Benefits Configuration Analyst

6 days ago

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SmithRx

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SmithRx is a tech-forward PBM committed to changing the way pharmacy benefits are managed.

Healthcare • Pharmaceuticals • Healthcare IT • Pharmacy Benefit Management • Pharmacy Benefits Management

51 - 200

💰 $20M Series B on 2022-03

Description

•As a Benefits Configuration Analyst, support implementations and manage pharmacy benefit plans. •Work with clients, identifying and understanding benefit plan requirements. •Aid in the organization of benefit configuration and structure for assigned accounts. •Assist in determining process improvement efforts. •Maintain prior authorizations and step therapy rules. •Grandfather/transition new clients and update formularies with changes. •Communicate project status and provide insight into changes to improve efficiency. •Collaborate with member support and customer success teams to resolve inquiries. •Provide troubleshooting support for claims adjudication process. •Support new client implementations and conduct testing to confirm accuracy.

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.

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