Job Details

Benefits Configuration Analyst, Mid-Level (Remote)

Join to apply for the Benefits Configuration Analyst, Mid-Level (Remote) role at Jobright.ai

Benefits Configuration Analyst, Mid-Level (Remote)

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Join to apply for the Benefits Configuration Analyst, Mid-Level (Remote) role at Jobright.ai

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Job Summary:

SmithRx is a rapidly growing, venture-backed Health-Tech company focused on transforming the Pharmacy Benefit Management sector. As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and manage pharmacy benefit plans to ensure high-quality operations and accurate benefit configurations.

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.

Qualifications:

Required:

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.

Company:

SmithRx is reinventing PBMs with modern technology, client alignment, and 100% transparency. Founded in 2016, the company is headquartered in San Francisco, California, USA, with a team of 501-1000 employees. The company is currently Late Stage.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Product Management

• Industries

  Software Development

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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