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SmithRx is a tech-forward PBM committed to changing the way pharmacy benefits are managed.
Pharmacy Benefits QA Analyst
Location
Arizona + 26 moreAll locations: Arizona | California | Colorado | Connecticut | Florida | Illinois | Kansas | Kentucky | Nevada | New Jersey | New York | North Carolina | Ohio | Oklahoma | Oregon | Maryland | Massachusetts | Minnesota | Missouri | Pennsylvania | Rhode Island | Tennessee | Texas | Utah | Virginia | Washington | Wisconsin
Posted
121 days ago
Salary
0
Seniority
Senior
Job Description
Pharmacy Benefits QA Analyst
SmithRx
• Communicate project status and escalate issues for improved workflow efficiency • Collaborate with engineers on system enhancements to create workflow automation • Become subject matter expert on department standards and processes • Enhance test plans to ensure application functionality meets original requirements • Support business application systems and maintain plan data integrity • Maintain and capture department metrics, identify areas of opportunity for process improvement, and develop quality acceptance standards. • Identify quality improvement opportunities and present to Manager/Team Leaders for consideration and approval • Develops and deploys daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products. • Ensures the quality and accurate analysis of benefit plan designs throughout their lifecycle, from pre-implementation to post-implementation in pharmacy or medical settings.
Job Requirements
- Bachelors degree or equivalent work experience in healthcare and/or PBM required
- 4+ years of experience as a Pharmacy QA Analyst preferred
- Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required
- Robust analytical skills; advanced skills in Microsoft Excel
- 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, 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
- Paid Company Holidays
- Wellness Benefits
- Commuter Benefits
- Paid Parental Leave benefits
- Employee Assistance Program (EAP)
- Well-stocked kitchen in office locations
- Professional development and training opportunities
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