Configuration Analyst, Mid-Level; Remote

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Join to apply for the Benefits Configuration Analyst, Mid-Level (Remote) role at Jobright.ai

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Job Summary:

Smith Rx is a rapidly growing, venture-backed Health-Tech company focused on 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 operations and accurate benefit configurations.

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.

Qualifications:

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.

Company:

Smith Rx is reinventing PBMs with modern technology, client alignment, and 100% transparency. Founded in 2016, the company is headquartered in San Francisco, California, USA, with a team of 501-1000 employees. The company is currently Late Stage.

• Seniority level
  
  Mid-Senior level

• Employment type
  
  Full-time

• Job function
  
  Product Management
• Industries Software Development

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Medical insurance

Vision insurance

401(k)

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