Remote Benefits Configuration Analyst

Summary

Join SmithRx, a rapidly growing Health-Tech company, as a Benefits Configuration Analyst to support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms.

Requirements

• 4+ years of experience in payer/claims and benefit configuration required
• Analytical skills; Microsoft Excel skills
• Strong communication skills via face-to-face meetings, conference calls and written correspondence
• Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
• Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
• Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company

Responsibilities

• Work with clients, identifying and understanding benefit plan requirements
• Build and maintain pharmacy benefit plans for client groups
• Aid in the organization of benefit configuration and structure for the accounts assigned by monitoring plan data integrity
• Assist in determining process improvement efforts
• Maintain prior authorizations and step therapy rules
• Grandfather/transition new clients and update formularies with changes at the direction of the clinical team
• Communicate project status, escalating issues when appropriate. Provide insight into changes to improve workflow efficiency
• Collaborate with member support and customer success teams to review and resolve inquiries related to benefits timely to improve member experience
• Provide troubleshooting support for our claims adjudication process
• Support new client implementations, conduct go-live testing, perform post go-live auditing and support to ensure plans are configured to confirm accuracy

Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-term and long-term disability
• Discretionary Paid Time Off
• 12 Paid Holidays
• Wellness Benefits
• Commuter Benefits
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities