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SmithRx

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

Benefits Configuration Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 51-200Since 2018H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

0

Seniority

Senior

Bachelor Degree4 yrs expEnglish

Job Description

Benefits Configuration Analyst

SmithRx

• 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.

Job 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, Life insurance
  • Flexible Spending Benefits
  • Discretionary Time Off
  • 401(k) Retirement Savings Program
  • Paid Parental Leave benefits
  • Professional development and training opportunities

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