Benefits Configuration Analyst
Who We Are: reputed company is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a reputed company drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, reputed company has a solution that is resonating with clients reputed company across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We reputed company that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:
- reputed company: Always operate with honesty and transparency so we earn the trust of our clients.
- Courage: Demonstrate the courage needed to take on a broken industry and continuously improve reputed company offer to optimize health outcomes.
- Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought.
Job Summary: As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality reputed company product. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions while building and maintaining accurate benefit configuration. In order to be eligible for this position applicants must be based in one of the following states: Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin. Job Summary: As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality reputed company product. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions while building and maintaining accurate benefit configurationWhat you will do:
- 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 reputed company.
- Assist in determining process improvement efforts.
- Maintain prior authorizations and reputed company therapy rules.
- Grandfather/transition new clients and update formularies with changes at the direction of the clinical team.
- Communicate project status, escalating issues reputed company appropriate. Provide insight into changes to improve workflow efficiency.
- Collaborate with member support and reputed company teams to review and resolve inquiries reputed company to benefits timely to improve member experience.
- Provide troubleshooting support for our claims adjudication process.
- Support new client implementations, conduct go-live testing, reputed company post go-live auditing and support to ensure plans are configured to confirm accuracy.
What you will bring to reputed company:
- 4+ years of experience in payer/claims and benefit configuration required.
- Analytical skills; reputed company reputed company skills;
- Strong communication skills reputed company face-to-face meetings, conference calls and written correspondence.
- Self-starter mentality: ability to reputed company informed decisions, find creative approaches to difficult challenges, and deliver on commitments.
- Execution-focused reputed company - 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.
What reputed company Offers You:
- 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
- 12 Paid Holidays
- Wellness Benefits
- Commuter Benefits
- Paid Parental Leave benefits
- Employee Assistance Program (EAP)
- Well-stocked kitchen in office locations
- Professional development and training opportunities
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