings, conference calls, and written correspondence.
  • Ability to work independently, make informed decisions, and deliver on commitments.
  • Solutions-oriented, execution-focused mindset with a focus on efficiency.
  • Flexible, dependable, and adaptable in a fast-paced technology company environment.

Benefits

  • Highly competitive medical, pharmacy, dental, vision, and life insurance benefits.
  • Flexible Spending Benefits.
  • Discretionary Time Off.
  • 401(k) Retirement Savings Program.
  • Paid parental leave.
  • Professional development and training opportunities.

Interested in this position?

Apply directly on the company website

Apply Now

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