Benecard Services, LLC ยท 1 week ago
Senior Pharmacy Benefits Specialist
Bonita Springs, FL
Full-time
Onsite
Senior Level
5+ years expBenecard Services, LLC is a nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey. The Senior Pharmacy Benefits Specialist will lead the development of Implementation Guides, mentor junior specialists, and ensure compliance with regulatory requirements while acting as a liaison between teams.
Health CareMedical
Responsibilities
Lead the development of Implementation Guides for high-complexity clients
Review and approve work of junior analysts for accuracy and completeness
Define documentation standards, templates, and governance processes
Serve as escalation point for questions regarding benefit dependencies and configuration limitations
Partner with clinical, legal, and compliance teams to ensure designs meet regulatory and programmatic requirements
Act as a knowledge resource across the team for ACA compliance, clinical integration, and system capabilities
Participate in client calls when needed to explain design decisions or limitations
Qualification
Required
5+ years in pharmacy benefits with experience in plan configuration or benefit strategy
Deep understanding of system configuration capabilities and dependencies
Proven experience interpreting external carrier plan documents
Strong analytical and problem-solving skills
Ability to lead documentation initiatives and mentor peers
Exceptional attention to detail
Collaborative mindset with excellent communication skills
Preferred
Project management experience
Change control or configuration governance experience
Process improvement or operational excellence certification (e.g., Lean Six Sigma)
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