Benefits Configuration Analyst jobs in United States
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SmithRx · 13 hours ago

Benefits Configuration Analyst

SmithRx is a rapidly growing, venture-backed Health-Tech company dedicated to transforming the Pharmacy Benefit Management sector. As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and manage pharmacy benefit plans to ensure high-quality service for clients.

Health CareInformation TechnologyPharmaceutical

Responsibilities

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

Qualification

Benefits configurationPayer/claims experienceAnalytical skillsMicrosoft ExcelExecution-focusedFlexibleCommunicationSelf-starter mentalityAdaptable

Required

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
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

Company

SmithRx

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SmithRx is reinventing PBMs with modern technology, client alignment, and 100% transparency.

Funding

Current Stage
Late Stage
Total Funding
$104.66M
Key Investors
VenrockFounders Fund
2024-01-23Series C· $60M
2022-03-10Series B· $27.16M
2021-01-03Series A

Leadership Team

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Alexandra Morrison
Talent Acquisition Partner
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Bryan Fowler
Partner Relationship Manager
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Company data provided by crunchbase