Benefits Configuration Specialist
Posted 1ds ago
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Job Description
Benefits configuration specialist implementing prescription benefit plans for EmpiRx Health, a clinically driven pharmacy benefits management company. Validating plan setups, testing configurations, and supporting claims inquiries and training.
Responsibilities:
- Understand clients' intent for the setup of their benefit plans
- Complete configuration of new clients and maintain changes for existing clients, including account structure, benefit plan design, clinical program, drug coverage, network, and billing
- Identify test case scenarios to confirm plan setup accuracy
- Audit configuration elements for accuracy and alignment with client intent
- Develop and maintain continuous improvement processes and internal controls aligned with industry, business, and technology standards
- Assist internal teams with claim inquiries and training
- Create and maintain training documentation
- Adjust processes to support internal teams
Requirements:
- Bachelor's degree or other relevant experience as determined by the company
- 5 years of benefit configuration experience within a PBM or health plan
- Plan setup testing experience
- Excellent attention to detail
- Strong communication skills
- Pharmacy Technician experience preferred
Benefits:
- Paid Time Off
- 401(k) program
- Health Insurance including Dental & Vision coverage
- Student Loan Reimbursement
- Health Savings Account
- Employee Assistance Program
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