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Posted 3 hours ago

Benefits Configuration Analyst

at Why Hiring

GlobalRemote

Responsibilities

  • Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups.
  • Maintain prior authorizations and step therapy rules.
  • Collaborate with member support and customer success teams to review and resolve inquiries related to
  • Support new client implementations, conduct go-live testing, perform post go-live auditing and support to ensure plans are configured to confirm accuracy.

Requirements

  • experience in payer/claims and benefit configuration required
  • Analytical skills; Microsoft Excel skills;
  • Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments

Experience

  • What you will bring to SmithRx: 4+ years of

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, Vision, Life insurance
  • Flexible Spending Benefits
  • Discretionary Time Off
  • 401(k) Retirement Savings Program
  • 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:
  • Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality SmithRx product.
  • This role will also be responsible for supporting the Plan Operations team with core
  • benefits operations functions while building and maintaining accurate benefit configuration. What will you do:
  • Aid in the organization of benefit configuration and structure for the accounts assigned by monitoring plan data integrity.
  • Assist in determining process improvement efforts.

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