Benefits Configuration Analyst

Company	SmithRx
Location	Washington, USA, Kansas, USA, Pennsylvania, USA, California, USA, Texas, USA, Florida, USA, Nevada, USA, South Carolina, USA, Georgia, USA, Arizona, USA, Tennessee, USA, Virginia, USA, Arkansas, USA, Minnesota, USA, Colorado, USA, Utah, USA, Wisconsin, USA, North Carolina, USA, Missouri, USA, Ohio, USA
Salary	$Not Provided – $Not Provided
Type	Full-Time
Degrees
Experience Level	Mid Level, Senior

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.

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.

No preferred qualifications provided.