Benecard Services, LLC ยท 4 days ago
Pharmacy Benefits Specialist
Mechanicsburg, PA
Full-time
Onsite
Mid Level
3+ years expBenecard Services, LLC is a full service, in-house prescription benefit administrator that has been operating since 1990. The Pharmacy Benefits Specialist will be responsible for creating and maintaining client Implementation Guides, ensuring accurate configuration of pharmacy benefits while complying with regulatory requirements.
Health CareMedical
Responsibilities
Own the development and updates of Implementation Guides for all new and renewing clients
Analyze and interpret external carrier plan designs to create accurate, system-ready documentation
Collaborate closely with the Client Success, Clinical and Plan Setup teams to ensure alignment and accuracy
Evaluate benefit interdependencies and ensure all plan design configurations are logically consistent and complete
Articulate benefit design options, limitations, and best practices to internal stakeholders
Stay current on ACA requirements, state regulations, and clinical program capabilities
Support testing and validation processes during implementation cycles
Maintain version control and auditability of Implementation Guides
Qualification
Required
Minimum 3-5 years experience in pharmacy benefits, PBM operations, or healthcare plan configuration
Deep understanding of prescription benefit design, clinical programs, and plan configuration systems
Proven ability to interpret plan design documents from external carriers
Knowledge of ACA mandates and state-specific benefit rules
Extremely detail-oriented and organized
Strong time management and prioritization skills
Excellent communication and collaboration skills
Experience working cross-functionally with implementation or client-facing teams
Preferred
Experience with benefit setup in a PBM system
Familiarity with health plan or TPA operations
Process improvement or documentation experience
Company
Benecard Services, LLC
Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase