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Posted 2 hours agoSenior Benefits Configuration Tester
at Why Hiring
GlobalRemote
Responsibilities
- Organize testing suites, create test plans, and submit moderately difficult test cases to validate the accuracy of complex benefit configuration setups.
- Handle Advanced Logic Validation such as Clinical/Prior Authorization and Financial Accumulators. Ensuring patient out-of-pocket maximums and cost-shares remain accurate.
- Document detailed defect reports for issues uncovered during testing and assist in the development of process improvements focusing on efficiency and accuracy.
Requirements
- Benefits Configuration Tester, you have a substantial understanding of benefit design and apply your skills to complete a wide range of complex testing tasks.
- Associate degree or equivalent work experience is required.
- Strong understanding of benefit design standards, including HIPAA, NCPDP, and SmithRx internal business standards, alongside moderate skills in Microsoft Excel.
- Ability to work with little instruction on daily work, relying on general instructions only for newly introduced assignments.
Experience
- Minimum of 2 - 4 years of related experience in
Benefits
- We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality.
- benefits including Medical, Pharmacy, Dental and Vision Insurance. SmithRx pays up to 90% for you and your family.
- Fully paid Life insurance and Disability benefits 3 weeks PTO
- 401(k) Retirement Savings Program Flexible Spending Benefits
- Generous Paid Parental Leave benefits
Additional details
- SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting-edge technology, innovative cost-saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.
- We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work.
- At our core, we are guided by our Company values of:
- Integrity: Do the right thing. Especially when it’s hard.
- Together: Build bridges and lift up your colleagues Job Summary: As a Senior
- You will be responsible for submitting advanced test cases to validate the accuracy of benefit configuration setups, ensuring
- requirements are met for implementations and maintenance changes.
- Moving beyond routine execution, you will support junior team members, troubleshoot moderately difficult discrepancies, and serve as a vital liaison between the testing team and Benefit Operations seniors.
- Serve as a key liaison with senior members of the Benefit Operations team, actively communicating to resolve configuration discrepancies, clarify plan designs, and report actionable insights back to the testing team.
- Provide support, guidance, and peer review for junior team members to ensure testing accuracy, helping them understand SmithRx claims adjudication systems and upstream/downstream processes.