Benefits Configuration AnalystSmithRx • Worcester, MA, US
Benefits Configuration Analyst
SmithRx • Worcester, MA, US
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]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. 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
Benefits Configuration Analyst
SmithRx 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 next-generation 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, SmithRx has a solution that is resonating with clients all across the country.
We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe 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 :
- Integrity : 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 what we 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.
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 SmithRx 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.
What you will do :
What SmithRx Offers You :
[job_alerts.create_a_job]
Configuration Analyst • Worcester, MA, US
[internal_linking.similar_jobs]
AIL is a leading insurance and supplemental benefits provider.The company provides its clients with value and unbeatable customer service with complete transparency and integrity.That's what makes ...[show_more]
Discover your next step at Globe Life American Income Division! As we expand into new territories, we are looking for dedicated professionals wanting to elevate their career.In this role, you’ll ta...[show_more]
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.
We guarantee 15-25 hours per week with an hourly pay of bet...[show_more]
We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.[show_more]
The Senior Claims Analyst is responsible for the handling of medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service.The Senior Analyst is ac...[show_more]
We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...[show_more]
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
Bose Professional is a leader in the professional audio industry, specializing in the design and manufacturing of cutting-edge audio solutions including loudspeakers, amplifiers, signal p...[show_more]
Schedule : Full-Time Salary Range : USD $60000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...[show_more]
This is a Hybrid position located in Westborough MA.The job will require to train on-site and to work 3 days on-site in Westborough, MA.
This customer facing role provides a smooth and efficient onb...[show_more] Schedule : Full-Time Salary Range : USD $49000.Job Category : Claims Description Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions a...[show_more] 
We are looking for a representative to join our team.This person will operate as the lead on all critical business accounts.
The focus of this vital role is to manage the relationship with the clien...[show_more]
UK / Canada / Europe / Singapore / Dubai / Australia-based • •Investment Banking or Private Equity Experts • • for a research project with a leading foundational model AI lab.
You are a good fit if you : - Have •...[show_more]
We are seeking a detail-oriented and collaborative Contract Analyst for a temporary assignment opportunity with our client.
In this hybrid role, you will support the Strategic Sourcing team by draft...[show_more]
At Prime Time Solutions, we think enrollment should be the easiest part of getting great service.As a marketing firm, we need a Customer Enrollment Specialist in Worcester to make that happen for V...[show_more]
Licensed Marriage and Family Therapist (LMFT) Wage : Between $90-$127 an hour Licensed Marriage and Family Therapist — Are you ready to launch or expand your private practice? Headway is here to ...[show_more]
The Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems, control technology and support solutions for the U.
Navy and navies around the w...[show_more] We are looking for a representative to join our team.This person will operate as the lead on all critical business accounts.
The focus of this vital role is to manage the relationship with the clien...[show_more]
Benefits Specialist - Work From Home
Spade Recruiting • Worcester, MA, US
[filters.remote]
[job_card.permanent]
[last_updated.last_updated_30] • [promoted]
Remote Sales Representative
Globe Life American Income Division • Leominster, MA, US
[filters.remote]
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands
OCPA • Littleton, Massachusetts, us
[filters.remote]
[job_card.part_time] +1
[last_updated.last_updated_30] • [promoted]
Remote Customer Service Representative – Product Testing
GLOCPA • Fitchburg, Massachusetts
[filters.remote]
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Senior Claims Analyst - Workers Compensation
Crum & Forster • Worcester, MA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Freelance Product Feedback Specialist (Hiring Immediately)
Earn Haus • Northbridge, Massachusetts, US
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)
Data Annotation • Leominster, Massachusetts
[filters.remote]
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Windchill Configuration Analyst
Bose Professional • Hopkinton, MA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_variable_days]
Claims Specialist
Liberty Mutual Insurance • Westborough, Massachusetts, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Cash Management Implementation Analyst I
BankTalent HQ • Westborough, MA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Associate Claims Specialist
Liberty Mutual Insurance • Westborough, Massachusetts, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Benefits Specialist
Interview Hunters • Worcester, MA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Remote Financial Analyst - AI Trainer ($150 per hour)
Mercor • Leominster, Massachusetts, US
[filters.remote]
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Contract Analyst
Staffmark Group • Marlborough, MA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Customer Enrollment Specialist
Prime Time Solutions, Inc. • Worcester, MA, US
[job_card.full_time]
[last_updated.last_updated_1_day] • [promoted]
Virtual LMFT
Headway • Woonsocket, RI, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Senior Program Financial Analyst
Leonardo DRS • Fitchburg, MA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Benefits Consultant
Interview Hunters • Worcester, MA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]